To
Calculate your Body Mass
Index please fill in your Weight and the
height in either Standard or Metric BMI
calculator provided below and Click
Calculate.
Gastric Bypass (Bariatric) Surgery - Roux-N-Y Surgery
Average cost
of the Procedure
US$ 12,000.00 - 16,000.00
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 of Laparoscopic Roux-en-Y
By comparison with laparoscope-assisted
key-hole surgery, open surgery carries
additional health risks and
complications, including general trauma,
infection, pain and scarring. For
example, laparoscopic obesity surgery
typically uses 5-6 incisions about 1/4
to 1/2 inch in length, while surgeons
performing traditional open surgery
utilize a 6–10 inch incision to access
the stomach and intestinal area.
Regarding post-operative care, patients
undergoing laparoscopic roux-en-y bypass
typically have a shorter hospital stay -
3-4 days, compared to 5-6 days for open
surgery.
Call us now
(Int'l) 
