Roux-en-y Gastric Bypass ? RNY

Our procedure of choice:
Roux-en-y Gastric Bypass - RNY
With this procedure a portion of the stomach is sectioned off creating a small pouch for reduced food intake. The pouch will usually hold about one ounce of food or less, which causes the feeling of fullness after just a few bites. The size of the pouch varies with different doctors.

The small intestine is then attached to the new "pouch". This allows food to pass through the digestive system while restricting the overall intake of food. The larger section remains connected to the duodenum and the digestive juices flow from it as usual. These sections are merged downstream in a "Y" configuration where the food and the juices come together for digestion.

Common side effects are vomiting when the pouch is over filled, and "dumping", a syndrome that occurs in some patients where the unregulated flow of highly sweet foods passes into the intestine rapidly, triggering a sudden "dump" of insulin into the blood stream. Patients experience symptoms to varying degrees, such as cold sweats, abdominal pain, and vomiting. This is a valuable behavior modification aid that helps patients learn how to limit the consumption of sweets.

This procedure has both food restrictive and malabsorption properties, and in it's "distal" form is much like the BPD/DS surgery. Because of this, nutritional needs must be met with a high protein diet and appropriate dietary supplements to maintain over-all health.