Roux-en-Y Gastric Bypass

Here at the Nebraska Medical Center the laparoscopic Roux-en-Y Gastric Bypass is performed by Dr. Corrigan McBride, Dr. Vishal Kothari, and Dr. Matthew Goede. All 3 doctor’s have been specially trained to perform this procedure.

This procedure is both restrictive by reducing the size of the stomach and malabsorptive by bypassing a segment of intestines.  It is the most widely accepted form of obesity surgery in the United States.

a small stomach pouch is shown with the a part of the lower small intestine attached to it, bypassing a majority of the stomach

The surgeon creates a small pouch (about the size of an egg) at the top of the stomach.  This is reconnected to a piece of intestine further down the digestive tract.  This limits the absorption of nutrients from the food that you consume. 

 

This procedure is very effective at eliminating diabetes and most patients do not need medications for diabetes after this procedure.  It also can improve high blood pressure, sleep  apnea, high cholesterol and joint pain.  Although the Roux-en-Y Gastric Bypass has been demonstrated to be a safe procedure, the risk profile is slightly higher than other weight loss surgeries.  It is possible to reverse this procedure, but it is a major surgery. 

After surgery your stomach will only be able to hold  1-2oz.  You should eat slowly and chew your food well.  Never drink with meals.