Gastric Bypass

The Gastric Bypass, also called the “Roux-en-Y Gastric Bypass,” has been performed for over 50 years, with the laparoscopic technique refined since 1993. It is one of the most prevalent and effective procedures for treating obesity and related diseases. The name “Roux-en-Y” is derived from a French term meaning “in the form of a Y.”

The Procedure

The procedure begins by dividing the stomach into a small top portion, or pouch, about the size of an egg. The larger part of the stomach is bypassed and no longer participates in food storage or digestion. The small intestine is also divided and connected to the new stomach pouch, allowing food to pass directly through it. The segment of the small bowel that drains the bypassed stomach is reconnected further down the intestine, creating a Y-shaped configuration. Eventually, stomach acids and digestive enzymes from the bypassed stomach and the initial section of the small intestine will mix with ingested food.

How it Works

The gastric bypass functions in multiple ways. The newly created stomach pouch holds less food, resulting in reduced calorie intake. Additionally, because food bypasses the first portion of the small intestine, nutrient absorption is decreased. The altered route of food through the digestive tract significantly reduces hunger, increases feelings of fullness, and helps achieve and maintain a healthy weight. This surgery often leads to improved adult-onset diabetes, sometimes even before significant weight loss occurs. It also helps alleviate reflux symptoms, which often improve rapidly. Patients need to make healthy food choices and avoid tobacco and non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen.

Advantages

Disadvantages

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Photo courtesy of Medtronic

Frequently Asked Questions

 

Most patients lose around 30% of their total weight in the first year after surgery. At Seger | MD, we encourage patients to aim higher, and we often see the top 4-5% reaching BMI levels of 25 or even lower. Those who achieve these results are fully engaged in our comprehensive medical weight management  program and exercise 4-5 times a week. You can achieve this too, but it will require some effort!

Yes, due to changes in the digestive system, patients will need to take vitamins and supplements for the rest of their life to prevent nutritional deficiencies.

Most patients can return to work within 2-4 weeks, depending on the nature of their job and their individual recovery.

Ready to Become a Healthier You?

Your path to weight loss is singularly yours, and at Seger | MD, we’re committed to supporting you through every phase of your journey.

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