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Roux-Y Gastric Bypass
Gastric bypass involves creating a gastric pouch and then connecting the small intestine with this gastric pouch. There are two ways of making this connection. In mini gastric bypass, it is done by making a single connection. However, in Roux-Y gastric bypass (RYGB), two connections are made.
Laparoscopic Roux-Y Gastric Bypass Procedure
During the procedure, small incisions, typically ranging from 0.5 to 1.5 centimeters in size, are made in the abdomen. Specialized instruments called trocars are then inserted through these incisions.
The first step involves dividing the stomach to create an egg-sized segment separated from the remaining larger stomach, but no part of the stomach is removed. This smaller stomach is called the gastric pouch, and restricts the amount of food that can be consumed, leading to early satiety. The larger remaining gastric portion will be bypassed and is called the remnant.
The surgeon then cuts the small intestine and attaches the lower part of it directly to the newly created stomach pouch. This connection bypasses the separated larger remnant stomach and a portion of the small intestine hence, limiting the absorption of calories and nutrients. Then a new pathway for gastric acid is created by attaching the free end of the divided small intestine to a lower portion of the small intestine called jejunum. Hence the acid is diverted away from the smaller gastric pouch and food pipe. This diversion of gastric acid and bile protects the gastric pouch and connection from being exposed that could lead to gastric pouch inflammation or ulcers at the connection called marginal ulcers. Hence this difference makes the RYGB a safer option than an MGB especially for patients with known history of acid reflux or hiatal hernia. These connections create the “Y” shape that gives this technique its name. This helps you absorb fewer calories and nutrients. As a result, you feel full faster, eat less, and lose weight. RYGB is a good option for obese individuals especially for diabetics or those individuals with acid reflux disease. Following the procedure, patients typically stay in the hospital for a night or two for monitoring.
At ALSA Pakistan, Dr. Tahir Yunus performs this procedure with exceptional skill and a track record of success. With expertise in bariatric surgery, he has helped numerous patients achieve significant weight loss and improve their health. Patients can trust in his skill and experience for a successful outcome. Our team of experienced dietitians, specialist doctors and support staff, are committed to giving you the best possible care.
The surgeon then cuts the small intestine and attaches the lower part of it directly to the newly created stomach pouch. This connection bypasses the separated larger remnant stomach and a portion of the small intestine hence, limiting the absorption of calories and nutrients. Then a new pathway for gastric acid is created by attaching the free end of the divided small intestine to a lower portion of the small intestine called jejunum. Hence the acid is diverted away from the smaller gastric pouch and food pipe. This diversion of gastric acid and bile protects the gastric pouch and connection from being exposed that could lead to gastric pouch inflammation or ulcers at the connection called marginal ulcers. Hence this difference makes the RYGB a safer option than an MGB especially for patients with known history of acid reflux or hiatal hernia. These connections create the “Y” shape that gives this technique its name. This helps you absorb fewer calories and nutrients. As a result, you feel full faster, eat less, and lose weight. RYGB is a good option for obese individuals especially for diabetics or those individuals with acid reflux disease. Following the procedure, patients typically stay in the hospital for a night or two for monitoring.
At ALSA Pakistan, Dr. Tahir Yunus performs this procedure with exceptional skill and a track record of success. With expertise in bariatric surgery, he has helped numerous patients achieve significant weight loss and improve their health. Patients can trust in his skill and experience for a successful outcome. Our team of experienced dietitians, specialist doctors and support staff, are committed to giving you the best possible care.
Laparoscopic Roux-Y Gastric Bypass Benefits
Gastric bypass surgery is a metabolic procedure that changes how your body responds to weight loss. When you lose weight through dieting, your brain senses the fat loss and it goes on survival mode by slowing down your metabolism, causing you to burn fewer calories. It also makes you feel more hungry and less satisfied after eating, which often leads to weight regain. However, with gastric bypass, the opposite happens. Your appetite decreases, you feel full faster, and your metabolism remains high, allowing you to burn more calories. This helps you lose a significant amount of weight and reach a lower metabolic and weight set point. As a result, RYGB can effectively resolve health issues like diabetes, high cholesterol, infertility, high blood pressure, and sleep apnea for many patients.
Other benefits of Laparoscopic Roux-Y Gastric Bypass includes
- 1It targets abdominal fat, a major risk factor for health conditions. It significantly impacts metabolic syndrome, improving or even resolving the cluster of conditions associated with increased risk of heart disease, stroke, and type 2 diabetes.
- 2With the RYGB procedure, the likelihood of experiencing acid-related heartburn symptoms is generally less than 1%. This means that the risk of experiencing discomfort or burning sensations in the chest due to acid reflux is quite low after the surgery.
- 3It has shown significant effectiveness in managing and even resolving type 2 diabetes. The procedure can lead to substantial improvements in blood sugar control and insulin sensitivity, resulting in a reduction or elimination of diabetes symptoms.
- 4The chances of developing ulcers following RYGB are typically less than 2%. Ulcers are open sores that can form in the stomach or small intestine, and they can cause pain and discomfort.
