Roux-en Y gastric bypass
Gold Standard in Bariatric Weight loss
Combination Restrictive/malabsorptive Procedures
Roux-en-Y Gastric Bypass
Arguably, the “Gold Standard” in obesity surgery is the Roux-en-Y Gastric Bypass. This procedure involves both a “ restrictive ” procedure by decreasing the size of the stomach by stapling across the top of it and a “ malabsorptive ” component, achieved by bringing-up and attaching a portion of the small intestine directly to the stomach, thus “ bypassing ” part of the small intestine.This surgery causes gastrointestinal hormonal changes, which result in decreased hunger and improved satiety or fullness. Individuals undergoing this surgery will lose significant amounts of weight (mainly body fat as opposed to lean body mass or muscle tissue). Weight maintenance is generally excellent with small increases in weight occurring over subsequent years. Like any obesity surgery, the patient will require lifelong vitamin supplements & regular periodic follow-up to preventive any vitamin, iron, calcium deficiencies.
Surgical Results, Complications, and Nutritional Deficiencies
After 2 years from the surgical procedure, on average patients lost approximately 60- 80 % of excess body weight lost
Major complications related to this specific surgery are less than 3-4 % and include:
1- Marginal Ulcers at the site of attachment of the intestine to the stomach.
2- Stomal stenosis (narrowing)at the stomach outlet, resulting in nausea and vomiting
3- Leakage of intestinal contents
4- Stomach staple line disruption resulting in the ability to consume large volumes of food
5- Dumping Syndrome wherein consumption of food (especially carbohydrates) results in nausea, vomiting, diarrhea, abdominal pain, flushing, rapid heartbeats.
Nutritional Deficiencies from Roux-en-Y Gastric Bypass are specifically Iron, Vitamin B12, Folate, Vitamin D, Calcium, Thiamine, Protein, therefore patients need regular supplementation and follow up with your doctor.
This procedure is carried out usually laparoscopically, which offers faster surgical recovery & enhanced safety.
Meet Our Team
Our team of highly qualified and experienced physicians drawn from across the world
- Dr. Girish Juneja is a leading bariatric/laparoscopic surgeon with 30+ years of surgical experience. He specializes in advanced laparoscopic and bariatric surgery, he is a Certified Surgeon of excellence for bariatric and metabolic surgery by IFSO. Dr. Juneja had his basic & advanced laparoscopic training from nine wells medical college , UK , diploma in minimal access (laparoscopic) surgery from France. Did his fellowship in bariatric surgery from Netherland & is also a international fellow of ASMBS, USA.
- Dr. Cipe is a Professor of Surgery. He is a European and Turkish Board-certified General Surgeon, with more than 20 years of experience. He started his career in 1999, at Sisli Etfal Research and Education Hospital, Istanbul - Turkey, and worked in several reputed hospitals there.
- Dr. Taghreed Almahmeed is an American board-certified surgeon and member of the Royal College of Physicians and Surgeons of Canada. In 2016, after a decade of hands-on practice across the United States, she joined the AZHD team as a Consultant General Surgeon and distinguished member of Al Zahra Cancer Center's multidisciplinary tumor board for breast cancer patients. Dr. Taghreed specializes in breast surgery and oncoplastic breast procedures with minimally invasive techniques.
Blogs, guides, videos and other downloadable resources
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