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.
Blogs, guides, videos and other downloadable resources
Fun Day at the Beach Turns to Nightmare for Tourist who Underwent Multiple Surgeries After Being Stung by Jellyfish in Dubai
Dubai, UAE (xx/xx/xxxx): A 55-year-old woman, C.K., from Switzerland visited Dubai during her vacation where she was stung by a jellyfish, leading to severe limb-threatening symptoms and complications. Due to the sting the patient had an extremely swollen arm with major blocked arteries, affecting its function
The Perks of the Relex Smile Procedure for Vision Problems with Dr. Sandip Mitra, Consultant Ophthalmologist
There are numerous laser eye surgeries out there, making it difficult to decide what the best option is. Laser vision correction is a decision that must be taken with high importance, since it has a large impact on one’s life and future. Being freed of your glasses or contacts is an exciting part of the whole process, however there are other steps and considerations that one should acknowledge