- 5This procedure is beneficial for individuals with hiatal hernia or inflammation in the lower food pipe. It effectively limits the amount of acid that flows into the food pipe, providing relief and helping to alleviate symptoms associated with these conditions.
Laparoscopic Roux-en-Y Gastric Bypass Procedure
Frequently Asked Questions
How is Obesity A Risk Factor?
Obesity is a risk factor for cardiovascular diseases, immune disorders, inflammatory conditions, and even cancer. It also makes a person prone to different infections such as skin infections and urinary tract infections. Obesity also leads to bad outcomes with viral infections such as coronavirus pandemic.
How Long does it take to recover from laparoscopic Roux- Gastric Bypass?
Full recovery from this surgery will take around 2-4 weeks.
How long does it take to perform this surgical procedure?
It will take around 1 to 2 hours to perform this surgery.
How is obesity inherited?
Obesity can be inherited by some genes however genetic causes only Contribute to 40% of obesity whereas environment plays a major role.
Is a laparoscopic Roux-en-Y gastric bypass right for me?
Roux-en-Y gastric bypass surgery treats severe obesity, and it recommends for those with a BMI of 40 or higher. Suppose the patient has a BMI of 35 to 40 and also suffers from an obesity-related health issue such as sleep apnea, high blood pressure, type 2 diabetes, or heart disease. In that case, the bariatric surgeon may propose Roux-en-Y gastric bypass surgery. Even those who have had previous weight loss operations that have failed to produce long-term results urge to undergo laparoscopic Roux-en-Y gastric bypass surgery.
What happens during the Roux-en-Y gastric bypass surgery?
Most surgeons do laparoscopic Roux-en-Y gastric bypass, which involves making numerous incisions in the abdomen and then inserting a laparoscope to place small surgical tools inside. Then, using a laparoscopic stapler, the surgeon separates the stomach, creating a stomach pouch with the upper section of the stomach and attaching it to the small intestine.
What happens once the laparoscopic Roux-en-Y gastric bypass surgery is complete?
The patient stays in the hospital for a day or two after surgery to verify and, they are feeling well before being discharged. Then, the surgeon will set up a physical activity plan for you and a strict diet. The initial weight loss may be rapid, but it is critical to maintaining it, which can only be done by eating a balanced diet rich in essential nutrients and vitamins.
What should you do to prepare for laparoscopic Roux-en-Y gastric bypass surgery?
People who have a history of medication or alcohol misuse and are unwilling to change their diet and exercise habits should avoid Roux-en-Y gastric bypass surgery. The patient must first enroll in a bariatric surgery education program. They will learn about the restrictions, receive dietary counseling, and have a psychological evaluation to prepare for the surgery. Blood tests, stomach imaging investigations, and upper endoscopy are among the physical exams and diagnostics that the surgeon may perform.
Will I be in pain after the laparoscopic Roux-en-Y gastric bypass surgery?
The main source of discomfort following a gastric bypass operation is the port entry sites made through the abdominal wall. This is because the operating tools and camera pass in it.
Additionally, following gastric bypass, you may feel left shoulder pain, which could cause by the gas, which is carbon dioxide used to inflate the abdomen. However, pain is not a common occurrence, and any discomfort that does arise normally responds easily to over-the-counter pain relievers.
Is there any risk associated with the laparoscopic Roux-en-Y gastric bypass surgery?
Patients may encounter bleeding, infection, or blood clots after undergoing laparoscopic Roux-en-Y gastric bypass surgery, just as they would after any other operation. Leaks from the Roux limb or the stomach pouch are also possible. Patients who do not take their supplements daily may have low iron, calcium, protein, and vitamin levels. Dumping syndrome, internal hernia, and weight regain may occur in some patients, necessitating revision surgery.
Can I do exercise if I’ve had laparoscopic Roux-en-Y gastric bypass surgery?
Physical activity should be a part of your daily routine to lose weight. After your bypass surgery, you will be treated with special instructions and advice on physical exercise, but we recommend starting with walking. You may want to try more intense forms of activity as you get fitter, and there is no exercise that you can’t do because you’ve had laparoscopic Roux-en-Y gastric bypass surgery.
When should I can drive again following the laparoscopic Roux-en-Y gastric bypass surgery?
To enable the anesthetic effects and any post-operative analgesia (painkillers) to wear off, you should not drive for at least 2-3 days after your surgery. After that, driving may be a little painful until the port sites have fully healed, which normally takes around ten days.
Is it possible to regain weight after a laparoscopic Roux-en-Y gastric bypass procedure?
There is evidence that weight gain after a gastric bypass might occur, mainly due to patients returning to their prior eating habits. It’s crucial to note that the laparoscopic Roux-en-Y gastric bypass (RYGBP) is not a “solution” for your weight problems but rather a strong tool that can help you better manage your weight. However, if you eat “junk” food and do not exercise, you will almost likely gain weight after laparoscopic Roux-en-Y gastric bypass surgery (following any weight loss procedure). So the lesson is “constant vigilance”; there are no days off when it comes to weight loss!
