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Laparoscopic Roux En Y Gastric Bypass

Dr Ganesh Ramalingam

Specialist in General Surgery

Procedure

Table of Contents

Laparoscopic Roux En Y Gastric Bypass

What Is Laparoscopic Roux En Y Gastric Bypass?

This procedure is also done via the laparoscopic or keyhole technique. A small pouch of upper stomach is created and separated from the rest of the stomach using specially designed surgical staplers. This decreases the stomach capacity such that the patient eats a smaller amount. Food is then directed further down the path of the small intestine. The length of intestines left to absorb calories is shorter causing a certain degree of malabsorption and reducing the amount of calories and nutrients absorbed.

Why Laparoscopic Roux En Y Gastric Bypass?

This is recommended for long-term weight loss and improvement of obesity-related medical problems such as diabetes, hypertension and high cholesterol (also known as the metabolic syndrome). If you have problems with the amount of food eaten, Laparoscopic Roux en Y Bypass may be a good option for you.

What To Expect?

  • A gastroscopy is done to ensure the stomach does not have any disease.
  • A full medical mark-up including an ultrasound of the liver and gallbladder is done.
  • Fasting is required 8 hours prior to your procedure
  • All regular medications will be stopped unless absolutely necessary under a doctor’s supervision.
  • Be prepared to have an average hospital stay following the procedure in between 2-3 days.
  • Be prepared to have an average hospital stay following the procedure in between 3-5 days.
  • This procedure is reversible, however, surgically reversing this procedure is a technically demanding procedure.
  • There will be 5 small wounds used to perform the procedure.
  • Your surgeon will advise you on the specific details.
  • You will be allowed to drink fluids and eat within the next 24 hours. However, allow your appetite to guide you. Fluid diet is required for the first week.
  • If you experience nausea, stay with clear liquids until it resolves.
  • Resume your normal diet after about a week and after the first review with your doctor.
  • The amount of food consumed will be small and has to be taken slowly.
  • Your doctor will advise on the type of food to be consumed, and encourage you to embark on an exercise regime after a month.

When Would Robotic Surgery Be Considered For Gastric Bypass?

Robotic surgery for gastric bypass may be a preferred treatment option because of its perceived benefits relative to traditional open or laparoscopic surgery. 

Robotic surgery offers smaller incisions, which can lead to less pain and a reduced recovery time. Its potential for accuracy also makes it an attractive option in circumstances where precision is key, such as operations involving large vessels near the stomach. 

The increased range of motion that robotic arms provide compared to traditional tools may be helpful in repairing or revising past operations. Although robotic surgery is not suitable for every patient, those with complex conditions or who are at higher surgical risk may benefit from exploring if this is an option. 

If you are considering undergoing a gastric bypass, consult our clinic for advice on the treatment options that are suitable for you.

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