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United States Gastric Bypass
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Gastric Bypass Surgery
Gastric bypass surgery is a form of bariatric (weight loss) surgery for the
treatment of obesity. The most commonly performed type of gastric
bypass surgery is the Roux-en-Y gastric bypass. The surgery involves
making the stomach smaller with the use of surgical staples or a band,
forming it into a little pouch and then connecting the new small
stomach directly to the middle section of the small intestine,
bypassing most of the stomach and the upper small intestine. A
Roux-en-Y gastric bypass can be performed either as an open
procedure by making a large incision in the abdomen or by
laparoscope, using a small incision and tiny surgical instruments
including a miniature video camera. The goal of gastric bypass
surgery is to achieve lasting weight loss. There are two variations of
Roux-en-Y gastric bypass: proximal (which preserves more of the small
intestine for nutrient absorption) and distal (which may result in larger
weight loss but loses more of the small intestine and accompanying
nutrient absorption capability).


In order to be considered for gastric bypass surgery a person must be
morbidly obese with a body mass index (BMI) of 40 (or a BMI of 35
with related life-threatening or disabling medical conditions) and have
been unsuccessful with other approaches to weight loss. Most medical
centers also require a gastric bypass candidate to have no history of
alcohol abuse, not have untreated depression or other major
psychiatric disorder and be between 18 and 65.


Most people who have gastric bypass surgery experience dramatic and
rapid weight loss in the first 12 months post-surgery. Because their
stomach is now much smaller, a person with a gastric bypass will feel
full after eating a very small amount of food and the food reaches the
lower end of the small intestine much faster, resulting in hormonal
messages being sent to the brain signaling satiety.
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