Laparoscopic Roux-en Y Gastric Bypass

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Laparoscopic Banded Roux-en Y Gastric Bypass

Understanding

What It Means?

Laparoscopic Roux-en-Y gastric bypass (RYGB) is a highly effective bariatric surgery that not only reduces stomach size but also alters the digestive process. This procedure is generally considered when other weight loss methods have failed to produce the desired results. Roux-en-Y gastric bypass procedure in Ahmedabad is widely recommended for patients struggling with weight and metabolic disorders.

About

Are You a Candidate for Surgery?

Eligibility for Surgery​

Roux-en-Y gastric bypass is suitable for individuals with a BMI (Body Mass Index) of 40 or higher, or for those with a BMI of 35 or higher who also suffer from severe obesity-related health conditions such as type 2 diabetes, hypertension, or severe sleep apnea. Candidates should be ready to commit to significant lifestyle changes and follow a strict nutritional regimen post-surgery.

Women with obesity

BMI of 40 or higher:

This surgery is recommended for individuals with severe obesity (BMI ≥ 40).

BMI of 35 or higher with obesity-related health conditions:

For those with a BMI ≥ 35, this procedure is considered if the individual suffers from severe obesity-related health conditions such as:

  • Type 2 diabetes
  • Hypertension
  • Severe sleep apnea

Surgical Preparation

Required preparations before surgery

Lifestyle changes

You may be asked to quit smoking before surgery to minimize complications.

Dietary Adjustments

A special pre-operative diet is typically required, which is high in protein and low in fats and carbohydrates. This helps to reduce fat around the liver and spleen, making the surgery easier and safer to perform.

Consultation with Specialists

A comprehensive medical evaluation will include lab tests, imaging, and specialist consultations (e.g., cardiologists, and endocrinologists) to assess your health and suitability for surgery. Candidates may also undergo a psychological evaluation to ensure readiness for the lifestyle changes post-surgery.

Medication Adjustments

Certain medications, including blood thinners and anti-inflammatory drugs, may need to be stopped or adjusted before surgery.

Dr. Jenit Gandhi Performing Bariatric Surgery
Doctor
Bariatric Surgery 2

Your Surgery: What to Expect

The Surgical Procedure

The Roux-en-Y gastric bypass surgery is performed laparoscopically, which means it is done through small incisions. Here’s how the surgery works:

  • Creating a Small Stomach Pouch: The surgeon creates a small stomach pouch, about the size of a walnut, at the top of the stomach. This pouch limits the amount of food you can eat, helping you feel full with less food.
  • Bypassing a Portion of the Stomach and Duodenum: The surgeon then re-routes the small intestine and attaches it directly to the new stomach pouch. This bypasses a large portion of the stomach and the duodenum (the first part of the small intestine), which reduces nutrient absorption.
  • Laparoscopic Technique: The surgery is done laparoscopically, using small incisions and a camera. This method reduces pain, scarring, and recovery time compared to traditional open surgery.
  • Outcome: The combination of restriction (smaller stomach capacity) and malabsorption (reduced nutrient absorption) helps you lose weight by limiting food intake and the calories your body can absorb.

Typical Results and What They Mean for You

Expected Weight Loss after Surgery

Patients can expect significant weight loss, typically 60-80% of excess weight, within 12 to 18 months post-surgery. Improvement in obesity-related conditions such as type 2 diabetes is common, making this surgery the best surgery for type 2 diabetes in Ahmedabad, with enhanced overall quality of life.

Dr. Jenit Gandhi with patients
Dr. Jenit Gandhi in Surgery

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Your Frequently Asked Questions

Insights from the Best Surgical Gastroenterologist in Gujarat

Immediate Recovery: Patients typically spend one to three days in the hospital following surgery to monitor their recovery and manage pain.

Diet: The post-surgical diet starts with liquids, progresses to pureed foods, and finally moves to solid foods over several weeks. Your healthcare team will guide you through this process to ensure proper nutrition during recovery.

Long-term Changes: After the surgery, you will need to take vitamin and mineral supplements for life due to reduced absorption in the bypassed sections of the intestine. Your team will help you manage this long-term nutritional plan.

Patients can expect significant weight loss, typically losing 60-80% of their excess weight within 12 to 18 months post-surgery. This surgery is highly effective in improving obesity-related conditions, such as type 2 diabetes, making it an excellent choice for those with this condition. Many patients experience an enhanced overall quality of life following the surgery.

Like any major surgery, Roux-en-Y Gastric Bypass (RYGB) carries potential risks, including:

Nutritional deficiencies: Due to altered digestion and absorption processes, there may be a risk of deficiencies in key nutrients.

Dumping syndrome: This occurs when ingested food bypasses the stomach too rapidly, leading to symptoms like nausea, dizziness, and diarrhea.

Surgical complications: These can include leaks or infections at the anastomosis (the site where the intestines are surgically connected).

Dr. Jenit Gandhi is a trusted expert in performing Roux-en-Y Gastric Bypass surgery using advanced laparoscopic techniques. His experience ensures a safer, more effective surgery with minimal complications. Dr. Gandhi's comprehensive care approach supports patients throughout their entire journey, from the initial consultation to post-operative recovery, ensuring long-term success and improved health outcomes. He is widely regarded as one of the best surgeons for gastric bypass surgery in Ahmedabad, providing life-changing results for individuals struggling with obesity and metabolic disorders.