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Roux-En-Y Gastric Bypass


What do I need to know about roux-en-Y gastric bypass surgery?

Roux-en-Y gastric bypass is a type of weight loss surgery. Staples are used to make a small stomach pouch that is separate from the rest of your stomach. The new stomach pouch is connected to the middle part of the small intestine When you eat, food bypasses the rest of the stomach and goes directly into the small intestine. The surgery makes your stomach smaller so that you feel full sooner and cannot eat as much during meals. Your body will not absorb as many calories from food because part of your stomach and intestines are bypassed.

How do I prepare for roux-en-Y gastric bypass surgery?

Your healthcare provider will talk to you about how to prepare for surgery. He may tell you not to eat or drink anything after midnight on the day of your surgery. He will tell you what medicines to take or not take on the day of your surgery. You may be given an antibiotic through your IV to help prevent a bacterial infection. Arrange to have someone drive you home and stay with you to make sure you are okay.

What will happen during roux-en-Y gastric bypass surgery?

  • You may be given general anesthesia to keep you asleep and free from pain during surgery. You may instead be given spinal anesthesia to numb the surgery area. With spinal anesthesia, you may still feel pressure or pushing during surgery, but you should not feel any pain.
  • Your surgeon will make small incisions in your abdomen. He or she will use staples to make a small stomach pouch that is closed off from the rest of your stomach. The new stomach pouch is then connected to the middle part of the small intestine. The incisions will be closed with stitches or medical tape.

What will happen after roux-en-Y gastric bypass surgery?

  • You may need to walk around within 6 to 12 hours after surgery. This helps prevent blood clots. You will sip water or chew on ice chips after surgery when your health provider says it is okay. The next step is to drink sugar-free clear liquids. Examples of clear liquids are broth, gelatin, and clear juice. You may only be able to eat a few teaspoons of food at the beginning. Stop eating when you feel full.
  • As you begin to eat differently, you may begin to lose weight. Your weight loss will depend on how well you follow your diet and exercise plans. It may take 18 to 24 months to reach a healthy weight.

What are the risks of roux-en-Y gastric bypass surgery?

  • You may bleed more than expected or get an infection. Your spleen or other organs may be injured during surgery. The staples inside your stomach could break down. The new connections to your stomach and intestines could form scars, narrow areas, or leaks. Stomach juices may leak into your abdomen and you may need emergency surgery. You may develop gallstones or an incisional hernia (a weak area near your surgical incision). You may need a larger incision than expected during laparoscopic surgery. After surgery, you may not lose any weight. You may lose weight and then gain it back.
  • If you eat sweet foods, or foods high in fat, you may get dumping syndrome. Dumping syndrome happens when high-sugar or high-fat foods and drinks go into your intestine too quickly after a meal. Dumping syndrome may also occur if you drink liquids during a meal. Dumping syndrome may cause you to sweat, or feel faint, weak, and dizzy. It may cause you to feel full, have a fast heart rate, or have stomach cramps. Dumping syndrome may cause you to have an upset stomach and loose bowel movements.
  • If you often eat too much and do not follow instructions, you may stretch out your stomach pouch. If you eat too much, too fast, or do not chew well enough before you swallow, you may vomit. You may have abdominal pain, heartburn, or a stomach ulcer. You may get a blood clot in your arm or leg. This may become life-threatening.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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