Wednesday, March 30, 2011

Roux-en-Y gastric bypass surgery patients usually lose 50 to 75 % of excess weight

Roux en Y gastric bypass surgery

A Roux-en-Y gastric bypass  - the name of a French surgeon (roux), designed, and the Y-shaped section created by Roux as it relates to the small intestine , other procedure was adopted BARIATRIC NIH Consensus report on surgical severe obesity clinic. Roux-en-Y is currently the most commonly performed weight loss gastric bypass surgery in  the United states , and approximately 7 out of 10 gastric Surgeons use as a primary procedure for weight loss. To facilitate gastric bypass operations to bypass any of biliopancreatic diversion or duodenal switch stomach , stomach bypass, Roux-en-Y type procedure has been practiced for more than thirty years, during which it demonstrated the long-term success with comparatively low number of deaths ( less than 1 %) and health-related after surgery complications. Roux-en-Y  gastric bypass patients usually lose 50 to 75 percent of initial excessive weight , that is a adequate weight loss to treat or  markedly  decrease most of the life threatening medical  problems associated with severe clinical  type of overweight.



Physiology of Roux-en-Y gastric bypass surgery
The physiological reason behind the Roux-en-Y bariatric surgery is the same as for all gastric bypass operations. A bypass is designed to decrease the amount of food patients can eat (the restrictive procedure), and secondly to reduce the amount of nutrients and calories can be absorbed from the reduced ingestion of food ( Part of malabsorptive procedure). To understand how the restriction element, remember that in a normal stomach may extend to over 1000 ml. During the operation of Roux en Y  creates by a surgeon with less stomach (15 to 30 ml size) , significantly reduces the amount of food that could be accommodated. The malabsorptive component is not involved in food intake, as determined by the esophagus and stomach, but by the amount of food ingested is actually absorbed. It is very important to remember that most of the absorption of caloric and essential nutrients in the form of food passes in the small intestine.


In short, if there is longer functional length of small intestine, increases the absorption may take place. So during surgery Roux-en-Y bypass procedure , a significant part of the gastrointestinal tract bypass, thereby reducing the absorption of nutrients and calories to the patient. The combination of less ingestion of food and little calories absorbed, makes Roux-en-Y bypass as an effective and dramatic treatment for weight loss.



Weight loss result after Roux-en-Y gastric bypass surgery
In general, patients after roux surgery lose for about 70 % of its original overweight in the first 24 months . Often, patients gain weight by about 10 % of the years between two and five. Gastric bypass Experts attribute this to 2 factors. First, the ability to increase trading volume that can accommodate more food. Secondly,roux surgery patients learn to take excess calories without causing symptoms of dumping syndrome, and it hurt. This second factor can only be corrected with nutritional advice more patient post-operative has added more post-operative advice and support services.