The Roux-Y gastric bypass surgical technique is a minimally invasive variant of bariatric stomach surgery. Doctors reduce the size of the stomach of severely overweight people. The capacity (volume) is reduced. As a result, those affected can only consume a limited amount of calories. The aim is to lose weight in order to reduce further complications of obesity.
In this article, you can find out how this operation works in detail and where you can find specialists for Roux-Y gastric bypass.
People who are morbidly overweight (obese) often have problems losing weight and maintaining their lower body weight in the long term. This is often accompanied by enormous efforts and relevant lifestyle changes. These are often difficult for those affected to implement.
If attempts to lose weight have so farfailed, the only remaining option is bariatric stomach reduction surgery. Before this, however, those affected should exhaust all lifestyle-changing and drug therapy measures so that the health insurance company will approve the operation.
With the new ruling by the Federal Social Court (BSG), this requirement could be dropped in future: Patients will then receive bariatric gastric surgery(obesity surgery) earlier.
Obese patients have a body mass index (BMI) of 30 kg/cm2 or more @ Halfpoint /AdobeStock
Roux-Y gastric bypass is the second most common bariatric gastric surgery procedure in Germany after sleeve gastrectomy.
There are two different types of surgery:
The length of the sling depends on the digestive capacity after the operation.
During the procedure, doctors remove part of the stomach (resected). The small remaining stomach then has a capacity of just 20 ml. To bridge the missing part of the stomach, they connect parts of the small intestine to the remaining stomach. Roux-Y gastric bypass specialists call these connections with loops of small intestine anastomoses.
These connections with the loops of small intestine ensure that digestion continues even after the short passage through the stomach. The length of the small intestine loop is important here. The shorter it is, the poorer the digestion and nutrient breakdown from the food later on.
It is true that weight loss is greater with poor digestion. However, this increases the risk of an undersupply of important nutrients and trace elements (malabsorption).
One study showed that a Roux-Y gastric bypass (RYGB) reduces body weight and improves glycemic control in diabetes and obesity.
The Roux-Y gastric bypass is a minimally invasive procedure. This means that the specialists operate through a small incision.
As a result,wound healing disorders and morbidity rates are lower than with open surgery. However, the risk of wound infections and even sepsis increases depending on the extent of the obesity and its accompanying diseases.
Bariatric surgery with the aim of reducing the size of the stomach is one of the areas of visceral surgery.
Specialists for Roux-Y gastric bypass surgery can be found in centers for visceral surgery or so-called bariatric surgery.
Surgeons in these centers have sufficient surgical experience with the Roux-Y gastric bypass. You can find centers near you and a selection of proven specialists for Roux-Y gastric bypass in the list above.
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