What Is Laparoscopic Roux-En-Y Gastric Bypass?

alexis • August 11, 2022

Roux-en-Y gastric bypass (RYGB) is a type of weight loss surgery. It is one of the most commonly performed types of bariatric surgery. This procedure is done when diet and exercise haven’t worked or when you have serious health problems because of your weight. These health problems can include heart disease, high blood pressure, high cholesterol, obstructive sleep apnea, type 2 diabetes, stroke, cancer, and gastroesophageal reflux disease.

The  Roux-en-Y gastric bypass  surgery gets its name from the way it changes your digestive system. Roux-en-Y is a French term that means “in the shape of a Y.” The gastric bypass works in three ways. First, it restricts how much you can eat because the stomach is smaller. Second, because a portion of the intestines is bypassed, less of the food you eat gets absorbed. Third, it also greatly affects your gastrointestinal (GI) hormones to make you less hungry and help your body regulate weight better.

The gastric bypass is performed using minimally invasive laparoscopic surgery. Four or five small incisions are made, all less than 1 inch long. A new small stomach pouch is made to be about the size of an egg. Then, the intestines are rerouted to the new pouch and about 25% of the intestines are bypassed. Nothing is removed. The old stomach stays in place and still makes digestive juices.

The procedure can provide long-term weight loss. The average results of weight loss after having gastric bypass surgery are 65-75% of your excess weight. The amount of weight you lose will depend on changes you make in your lifestyle habits when it comes to nutrition and exercise. Gastric bypass may also improve or resolve health conditions that are related to being overweight.

Not everyone qualifies for Roux-en-Y gastric bypass surgery. Your doctor may advise it if you are severely obese with a body mass index (BMI) over 40. It may also be advised if you have a BMI between 35 and 40 along with a health condition that is related to being overweight. To find out if you qualify for gastric bypass surgery or if it is the right choice for you, contact Anchorage Bariatrics at 907-644-8446 or visit  www.anchoragebariatrics. com.

 

Surgical FAQ Video
Click  HERE  to listen to Dr. Lee explain what laparoscopic Roux-en-Y gastric bypass surgery is.

Frozen Yogurt Bark

This frozen yogurt bark with berries and coconut is the perfect refreshing snack. It’s so easy to whip up, healthy and packed with protein.

Ingredients

  • 1 1/2 cups plain full-fat Greek yogurt
  • 2 Tablespoons maple syrup or honey
  • 1 teaspoon vanilla extract
  • 1/3-1/2 cup fresh strawberries sliced
  • 1/3-1/2 cup fresh blueberries
  • 2 – 3 Tablespoons unsweetened coconut flakes
Instructions
  • Line a rimmed baking sheet with parchment paper.
  • In a medium bowl, stir together yogurt, maple syrup and vanilla until well combined.
  • Spread yogurt mixture evenly, about a 1/4 of an inch thick, onto the prepared baking sheet in rectangular shape. Scatter the strawberries and blueberries on top. Sprinkle with coconut flakes.
  • Place in the freezer for about 3 hours or until the yogurt is firm. Cut or break into 16-20 pieces and serve.
  • Store leftover yogurt bark in a sealed freezer bag for up to 3 months.

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In many cases, there’s more to weight gain than just overeating. Obesity can result from underlying psychological issues that, if left untreated, can spiral to the point of seriously impacting quality of life. At over 500 pounds, Dennis R. was not able to enjoy life to the fullest. He isolated himself, despite having a supportive network and a job he is passionate about. Dennis shares his story of redemption, overcoming addiction and how his obesity was brought on by mental stress a lifetime in the making, in hopes of inspiring others. Dennis’s story is not an overnight success and his journey proves one’s discipline and persistence gives great results. Dennis’s family moved around a lot when he was a child. He was born in New Mexico, moved to Alaska as a toddler, and landed in Arkansas during high school. “I felt like a fish out of water,” describes Dennis. “Talk about culture shock, going from Alaska to the deep South. It was hard to make friends and I coped with that by eating an entire pizza daily after school. I gained over 100 pounds during my junior and senior year. My favorite sport was basketball, but the coaches said I was too heavy to play. I turned to football and played on the offensive line, earning a spot on my college team and eventually playing semi-pro ball.” Dennis traces his weight gain back to 1990. “The stress of moving from Alaska to Arkansas was really what kick-started the gaining for me, but I continued to make poor life choices in other areas as well as my diet. I eventually failed out of college, which only added to the emotional stress,” laments Dennis. “My weight was getting really out of control, so I tried diets like NutriSystem but as soon as I stopped them, the weight would come back and then some. I would lose up to 70 pounds and then gain it all right back.” Dennis was dealing with life-threatening medical conditions as his weight crept past 500 pounds. “I could hardly walk. I was constantly going to the hospital with swelling in my legs, chest pains, and cellulitis. I was taking multiple medications for diabetes and blood pressure,” Dennis says. “My coping mechanisms were consumption. I dealt with alcoholism and drug addiction by getting sober in 2006, but I never dealt with my food addiction and it was slowly killing me.” Dennis reached his breaking point in 2018. “I was sick and tired of being sick and tired. If I left the house, strangers would come up to me out of the blue and recommend weight loss surgery. It was embarrassing having to buy two seats on an airplane and buy size 7X shirts,” Dennis says. “I knew I needed surgery and as was the case with overcoming my addictions, I knew I had to be persistent and just do it. I looked at two bariatric practices in Alaska, and Anchorage Bariatrics really struck me as the place I needed to go. They have a great website and everything I read about them made me feel comfortable. I booked an appointment and was so glad I took that first step! The Anchorage Bariatrics staff are so friendly. Erika, Kristi and Tim are so supportive and understanding. Erika walked me through the whole process, the diet I would follow pre- and post-surgery, and answered all my questions. I love Anchorage Bariatrics. They feel like family.” In his first consultation with Anchorage Bariatrics, Dr. Clark told Dennis that he had to lose weight before surgery. A determined Dennis lost 43 pounds before his next appointment and Dr. Clark was impressed and approved surgery. Today, Dennis exercises daily. He walks during his lunch breaks and walks his dogs more, sometimes racking up six miles on a weekend. He says he thinks about his meal plan and makes sure he has everything he needs to prepare healthy meals. At only five months into his journey, Dennis has lost over 100 pounds; gone from a 56” elastic waistband to a 48; dropped three shirt sizes; doesn’t have to get a seatbelt extension on an airplane any more; and went canoeing for the first time since 1990! He is also weaning off his other medications and feels blessed not having to go to the ER all the time. “I used to isolate, I never wanted to go out of the house and be seen, I never wanted to talk to anyone, and I had very low self-esteem. Now, I go out to restaurants and go out in public and I don’t mind it. I have more energy now than I ever had,” shares Dennis. “The new stomach pouch created by my sleeve gastrectomy is a tool, not a cure all. I’ve learned that food is not everything. It used to be such a big deal for me, but now it isn’t all-consuming. I’m learning how to live and eat sensibly and it feels amazing,” Dennis says. “I’m grateful for all of the support from Anchorage Bariatrics, especially the psychological team, and I look forward to losing the next 100 pounds. You’ll hear from me again next year and you bet I’ll be at my goal weight. Nothing can stop me now!”
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