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To prepare you for surgery, an IV will be placed in your arm. You will receive fluids and medications through this line during the procedure. A breathing tube will be placed through your mouth and into your throat. This will help you breathe during surgery. You will also have a catheter placed in your bladder to drain urine.
Several small cuts will be made in the abdomen. Gas will be pumped in to inflate your abdomen. This will make it easier for the doctor to see. A
and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera. It sends images of your abdominal cavity to a monitor in the operating room. Your doctor will operate while viewing the area on this monitor.
Surgical staples will be used to create a small pouch at the top of your stomach. This pouch, which can hold about one cup of food, will be your new, smaller stomach. A normal stomach can hold 4-6 cups of food.
Next, the small intestine will be cut and attached to the new pouch. With the intestinal bypass, food will now move from the new stomach pouch to the middle section of the small intestine. It will skip the lower stomach and the upper section of the small intestine.
Finally, the upper section of the small intestine will be attached to the middle section of the small intestine. This will allow fluid that the lower stomach makes to move down the upper section of the small intestine and into the middle section.
When the bypass is completed, the incisions will be closed with staples or stitches.
Be aware that in some cases, the doctor may need to switch to an
open surgery. During an open surgery, a larger cut in the abdomen will be made to do the surgery.
Gastrointestinal surgery for severe obesity. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: ...(Click grey area to select URL) Updated June 2011. Accessed December 9, 2013.
Maciejewski ML, Livingston EH, et al.
Survival among high-risk patients after bariatric surgery.
Obesity risks add to complications of gastric bypass [news release]. Duke University Medical Center website. Available at: ...(Click grey area to select URL) Accessed December 9, 2013.
Roux-en-Y gastric bypass. Cleveland Clinic website. Available at: ...(Click grey area to select URL) Accessed December 9, 2013.
Roux-en-Y gastric bypass. Columbia University Medical Center website. Available at: ...(Click grey area to select URL) Accessed December 9, 2013.
Roux-en-Y gastric bypass weight-loss surgery. Johns Hopkins Medicine website. Available at: ...(Click grey area to select URL) Accessed December 9, 2013.
9/2/2009 DynaMed Systematic Literature Surveillance ...(Click grey area to select URL) The Longitudinal Assessment of Bariatric Surgery (LABS) Consortium. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361:445-454.
6/24/2011 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) Pontiroli AE, Morabito A. Long-term prevention of mortality in morbid obesity through bariatric surgery. a systematic review and meta-analysis of trials performed with gastric banding and gastric bypass. Ann Surg. 2011;253(3):484-487.
1/2/2014 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) Jensen M, Ryan D, et al. 2013 AHA/ACC/TOS Guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. Nov 12 2013.
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