Rou-en-Y Gastric Bypass is considered the "Gold Standard" of weight loss surgery procedures. It results in weight loss by significantly reducing the size of your stomach, so you cannot eat as much, and by bypassing your small intestines so you absorb less fat from the foods you eat. This operation has been accepted by obesity surgeons throughout the country and major medical societies as being the most effective in weight reduction and maintenance of weight loss. We perform this surgery using laparoscopic techniques, avoiding a large incision in your abdomen; however an abdominal incision is sometimes necessary based on your weight, body shape, and previous surgical history.
A small stomach pouch (about the size of a medium egg) is created with a stapler device. The small intestines are then divided and one end brought up and connected to the small stomach pouch. The intestines are reconnected further downstream.
Expected Weight Loss
65-75% of your excess weight
Weight loss is greatest during the early months following surgery. During this time, it is very important that you take in enough protein so that you can recover form your surgery. The rate of weight loss slows during each succeeding month, and usually stabilizes between 12 and 18 months after surgery. The amount of weight loss cannot be precisely predicated as weight loss depends on many factors, including your age, preoperative weight, and the amount of physical activity that you do.
A word of caution: your weight loss surgery limits the amount of solid food that you can tolerate, but has less of an effect on the consumption of liquids. Drinking high calories liquids will slow your weight loss. After the sixth week, you will be encouraged to eat six small meals a day, so be sure to eat foods high in protein and drink low calorie fluids.
If food consumption or calorie intake increases after weight stabilization, some weight may be regained. Patients who desire to lose additional pounds must restrict caloric intake and/or increase their amount of daily exercise. Discuss the method and plan for additional weight loss with the dietician, physical therapist, and other members of the bariatric surgery team. This is an extremely important point, the weight loss surgery will give you the “kick start” to lose weight, but you must help by exercising and using caution and good judgment with your food intake.