Northwest Obesity Surgery - Joseph E Chebli Center of Excellence Your Practice Online
For Appointments Call: 206-368-1230, 425-879-1410
Weight Loss Surgery Seminar
 
Laparoscopic Gastric Bypass
Laparoscopic Sleeve Gastrectomy
Laparoscopic Adjustable Gastric Banding
Surgical Options

Laparoscopic Roux-en-Y Gastric Bypass


  • Weight loss: 65-70% EWL
  • Weight loss plateaus at 1-2 years
  • Operative mortality: 0.2%
  • Operative morbidity: 5% (pulmonary emboli, anastomotic leak, bleeding, wound infection)
  • Long-term complications: Dumping syndrome, stomal stenosis, marginal ulcers, staple line disruption and internal hernias
    Life-long Vitamin B12, iron, folate, and calcium supplementaion
    Ventral hernia formation is more prevalent after open gastric bypass
    Buchwald, J Am Coll Surg 2005

Advantages

Disadvantages

  • Gold standard operation in the U.S.
  • Dumping syndrome
  • Less malabsorption
    than BPD/DS
  • Rapid weight loss
  • Technically more complicated than restrictive operations
  • Need for permanent vitamin and mineral vitamin supplementation
Bariatric Surgery Information
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