Once you decide to pursue a bariatric weight loss solution, whether it is the RNY Gastric Bypass or any other surgical procedure, you will have an important conversation with your surgeon about which procedure will ultimately help you lose the most weight as safely as possible. This will be determined by examining a list of parameters that includes your current weight, overall health, current medical conditions, your age and your post-op lifestyle after the operation.

RNY Gastric Bypass

With the RNY Gastric Bypass, the most common gastric bypass surgery, a small part of the existing stomach is used to create a new stomach pouch, which becomes about the size of a golf ball, which is nearly 90 percent smaller than the original stomach. This new, smaller stomach is connected directly to the middle portion of the small intestine (jejunum), bypassing the rest of the stomach and the upper portion of the small intestine (duodenum).

Rerouting the food stream in this manner produces changes in gut hormones that promote satiety (feeling full), suppresses hunger, and reverses one of the primary mechanisms which promotes the onset of type 2 diabetes.

12 Things To Know About the RNY (Roux-en-Y) Gastric Bypass

I’ve performed hundreds of Roux-en-Y gastric bypass operations and would like to share 12 key facts about this surgical bariatric weight loss option:

1.  The degree of weight loss for RNY: 

 The RNY is a more complicated surgical procedure but offers a greater degree of weight loss compared to the sleeve gastrectomy or adjustable gastric banding.  No lifelong adjustments are needed (as with the Lap-Band) and many patients also report a decrease in the frequency and intensity of cravings for foods high in sugar and fat. Many surgeons prefer gastric bypass surgery because it generally has fewer complications than other WLS operations.

2.  Bariatric support groups:

 Joining a bariatric support group before your operation will reduce stress and help you prepare for your post-op lifestyle change. Meet, talk with and listen to other people who have already traveled the path you are about to take. Take notes, ask questions and create a pre-op ‘to-do’ list before you go into the hospital. Continue participating in the group after your procedure and offer advice to people who come after you in the bariatric process. Planning and education will help lessen stress before and after your surgery.

3.  Understand RNY Gastric Bypass pitfalls:

 As with any operation, there are risks and possible complications. Discuss these issues with your bariatric surgeon and nutritionist. Understand what post-op complications might be and their symptoms.

4.  Risks of the RNY Gastric Bypass:

 The risks of gastric bypass surgery are low, particularly when compared to the health risks of metabolic syndrome (obesity). The safety of all bariatric procedures have improved over the years thanks to improved technology and the less invasive nature of many operations; the American Society for Metabolic and Bariatric Surgery (ASMBS) reports that the chances of having a significant surgical complication are less than five percent. Comparatively, the risks of staying obese and facing heart disease, type 2 diabetes, hypertension and sleep apnea, are far more hazardous.

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