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Roux-En-Y Gastric Bypass
How it works:
This procedure involves creating a small stomach pouch, so less food is consumed. the intestine is connected to the pouch and rerouted. Food bypasses the lower stomach, the first segment of the small intestine (duodenum) and part of the second (jejunum).a direct connection is created from the stomach to the lower segment of the small intestine, literally bypassing portions of the digestive tract that absorb calories and nutrients. This is considered a combined restrictive and malabsorptive procedure.Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.The procedure is called 'Roux-en-Y' because the gastric pouch is called the 'roux limb' and the Y shape is formed by the three arms coming together at a junction. This surgery reduces the size of your upper stomach to a small pouch about the size of an egg. The surgeon does this by stapling off the upper section of the stomach. This reduces the amount of food you can eat. The surgeon then attaches this pouch directly to part of the small intestine called the Roux limb. Results: on an average 77% of excess body weight is lost in one year after surgery. Studies show that after 10 to 14 years, patients have maintained 60% of excess body weight loss. Study of 500 patients showed that 96% of certain associated health conditions were improved or resolved, including back pain, sleep apnea, high blood pressure, type 2 diabetes and depression. In most cases patients report an early sense of fullness, combined with a sense of satisfaction that reduces the desire to eat.Frequently Asked Question's(FAQ's)
1. How Do I Find a Bariatric Surgeon?
Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.
2. How Will My Physical Appearance Change After Weight Loss Surgery?
As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.
3. Will My Social Life and Relationships Change After Weight Loss Surgery?
Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.
4. Will I Feel Like Myself After I Lose Weight?
Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.
5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?
Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.
6. How Much Weight Will I Lose After Surgery?
After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.