requires much smaller incisions than traditional abdominal surgery. Patientsgenerally have less pain and scarring after surgery and recover more quickly.
Laparoscopic Gastric Bypass Surgery
also reduces your risk of developinghernias, which are more common after traditional abdominal surgery. Thoughgastric bypass procedure can be reversed, you should carefully consider allof the risks and benefits before electing to have this surgery.Various Types of
Laparoscopic Gastric Bypass Surgery
-Proximal - Roux en-Y
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This variant is the most commonly employed gastric bypass technique, andis by far the most commonly performed bariatric procedure in the UnitedStates. It is the operation which is least likely to result in nutritional difficulties.In the proximal version, the Y-intersection is formed near the upper (proximal)end of the small bowel. The Roux limb is constructed with a length of 80 to150 cm (30 to 60 inches), preserving most of the small bowel for absorptionof nutrients.Distal - Roux en-Y
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The normal small bowel is 600 to 1000 cm (20 to 33 feet) in length. As the Y-connection is moved farther down the
gastrointestinal tract
, the amount of bowel capable of fully absorbing nutrients is progressively reduced, in pursuitof greater effectiveness of the operation. The Y-connection is formed muchcloser to the lower (distal) end of the small bowel, usually 100 to 150 cm (40to 60 inches) from the lower end of the bowel, causing reduced absorption(mal-absorption) of food, primarily of fats and starches, but also of variousminerals, and the fat-soluble vitamins.Mini-Gastric Bypass - Loop Gastric bypass
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Although simpler to create, this approach allowed bile and pancreaticenzymes from the small bowel to enter the esophagus, sometimes causingsevere inflammation and ulceration of either the stomach or the lower esophagus. If a leak into the abdomen occurs, this corrosive fluid can causesevere consequences. The Mini-Gastric Bypass, which uses the loopreconstruction, has been suggested as an alternative to the Roux en-Yprocedure, due to the simplicity of its construction, which reduced thechallenge of Laparoscopic Gastric Bypass Surgery.Advantages of Laparoscopic Gastric Bypass Surgery –
Roux-en-Y offers the best balance between weight loss and risk of complications.
The average excess weight loss after the Roux-en-Y procedure isgenerally higher in a compliant patient than with restrictive procedures.
Studies show that after 10 to 14 years, patients on average have only
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