Gastric Roux-En-Y Bypass
To achieve weight-loss, a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the absorption of nutrients and thereby reduces the calorie intake.
- Effective for patients with high BMI's
- "Dumping syndrome" if sweets and chocolates taken
- Good operation for sweet eaters
- Long track record
- Tend to lose a more weight than gastric band
- Longer recovery time
- Not reversible
- Staple line leak
- Minor late weight regain 10-20% after 2-5 yrs
- Nutritional/ mineral supplements required
Residual stomach capacity: 30-50mls
Estimated weight loss: 60-70% EWL over 2 years.