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Gastric Bypass (Bariatric) Surgery - Roux-N-Y Surgery
Introduction
Gastric Bypass, Roux en-Y (Proximal) is the most
commonly employed gastric bypass technique, and
is by far the most commonly performed bariatric
procedure in the United States. It is the
operation which is least likely to result in
nutritional difficulties. The small bowel is
divided about 45 cm (18 in) below the lower
stomach outlet, and is re-arranged into a
Y-configuration, to enable outflow of food from
the small upper stomach pouch, via a "Roux
limb". In the proximal version, the
Y-intersection is formed near the upper
(proximal) end of the sma
ll bowel. The Roux limb
is constructed with a length of 80 to 150 cm (30
to 60 inches), preserving most of the small
bowel for absorption of nutrients. The patient
experiences very rapid onset of a sense of
stomach-fullness, followed by a feeling of
growing satiety, or "indifference" to food,
shortly after the start of a meal.
Roux-en-Y Laparoscopic Procedure
The surgeon makes 5-6 small incisions,
then inserts special instruments through
the openings. These instruments permit
the insertion of the laparoscope camera.
The abdomen is then filled with gas to
help the surgeon view the abdominal
cavity via the camera and video monitor.
In this manner, your surgeon will be
able to work inside your abdomen without
making a larger incision.
Stomach Pouch and Bypass
During the roux-en-Y operation, the
stomach is divided and separated using
staples. A small pouch (capacity 1
ounce) is created at the top of the
stomach. A section of the small
intestine is then connected to the
pouch, diverting food traffic. Finally,
the bottom of the stomach is connected
to the base of the new roux digestive
tract or 'limb', permitting juices from
the stomach and pancreas to mingle with
the food and enhancing nutrient
absorption.
Advantages:
•
Rapid initial weight loss
•
Minimally invasive approach is common
•
Longer clinical experience in the U.S.
•
Slightly higher total average weight
loss reported than with restrictive
procedure
Disadvantages
•
Cutting and stapling of stomach and
bowel are required
•
More operative complications
•
Portion of digestive tract is bypassed,
reducing absorption of essential
nutrients
•
Medical complications due to nutritional
deficiencies
•
Dumping syndrome can occur
•
Non-adjustable
•
Extremely difficult to reverse
•
More expensive than the restrictive
procedure
Results
You can see the results of the surgery
in couple of months itself; however it
will take up to 2 years to show the full
effect of the surgery. It is quite
common that after 6 – 7 months you might
see loose skin around the abdomen and
thighs and might need to go for a tummy
tuck or a thigh lift for aesthetic
reasons.
Complications
•
Standard risks associated with major
surgery
•
Nausea and vomiting
•
Separation of stapled areas (major
revisional surgery)
•
Leaks from staple lines (major
revisional surgery)
•
Nutritional deficiencies
Recovery Time
•
Hospital stay is usually 48-72 hours
•
Many patients return to normal activity
within 2.5 weeks
•
Full surgical recovery usually occurs
within about 3 weeks
Cost
Average cost of the surgery started from
12,000 US $ to 16,000.00 US$ for a
Laparoscopic gastric Bypass, Roux en-Y (Proximal) surgery in Thailand.
The cost Includes Pre-Surgical
Consultation with the surgeon and the
necessary Physical Examination,
Surgery Fee, Operation Room Charges,
Hospital Accommodation charges, Nursing
fee, All medications and medical
Supplies Required and the Follow up
Consultation and checkup fee.
The cost given above is purely for
Reference and is given as per the
previous similar cases. The cost
Mentioned above doesn't include any cost
that you might incur for coming to
Thailand ( Air Fare) and the cost for
your stay in Thailand (Hotel room
charges, etc.). However you can expect
to add about 2000 $ for the Return
airfare and a comfortable stay during
the recovery.
Insurance Cover
As of now, the Gastric Bypass Surgery for
Morbid Obesity is supported by many
insurance companies if the patient has a
Highly Morbid Obese condition (BMI 40 or
Higher) or Morbid Obese Condition (BMI
35 or Higher) with a diagnosed Co-Morbid
Condition (Cardiovascular diseases, Type
2 Diabetics, Sleep apnea, and
Osteoarthritis, etc.) and has underwent
a controlled dieting to reduce the
weight in the past 6 months without
result. Please note that most of the
Insurance companies only the actual
procedure cost. So effectively you can
expect an average of 60 - 70 %
reimbursement on the total hospital
bill.
Gastric
Bypass Surgery Cost, Cosmetic
Surgery Thailand, Medical
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Surgery Thailand, Surgery
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