roux and-y-Weight-Loss-Surgery

What is Roux n y Gastric Bypass?

The Roux n Y Gastric Bypass is a bariatric weight loss surgical procedure. It is a bypass surgery that loops the upper stomach to the small intestine. *The Roux n Y Gastric Bypass can increase life expectancy by 9.3 years in obese patients. This is according to a study published in The Lancet in 2021

Also known as
Gastric Bypass

Background of Roux n Y Gasric Bypass?

Cesear Roux who was credited with first using the loop-n-y technique. Yet it was Drs. Scopinaro and Gianetta who further developed the Roux-en-Y technique in 1996. It now loops from the upper stomach to the small intestine. The procedure is less prone to difficulties than the initial Intestinal Bypass. Modern procedures as we know them now did not emerge until the early 1990s.

Who is a suitable candidate for Roux n Y Gasric Bypass?

  • Patients should have a Body Mass Index (BMI) of above 40. In order for patients to be considered for Roux n Y Gasric Bypass.

 

  • Patients who suffer from obesity related conditions such as
    • Sleep apnea
    • Fatty liver disease
    • Type 2 diabetes
    • Hypertension
    • Severe Acid Reflux or GERD
    • Slower Metabolism
    • “Sweet Tooth”
    • Barrett’s Esophagus
    • Eating Disorders such Bulimia or Binge eating
  • Patients committed to creating a healthier lifestyle in preparation and after surgery to ensure the best possible results.

 

How much weight can I lose with the Roux n Y Gastric Bypass?

Studies have found that one year after surgery, patients have lost 89% of their excess weight. In five years after surgery, patients have lost 73.3% of their excess weight.

How is the Roux n Y Gastric Bypass Performed?

A laparoscopic telescope with a camera and instruments are used to perform the procedure. This allows the surgeon access to the stomach.

 

The stomach is divided at the top, leaving a small pouch attached to the esophagus. Both ends of the stomach are closed.
The jejunum, the middle part of the small intestine where food is digested, is then divided and brought up and attached to the stump of the stomach.
 The other end of the divided jejunum is re-attached to the small intestine. This re-attachment is critical as it allows the flow of bile from the liver, gastric secretions from the stomach and the digestive enzymes from the pancreas continue to flow.

What are the benefits of Roux n Y Gastric Bypass?

  • You should anticipate to lose roughly 30% of your pre-surgery body weight after treatment.
  • You’ll have more energy and be able to move about more freely.  Have less health issues as a result of weight loss.
  • Reduction of conditions associated with obesity such as, type 2 diabetes, fatty liver disease, sleep apnea and other morbid conditions are greatly reduced
  • Lower-back pain and joint pain are typically relieved or improved in nearly all patients.

What to expect after Roux n Y Gastric Bypass?

This is usually individualized based on the surgery and the patient. Most patients require pain medication for one week following surgery.

Patients may experience tthe following symtoms after surgery

  • Scratchy sore throat
  • Uterine cramping
  • Shoulder pain from the gas used during the laparoscopy
  • Feeling bloated or nausea
  • Vaginal bleeding (or discharge like a menses)

It may be advised to avoid intercourse, baths, douching, strenuous exercise or heavy lifting for 4-6 weeks after the operation.

 

 

Roux n Y Gastric Bypass normal recovery times

Most people stay in the hospital for 2 to 3 days. Patients can return to work within five to seven days and get back to normal activities in 3 to 5 weeks.

Walking exercises and raising the legs when seated are important. These light activities will reduce the chance of blood clots.

 

Roux n Y Gastric Bypass lifestyle changes

Lifestyle changes are an important part of post operative recovery.

Bariatric surgery improves your physical quality of life as you become more flexible. It will help you

  • regain independence,
  • improve breathing,
  • increase energy and stamina,
  • and relieve joint pain caused by obesity.

Exercise will become faster and easier as the excess weight is lost, build stamina and discover cardiovascular fitness.

Roux n Y Gastric Bypass post treatment diet

Dietary requirements for the first few days after the operation will include fluids such as small sips of water, low calorie drinks and sugar free juices.

Individuals must avoid malnutrition after a gastrectomy by eating sufficient protein every day.

Patients should take supplements, vitamins and minerals to avoid deficiencies. Supplements should either be in a liquid, under-the-tongue or a chewable form right after surgery

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Risk factors One Anastomosis

Any surgery performed under general anesthesia carries certain risks. Although small, there is a 5-10% that these risks can occur.  These may include

  • heavy bleeding
  • infection
  • blood clots formed in the legs
  • side effects of anesthesia
  • lung or breathing problems.

Risks associated with Roux n Y Gastric Bypass

 

  • Leakage represent the most common complication
  • Bleeding is the second most common risk factor, this occurs at the stapled lining along the gastric pouch
  • Dumping syndrome,when food is consumed too quickly, this can be be corrected through an correct eating habits
  • Blood clots
  • Nausea
  • Serious acid reflux
  • Dilation of esophagus.
  • Inability to eat certain foods.
  • Obstruction of the stomach.