Roux-en-Y Gastric Bypass "Stomach Stapling"
A small pouch is created along the uppermost portion of the stomach, and the small bowel is attached to the pouch. It can be done in a conventional manner (open surgery) or in a more advanced fashion with the use of camera and monitors( laparoscopic surgery). The camera and surgical tools are introduced into the abdomen through a few mini incisions. By doing so we have the advantage of avoiding a large incision, which can break down or be subject to infections. The laparoscopic technique leads to faster recovery compared to the conventional approach.
This procedure provides an excellent tool for long-term control of weight without the feeling of being deprived and hungry. Due to the size of the pouch, patients eat much smaller portions, but they have the sense of fullness and satisfaction that makes them indifferent to even their favorite foods. The patient continues to enjoy eating, but much smaller portions. Infrequently, it is impossible to complete the bypass with mini incisions and a mid size incision, or conventional incision would be done to safely complete the operation. The surgeon makes this decision while the patient is under anesthesia, therefore all patients must consent to both conventional and Laparoscopic approaches prior to surgery.
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