- Gastric bypass, also called gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.
- It involves the creation of the small stomach pouch and then connecting the new pouched stomach directly to the small intestine. It allows people with obesity to lose weight to enjoy a better quality of life and a longer life span. It is also known as gastric bypass commonly. Roux-en-Y gastric bypass reduces the size of the stomach by about 90%.
- The Roux-en-Y gastric bypass procedure is almost 50 years old. It was first introduced in the year 1966 by scientist Mason. The name "Roux-en-Y" is derived from the French term, which means "in the form of a Y". It is performed when you cannot lose weight even after improving your diet and performing the exercise.
What will happen if the Roux-en-Y gastric bypass is delayed?
- The Roux-en-Y gastric bypass is performed for weight loss, and postponing the procedure increases the risk of many life-threatening weight-related multiple comorbidities like
- Obstructive Sleep Apnea
- Heart diseases
- Gastro-oesophageal reflux disease(GERD)
- High cholesterol
- High blood pressure
- Social and psychological problems
- Polycystic ovarian syndrome
- Obstructive sleep apnea
- Type 2 diabetes
Benefits of Roux Gastric Bypass
Advantages of Roux-en-Y Gastric Bypass
- The average excess weight loss after the Roux-en-Y procedure is generally higher in a compliant patient than with purely restrictive procedures.
- One year after surgery, weight loss can average 77 per cent of excess body weight.
Who needs Roux- en- Y - Gastric Bypass
The Roux-en-Y gastric bypass surgery is performed in the following cases:
- If you have a body mass index (BMI) of 40 or more.
- If you fail to lose weight, use non-operative measures such as diet, exercise, and lifestyle change.
- If you have a BMI between 35 to 39 and have a serious medical condition, such as heart disease, obstructive sleep apnea, lungs problems, liver problems, or type 2 diabetes
Roux en Y gastric procedure
- The Roux-en-Y gastric bypass procedure is performed in the following steps:
- Firstly, the doctor will administer general anaesthesia before the surgery. It is to make the procedure painless Then, you will be shifted to the operation theatre.
- The doctor will make minor cuts or incisions on your belly.
- Then the doctor will insert a laparoscope and other surgery tools through these incisions.
- Then, the surgeon will make a small stomach pouch using a laparoscopic stapler with the upper stomach.
- The surgeon uses the stapler to divide the upper part of the small intestine into a tube with two ends.
- Once done, one of the small intestines is brought up to the stomach pouch. A small connection (called anastomosis) is made between them. The other end of the tube is then connected to another part of the small intestine.
- Once done, the surgeon will perform the endoscopy to test for any leak (if present).
- Later, a laparoscope and other instruments are removed from the abdomen.
- Finally, the surgeon stitches the cuts close that heals automatically over time.
What to expect before the surgery?
- The doctor will perform some tests and examinations to ensure the Roux-en-Y gastric bypass is the best option for you. The doctor will perform a physical, blood tests, and imaging test of your upper stomach and intestine. The doctor will also consider the medical history and family history before surgery. The doctor will explain how the surgery will be performed and the results you can expect. They will also prepare about the lifestyle changes you need to make and life after the surgery.
- The doctor advises you to stop smoking and drinking several months before the surgery. In addition, they will ask you to stop taking ibuprofen, aspirin, and other blood-thinning medications a week before the surgery.
- You may be given some medications to prepare for a bowel movement. You will be asked not to eat and drink anything after midnight before the surgery.
What to expect on the day of surgery?
- The surgery will be done at the hospital. Do not wear any jewellery while visiting the hospital for surgery. You should reach the hospital at the directed time. Once you reach the hospital, the doctor will ask you to change clothes and wear the hospital gown. Then, you will be taken to the operation theatre.
Recovery and Post Op care for Roux Care
What to expect after the surgery?
- Immediately after gastric bypass surgery, you may have liquids but no solid food as your stomach and intestines begin to heal.
- You'll then follow a special diet plan that changes slowly from liquids to pureed foods.
The first follow up appointment
- The doctor will call you for the first follow-up after seven days of the discharge. They will perform some tests to ensure there are no complications and everything is fine. The doctor will prescribe you multivitamins, calcium supplements, iron supplements, and vitamin B-12. You will also have frequent medical follow up with a doctor for the first few weeks and months to monitor your health.
- After that, you can eat soft foods, then move on to firmer foods as your body is able to tolerate them
Risk and complication of Roux - en- gastric bypass
- Bowel obstruction.
- Dumping syndrome
- causing diarrhoea
- nausea or vomiting.