Laparoscopic Roux en-y gastric bypass is a type of weight-loss/bariatric surgery. As the name suggests it can be performed through key-hole method (laparoscopy). In this technique 4 to 5 tiny cuts of half to one cm are made on the abdomen and the whole surgery is performed through these. Laparoscopic sleeve gastrectomy can also be performed in the scar-less manner through a single cut through the belly button. In a Laparoscopic Roux en-y gastric bypass, a small 30 to 50 cc stomach pouch is created using surgical staplers. Small intestine is divided at about 50 to 100 cm from the duodeno-jejunal junction and attached to the stomach pouch in a “y” shaped fashion. The food comes into the stomach pouch and flows directly into the small intestine. It bypasses the remaining stomach and the first part of small intestine.
FAQs:
- Who is eligible for laparoscopic Roux en-y gastric bypass?
Following are the criteria for eligibility-
- BMI ≥5 Kg/m2 with or without associated diseases
- BMI ≥5 Kg/m2 with 2 or more associated diseases like type 2 diabetes, high blood pressure, sleep apnoea etc.
- BMI ≥5 Kg/m2 with uncontrolled diabetes despite best medical management
- Additionally, it is the procedure of choice for obese patient with hiatus hernia and acid reflux disease. It also is the procedure of choice for obese diabetics and leads to wonderful results.
- Who must not undergo laparoscopic Roux en-y gastric bypass?
- Smokers
- Patients who are pregnant or wish to be pregnant in the next 1 year
- Patients who are medically unfit for any kind of surgery
- Patients with severe uncontrolled psychiatric disorders
- Patients with liver disease.
- What kind of weight loss can be achieved after a laparoscopic Roux en-y gastric bypass?
Laparoscopic Roux en-y gastric bypass surgery in mumbai is a restrictive and mal-absorptive procedure and can lead to an excess weight loss of about 70 to 80% on an average. This occurs over a period of 12 to 18 months. Various factors affect weight loss after bariatric surgery. It is important to recognize that obesity is a chronic progressive disease and needs life long support. Diet and lifestyle modification are mandatory after bariatric surgery to get good results and for weight maintenance.
- What are the risks associated with laparoscopic Roux en-y gastric bypass? Can I die in surgery? Will I become weak or bedridden after surgery?
Laparoscopic Roux en-y gastric bypass is as safe as any other surgery like gall bladder surgery or a knee replacement surgery. The overall risk of complications is less than 1%. Many complications like leak from staple lines, deep vein thrombosis and to the extent of death are listed on the web. It is important to visit a bariatric surgeon in mumbai and understand the pros and cons and not just rely on hearsay and information on google. Regular follow up along with diet and behaviour modification is the key to long term success after bariatric surgery. There should be no weakness after the initial few weeks of surgery. If you continue to feel weak then you must get in touch with the bariatric team for further evaluation.
- Can I get cancer after a laparoscopic Roux en-y gastric bypass?
Till date, out of millions of patients who have undergone a laparoscopic Roux en-y gastric bypass surgery only 1 or 2 cases of cancer in the remnant stomach have been reported. Yearly upper GI endoscopy is recommended after bariatric surgery.
Dr. Aparna Govil Bhasker is a Bariatric and Advanced Laparoscopic Surgeon.
Affiliations: Global Hospital, Parel; Apollo Hospitals, CBD Belapur, Tradeo and Chembur; Currae Hospital, Thane; Suchak hospital, Malad and Namaha Hospital, Kandivali
Mobile: +91 9819566618
Email: draparnagovil@gmail.com
Website: www.bestbariatricsurgeon.org
