Laparoscopic Roux-en-Y Gastric Bypass is a surgical procedure where the surgeon creates a small pouch at the top of your stomach to decrease the amount of food it can hold. The small intestine is reconfigured such that food bypasses the first and a portion of the second segment of the small intestine. This limits the calories your body absorbs. By taking in less food and fewer calories, your body is able to lose greater amounts of weight faster than by traditional non-surgical dieting.
The Roux-en-Y procedure works four different ways to produce the desired weight loss benefits:
The reduced size of the stomach decreases how much you can eat.
It reduces the size of the passageway or outlet of the new stomach pouch to reduce how fast you eat.
The bypasses section of the small intestine results in some degree of malabsorption of fewer calories.
A variety of unpleasant physical reactions, called dumping, will occur if refined sugar is eaten. This forces the surgical patient to reduce their intake of refined sugar calories.
The laparoscopic procedure is performed through multiple mini-incisions (usually six) rather than one single large incision. The Laparoscopic Roux-en-Y Gastric Bypass reduces pain, surgical risk and recovery time.
The Near Total Gastric By-Pass Open Procedure
The Near Total Gastric By-Pass works the same four ways as the laparoscopic procedure above, but it is done with one incision approximately six inches long instead of six smaller incisions as described above. The size of this pouch is a little smaller than the fundus which cannot stretch.
Lap-Band
Laparoscopic banding surgery is an alternative surgical approach to weight loss surgery. Instead of bypassing the stomach as in traditional Roux-en-Y gastric bypass, the idea behind this operation is to create a small pouch by inserting a silicone band in the upper part of the stomach that can be adjusted through a small port under the skin. Saline is injected or removed via the port, to adjust the size of the opening. The silicone band device is placed around the top of the stomach through a tiny (1cm) incision in the abdomen. The resulting pouch (or the "new stomach") dramatically reduces the functional capacity of the stomach. The band has a balloon from the inside that is adjustable and can reduce the size of the stomach opening. This balloon adjustment is a simple, painless procedure done at interval visits as needed in the physician's office. This helps the patient continually lose weight until they reach their goal.
da Vinci Robotic Gastric Bypass
The da Vinci Robotic Surgical System offers patients a less invasive surgical option and provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy. The surgeon's hands are at the controls of a state-of-the-art robotic platform. The da Vinci System enables surgeons to perform gastric bypass procedures through very small incisions. It allows the surgeon to see vital anatomical structures more clearly. For the patient, benefits may include:
