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Bariatric & Banding Weightloss Surgeries

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A BMI of 25 to 29.9 is considered overweight and one 30 or above is considered obese. According to the Institute of Medicine, 55% of Americans are within this range.

ROUX-EN-Y GASTRIC BYPASS

In the RYGB procedure, the surgeon creates a small stomach pouch and then constructs a “bypass” that allows food to skip parts of the small intestine. Gastric bypass reduces the size of the stomach by well over 90%. A normal stomach can stretch, sometimes to over 1,000 ml, while the pouch created in the gastric bypass procedure may be only 15 ml in size. The part of the small intestine (jejunum) that is brought up behind the colon and connected to the new stomach pouch is called the "Roux limb". (Roux was a Swiss surgeon who developed the general technique.) By skipping a large part of the small intestine, the body cannot absorb as many calories or nutrients. The remaining stomach and first segment of small intestine are bypassed. By varying the length of the Roux limb, and therefore the amount of intestine that is bypassed, the extent of malabsorption occurring as a result of the procedure can be regulated. Contact us for more information about Roux-en-Y Gastric Bypass in Beverly Hills

The RYGB can be performed open or laparoscopically. It is important to note that the laparoscopic approach can be a technically challenging procedure, and the bariatric surgeon should have significant laparoscopic experience prior to attempting RYGB in this manner. Some of the advantages of a laparoscopic approach to RYGB include shorter hospital stay, less blood loss, and fewer incisional complications such as hernias and wound infections. Not all patients may be candidates for laparoscopic RYGB based on body size and shape or previous abdominal surgeries. It is possible that when a procedure is attempted laparoscopically, it may have to be converted to an open procedure due to unforeseen circumstances such as severe adhesions.


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