The Roux en Y gastric bypass is a combination of a malabsorptive
and restrictive procedure, which can result in significant
weight loss. At Howard University Hospital's Center for
Wellness & Weight Loss Surgery, the Roux en Y gastric
bypass is performed using a laparoscope rather than through
an open incision. This laparoscopic method allows the
surgeon to make a series of much smaller incisions.
Laparoscopic gastric bypass usually reduces the length
of the hospital stay, the amount of scarring, and results
in a quicker recovery than an open procedure.
The Roux en Y procedure
involves stapling the stomach to create a small pouch that
holds less food and then shaping a portion of the small
intestine into a "Y." The "Y" portion
of intestine is then connected to the stomach pouch so
that when food is being digested it travels directly into
the lower part of the small intestine (called the jejunum)
and the first part of the second section of the small intestine
(call the duodenum). The effect of bypassing these organs
is to restrict the amount of calories and nutrients that
are absorbed into the body.
The laparoscopic approach uses several
small incisions and three or more laparoscopes - small
thin tubes with video cameras attached - to visualize
the inside of the abdomen during the operation. The surgeon
performs the surgery while looking at a TV monitor. The
advantage of the laparoscopic approach is that it allows
direct viewing of the abdominal structures without the
need for a large incision.
The benefits of the minimally invasive
laparoscopic procedure include:
Shorter
hospital stay Better pain management Less risk of infection Quicker return to work