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Roux-En-Y Gastric Bypass is one of the safest and most effective weight loss procedures. 

Apart from weight loss, Roux-En-Y Gastric Bypass has the potential to reduce the risk of potentially life-threatening weight-related health problems. 

This post highlights essential information regarding Roux-En-Y Gastric Bypass. You will learn the Roux-En-Y Gastric Bypass steps from preparation, during, and after the procedure. 

What Is Roux-En-Y Gastric Bypass? 

Roux-En-Y Gastric Bypass is a safe and effective option for people struggling with weight loss.

Weight loss surgery involves creating a small pouch from the stomach and connecting it to the small intestines.  

The procedure aims to bypass most of the stomach, particularly the small intestines' first section. 

Following the gastric bypass procedure, the swallowed food goes into your stomach's small pouch and the small intestines' first section. 

Who Can Have Roux-En-Y Gastric Bypass?

Generally, Roux-En-Y gastric bypass is ideal for people who have either of these conditions:

  • Extreme obesity (a body mass index of 40 or higher)

  • Weight-related health issues such as type2 diabetes, high blood pressure, or sleep apnea

  • A BMI of between 30 and 40, with serious weight-related health issues

BMI and weight-related issues are not the only prequalification factors when qualifying patients for the Roux-En-Y Gastric Bypass procedure.  

The patient should be willing to commit to lifestyle changes, such as leading a healthier lifestyle. 

Besides, the patient should be willing to attend follow-ups where the specialists monitor the patient's lifestyle, behavior, and other medical conditions. 

Roux-En-Y Surgery Treatment Duration

The Roux-En-Y gastric bypass can take a few hours, depending on the patient's condition and expectations. 

Before the procedure, the specialist takes a patient through the bariatric surgery education program. 

During the program, the patients can understand the Roux-En-Y gastric bypass diet and learn about possible gastric bypass complications years later and any long-term complications of Roux-en-Y gastric bypass.

Roux-En-Y Gastric Bypass Complications

Roux-en-Y gastric bypass has some possible side effects or complications like other surgical procedures. Here is an overview of some of the possible side effects of this procedure: 

  • Excessive bleeding 

  • Blood clots

  • Infection 

  • Adverse reactions to anesthesia

  • Lung or breathing problems 

  • Leaks in the gastrointestinal system 

Some of the possible gastric bypass complications years later can include: 

  • Bowel obstruction 

  • Gallstones 

  • Dumping syndrome resulting in nausea, vomiting, and diarrhea

  • Hernias

  • Low blood sugar

  • Malnutrition 

  • Stomach perforation 

  • Ulcers

  • Roux-en-Y gastric bypass vitamin deficiency

The long-term complications of Roux-en-Y gastric bypass are rare. 

Roux-En-Y Gastric Bypass Recovery Time

Recovery from the laparoscopic Roux-en-Y gastric bypass surgery takes about three to six weeks. Right after the surgery, the patient must adopt a restricted lifestyle and exercise habits to ensure a faster recovery. 

To optimize successful recovery, the patient should follow the surgeon's post-operative instructions, including follow-ups and the Roux-en-Y gastric bypass diet. 

Laparoscopic Roux-En-Y Gastric Bypass Success Rate

Roux-en-Y gastric bypass has a success rate of  65%. Weight loss after Roux-en-Y gastric bypass may only be noticeable in the first few months after the operation. As time goes on, your weight loss might slow down. You must see the doctor during regular checkups so they can monitor your progress. 

While Roux-En-Y Gastric bypass is a tool to help you with weight loss, it is not an instant fix. 

The patient must be willing to live a healthy lifestyle and consult the doctor in case of abnormalities. 

Weight Loss Surgery Alternative Treatments

Here are some alternative weight loss procedures you may consider:

Intragastric Balloon Therapy - This non-invasive procedure is ideal for patients with a body mass index between 30 and 40. The procedure involves fluid or gas-filled balloons endoscopically inserted through the mouth into the stomach to make the patient feel fuller. 

Endoscopic sleeve gastroplasty - The physician performs the procedure through an upper endoscopy without an incision. The operation aims to make the stomach smaller to aid weight loss. 

Aspiration Therapy - A new procedure involving removing calories from the stomach after eating. The procedure consists of an endoscopy specialist placing a small tune with an access port into the stomach to aid in removing calories from the stomach after each meal. 

Before / After
Roux-En-Y Gastric Bypass at Luna Clinic Turkey

How Is Roux-En-Y Gastric Procedure Performed?

The specialist makes small incisions in the abdomen and reduces the size of the upper stomach to an egg-size pouch. The operation involves stapling off the upper section of the stomach to reduce the amount of food the patient can eat. 

What Does RYGB Surgery Involve?

The operation may take a few hours depending on the patient’s condition and expectations. 

Here is an overview of the steps to expect:

Step 1: Anesthesia

 The doctor applies general anesthesia in preparation for the surgery. The anesthesia will cause the patient to sleep through the surgery, so the procedure is not painful. 

Step 2: Incisions

Laparoscopic Roux-en-Y gastric bypass involves making several small incisions in the abdomen.

Step 3: Making Stomach Pouch

The surgeon uses a laparoscopic stapler to make a stomach pouch on the upper part of your stomach. Then, the surgeon divides the upper part of the small intestine into a tube with two ends. 

Step 4: Testing and Sealing 

Finally, the surgeon may test for leaks and seal off the incisions. 

What Should I Expect After Weight Loss Surgery?

After the operation, you may stay in the hospital for 1 to 2 days. The doctor will advise you about wound care, safe pain medicines, and when you can start physical activity. 

It would help if you informed the doctor before the condition worsens in case of complications. On a diet, you will likely only have liquids for the first 1 to 2 weeks after surgery. 

The doctor might slowly add soft and regular food to your diet about a month after the surgery. 

Quick Facts

Procedure

 Roux-En-Y Gastric Bypass

Duration

 2 - 3 hours

Stay

 3 nights hotel

Cost in Turkey

 €3550 - €3750

Anesthesia

 General anesthesia 

Recovery

 3 - 5 weeks

Final Results

 After 12 - 21 months 

Side Effects

 Bowel obstruction, dumping syndrome, malnutrition

Risks

 Anesthesia risks, infection, gallstones

Success Rate

 80% - 95% 

Exercise

 After 6 - 8 weeks (low intensity only)

Back To Work

 After 2 - 4 weeks

Scars

 Yes (barely visible) 

Pain

 Yes (around incision)

Related Procedures

 Gastric Sleeve 

 

Frequently Asked Questions (FAQs)

Can Roux-en-Y gastric bypass be reversed?

If undesired side effects, Roux-En-Y Gastric Bypass can be reversed into normal anatomy or sleeve gastrectomy. 

Roux-En-Y Gastric Bypass vs. Sleeve Gastrectomy what is the difference?

The main difference is the size of the stomach, which affects how much you can eat. Sleeve gastrectomy creates a pouch that holds about 3 ounces, while gastric bypass contains only 1 ounce. 

How long does it take to recover from Roux-en-Y surgery?

You will probably need about 2 to 4 weeks to recover from the surgery. You should be able to return to your normal activities in about five weeks. 

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