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Combination Restrictive and Malabsorptive Procedure


Roux en Y Gastric Bypass

Procedures that alter digestion, known as malabsorptive procedures, were developed to work in conjunction with restrictive approaches. Some of these techniques involve a bypass of the small intestine, thus limiting the absorption of calories. On balance, malabsorptive or malabsorptive/restrictive procedures have resulted in an overall increase in the loss of excess weight.

With Roux-en-Y Gastric Bypass (RYGB), the bariatric surgeon creates a very small pouch (approximately 15-30cc or about the size of a golf ball) with the upper part of the stomach.  The rest of the stomach is permanently separated from the new pouch.  The small intestine is then cut below the stomach and is rearranged to provide an outlet from the new stomach.  Further down, a connection is made so that the flow of digestive juices from the lower stomach is maintained.   The bypassed intestine no longer absorbs food/calories, providing the malabsorptive aspect of the procedure.

Roux-en-Y Gastric Bypass provides a "tool" with which clients can potentially lose a large amount of excess weight, as long as they make necessary lifestyle changes and follow program instructions/requirements before and after having surgery.


Gastric Bypass Procedure