Roux-En-Y Gastric Bypass –
Gastric Bypass– in this surgery small pouch (15-20 ml) is created & 100-150 cm of small intestine from the duodeno jejunal flexure is bypassed. So it has restrictive & malabsorptive component which produces 80-9 of excess weight loss. Good for patients with severe comorbidities.
This surgery makes the abdomen smaller and causes food to bypass a part of the small intestine. you’ll feel full more quickly than when your stomach was its original size. This reduces the quantity of food you can erodeone time. Bypassing a part of the intestine reduces what proportion food and nutrients are absorbed. This results in weight loss.
Weight-loss surgery is suitable for those people that are severely overweight and who haven’t been able to reduce with diet, exercise, or drugs.
Surgery is generally considered when your body mass index (BMI) is 40 or higher…
One type of gastric bypass surgery is a Roux-en-Y gastric bypass.
- There are a few variations to the traditional Gastric bypass in which few Surgeons put a small band ring around the stomach pouch also known as Banded gastric bypass
- There are a few variations to the Gastric bypass i.e Mini Gastric Bypass and Loop Duodeno Jejunal Bypass
- This Surgery can also be done through a Single Incision
It also produces hormonal changes in the form of increased GLP-1 and PYY and reduced Ghrelin, insulin resistance thereby having a better blood sugar control in diabetics.
Weight loss, in turn, produces better control of hypertension due to better functioning of renin –angiotensin axis, reducing the stress hormones and reducing intrabdominal pressure.
It also has a role in reducing obesity-related diseases mainly Hyperlipidemia, Obstructive sleep apnea, Polycystic Ovarian disease, Hyperuricemia and joint pains
Patients need to take iron, multivitamin & calcium supplements life long after this procedure.