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. Ali is a distinguished physician who has received the Dubai Health Care City Distinguished Excellence Physician Award in 2019 for his exceptional contribution in promoting advanced & complex surgery services in the UAE. He is widely renowned for providing compassionate care to his patients suffering from cancer and for his expertise in performing complex surgical procedures of the Thoracic (lung and chest), Upper GI (Stomach and Esophagus), and surgical oncology (Liver, Adrenal, Solid Organs & Sarcoma) cases in Dubai and the UAE.
- Dr. Al Rifai is an adjunct assistant professor in many international and national medical colleges, a member of royal college of surgeon in Ireland. He is Syrian board certified with more than 25 years' experience in the field of open and advanced laparoscopic surgery, and 20 years in bariatric surgery in several academic hospitals.
Blogs, guides, videos and other downloadable resources
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