Treatment

Roux-en-Y Gastric Bypass

Overview

Roux-en-Y Gastric Bypass is a type of bariatric surgery designed to help people struggling with obesity achieve long-term weight loss. It combines two key steps — creating a small stomach pouch and rerouting the small intestine. This not only reduces how much food you can eat but also how many calories your body absorbs. It is one of the most effective and widely used weight loss surgery options, especially for patients who have not succeeded with diets, exercise or medications. The goal is not just weight loss, but a healthier, longer life.

Why Roux-en-Y Gastric Bypass Treatment is Required?

• When diet and exercise fail to bring sustainable results.
• For people with severe obesity (BMI over 40) or BMI over 35 with related health problems like diabetes, high blood pressure, or sleep apnea.
• When other types of bariatric surgery like gastric sleeve or gastric banding are not suitable.
• For patients experiencing weight regain after previous stomach surgery.
• To improve quality of life by reducing obesity-related health risks.

Key Advantages of Roux-en-Y Gastric Bypass Treatment

• Significant and long-lasting weight loss
• Improvement or resolution of obesity-related conditions such as type 2 diabetes, hypertension and joint pain
• Reduction in hunger hormones, helping better appetite control
• Better nutrient absorption control compared to some other surgeries
• Helps patients meet the bariatric surgery requirements for health recovery

How Should You Prepare Yourself Before Roux-en-Y Gastric Bypass Treatment

• Consult a bariatric surgeon and understand if you’re a good candidate for surgery.
• Undergo necessary tests such as bloodwork, heart tests and psychological evaluations.
• Follow a pre-bariatric diet to shrink the liver and make surgery safer.
• Stop smoking and alcohol to reduce complications.
• Learn about bariatric surgery recovery time and commit to long-term lifestyle changes.
• Discuss the cost of gastric bypass surgery, insurance coverage, and gastric bypass vs sleeve options.

How Roux-en-Y Gastric Bypass Treatment is Performed?

• Performed using laparoscopic (minimally invasive) techniques
• A small pouch is created from the stomach, limiting food intake.
• A portion of the small intestine is rerouted and connected to the pouch (the “Y” shape).
• This caloric bypass reduces calorie and nutrient absorption.
• The entire procedure usually takes 2 to 3 hours.

What You Can Expect Before, During and After Procedure?

• Before Process:
• You will follow a low-calorie, high-protein diet.
• Instructions will include medication adjustments and fasting before surgery.
• During Process:
• Surgery is done under general anesthesia.
• You will wake up with small incisions and may stay in the hospital for 2 to 3 days.
• After Process:
• Liquid diet for the first few weeks.
• Transition to soft food, then solid food as directed.
• Regular follow-ups with your bariatric doctor.
• Vitamin supplements and bariatric diet must be followed lifelong.

Risk and Potential Complications

• Infection or bleeding post-surgery
• Dumping syndrome (nausea, diarrhea after eating sugary food)
• Nutritional deficiencies if supplements are not taken
• Bowel obstruction or ulcers
• Risk of gallstones due to rapid weight loss
• Some patients may require RNY revision or other bariatric sleeve surgery alternatives

Results/Outcomes

• Patients typically lose 60% to 80% of excess weight within 12 to 18 months.
• Improvement in type 2 diabetes, high cholesterol, sleep apnea, and more.
• Most people report higher energy levels, improved mobility, and better mental health.
• Lifelong follow-up is needed for best results and to avoid complications.