OPEN Roux-en-Y Gastric Bypass (Combination Surgery)

The open Roux-en-Y Gastric Bypass is classified as a "combination" weight loss surgery because it is both restrictive and malabsorptive in nature. During the surgery, a 6-10 inch incision is made along the upper portion of the belly. The surgeon will staple and separate the top portion of the stomach from the bottom portion of the stomach to create a small stomach pouch. This small stomach pouch functions to restrict food intake (the restrictive portion of the surgery). A section of the small intestine is then attached to the small stomach pouch. This allows food to bypass the lower stomach and the first part of the small intestine. This bypass reduces the amount of calories and nutrients the body absorbs (the malabsorptive portion of the surgery).

LAPAROSCOPIC Roux-en-Y Gastric Bypass (Combination Surgery)

Roux-en-YThe Laparoscopic Roux-en-Y Gastric Bypass is classified as a "combination" weight loss surgery because it is both restrictive and malabsorptive in nature. During the surgery, five to eight small incisions are made in the abdomen to insert a small video camera and the tools needed to perform the surgery. The surgeon will staple and separate the top portion of the stomach from the bottom portion of the stomach to create a small stomach pouch. This small stomach pouch functions to restrict food intake (the restrictive portion of the surgery). A section of the small intestine is then attached to the small stomach pouch. This allows food to bypass the lower stomach, and the first part of the small intestine. This bypass reduces the amount of calories and nutrients the body absorbs (the malabsorptive portion of the surgery). You will be required to take vitamin/mineral supplements due to malabsorption

Advantages of gastric bypass surgery are many. Most patients experience an improvement in medical conditions, a decrease in prescription medications, improved fertility in females, and an improved quality of life.

It is possible that the Laparoscopic Roux-en-Y Gastric Bypass may have to be converted to a traditional "open" approach. Reasons to convert a laparoscopic surgery to an open surgery include, but are not limited to, significant bleeding, extreme obesity,  equipment malfunction, and anatomic considerations such as large liver size and scar tissue.

Risks

There are risks with any surgery and weight loss surgery is no exception. Your surgeon will review all the complications of weight loss surgery in detail with you before your operation. Although most surgeries have no complications, our staff of experienced medical professionals is available to respond to any complications that may arise.

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