Gastric
Bypass
Thailand,
Roux
en-Y
(Proximal)
is
the
most
commonly
employed
gastric
bypass
thailand
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".The
Roux
limb
is
constructed
with
a
length
of
80
to
150
cm
(30
to
60
inches).
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
Gastric
Bypass
Thailand
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
Call us now
+66 8992 37805
gastric
bypass thailand
