Robotic Bariatric Surgery

Gastric Bypass

Gastric Bypass (Roux-en-Y)

gastric bypass surgeryThe gastric bypass procedure formerly was the most performed weight loss procedure in the United States but has recently been overtaken by the banding procedures. It is however widely considered as the gold standard because of its exceptional results. It was first performed in the late 1960s as an open procedure and then laparoscopically since the late 1990s.

How Does Gastric Bypass Work?

During the gastric bypass procedure a large portion of the existing stomach is excised leaving a pouch that is approximately 15 to 30cc in volume to act as the reservoir for food consumed. By removing a portion of the stomach, the amount of food one can eat is restricted, therefore less food is consumed at each sitting. The second part of the procedure is the rerouting of the small intestine by bypassing part of it. As a result, fewer calories are absorbed through the intestinal walls, referred to as malabsorption. The combination of restriction and malabsorption leads to exceptional weight loss. This procedure has been shown to eliminate over 70% of an average patient’s excess weight in some studies. Even better, the vast majority of patients are able to maintain that weight loss long-term when accompanied by proper diet and exercise.

Results of Gastric Bypass

Gastric bypass generally results in the greatest weight loss of any procedure we offer. Performed laparoscopically to minimize pain and recovery time, exceptional resolution of obesity related diseases is common.

Risks and Considerations

As with any surgery, there are risks. These risks should be fully discussed with you by your surgeon. There are however also risks to not losing weight such as acquiring or worsening medical problems and a shortened lifespan.

FAQs

After undergoing gastric bypass surgery, patients are advised to avoid certain foods to ensure a successful and healthy outcome. Typically, these include high-sugar, high-fat, and high-calorie foods, as well as carbonated beverages. Additionally, patients may struggle with tough or fibrous foods and should avoid overeating.

Gastric bypass surgery is generally considered irreversible due to the significant alterations made to the digestive system. While some revision surgeries may be possible in rare cases, they come with risks and complications. Reversal should be discussed thoroughly with your medical team, and alternative options to address any issues should be explored.

The recovery period after gastric bypass surgery varies from person to person. Typically, patients can expect to stay in the hospital for 2-3 days and may need 2-4 weeks off work. Complete recovery, including the ability to return to a regular diet and exercise routine, may take several months. Your Bariatric Surgical Center of Tuscaloosa will provide you with a personalized recovery plan and offer ongoing support to help you achieve your weight loss and health goals.

About Dr. Bilton

Dr. Bradley D. Bilton received his graduate degree and medical doctorate in Louisiana. He then completed his residency program in General Surgery. During that time, he participated in research and is a published author and co-author. Following this he completed a fellowship in minimally invasive surgery (laparoscopic and endoscopic techniques).

After completing his fellowship in 2001 he moved to Tuscaloosa and joined University Surgical Associates. Upon his arrival he ushered in advanced minimally invasive surgery and these techniques continue to be the focus of his practice.

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