Gastric Bypass Gastric bypass is a minimally invasive weight-loss procedure performed through laparoscopic or robotic techniques that creates a small stomach pouch by stapling the upper section of the stomach. This surgery is recommended for individuals with a BMI of 35 or higher, or a BMI of 30 or higher with obesity-related health conditions. The Roux-en‑Y technique is the most commonly used form of gastric bypass.
The Surgical Approach
Laparoscopic or robotic gastric bypass is conducted under general anesthesia. The surgeon creates 4 to 6 tiny keyhole openings in your abdomen. Through one opening, they insert a laparoscope — a specialized tube containing a light source and small camera. This camera connects to a monitor, providing the surgeon with an enlarged view of the surgical area. Additional surgical tools enter through the remaining openings.
The surgeon creates a small pouch by stapling the upper stomach section. This smaller stomach portion is then directly connected to your small intestine. Finally, the small incisions are closed with stitches.
Following surgery, this newly formed pouch can only accommodate a few ounces of food at once, and food now bypasses much of your lower stomach and upper small intestine. This results in feeling satisfied with less food and reduced calorie absorption, helping promote weight loss.
Potential Complications
As with any surgical procedure, gastric bypass may involve certain risks, including bleeding, infection, and blood clot formation.
Benefits
- The advantages of laparoscopic or robotic gastric bypass include:
- Faster initial weight reduction with moderately greater total weight loss
- Shorter hospital recovery time
- Reduced post-surgical discomfort
- Smaller incisions resulting in less visible scarring
- Improvement in obesity-related health conditions