Gastric Bypass
Roux en Y (RNY) or gastric bypass is a restrictive procedure that staples off an approximate ½-1 ounce stomach pouch at the upper portion of the stomach. A section of small bowel is then attached to the pouch via a small opening, which is to simulate the pyloric valve.
This procedure consists of separating a large portion of the stomach. The part of the stomach that stores food ends up being approximately 20cc. Because of this reduction, the amount of food the patient will be able to eat and drink will be greatly restricted.
After doing this reduction, the lower part of the small intestine is connected to the small stomach pouch that will receive the food. This procedure reduces the area the small intestine has to absorb nutrients because the surgery excludes the portion were fats and sugars are absorbed. The duodenum follows the large pouch of the stomach that was separated. This is connected to the part of the intestine that receives the food at the lowest point. During surgery a "Y" is formed. This is why the surgery is known as Roux en "Y"
This surgery aside of having excellent results in losing more than 85%, of excess weight, it also has the best percentage of resolving complications like Diabetes, High Blood pressure and Hyperlipidemia (high cholesterol and triglycerides)..
- It is the surgery that obtains better weight loss results near the 85-90% of loss of the excess of weight within 12-18 months since the surgery.
- It allows the patients to eat practically in a normal way, with a minim or null probability of feeling nauseous, vomits or a food stuck sensation technically called dysphagia.
- This surgery diminishes the diseases associated with the obesity, because of the obtained weight loss, that even allows cutting off the medication need.
- If this surgery is taken by laparoscopic procedure, the advantages of this mean itself are added, with less pain and faster recovery.
It has been proved that this procedure maintains the lost of weight by more than 15 years, even if patients eat greater caloric content foods, this surgery assures its results by the second mechanism, the one of bad intestinal absorption which would be in charge of not gaining weight.This is, without a doubt, the most important and fundamental goal of obesity surgery.
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