Restrictive & Malabsorptive Procedure
New Jersey Gastric Bypass surgery, also known as laparoscopic Roux-en-Y gastric bypass, is a type of weight loss surgery that combines restrictive and malabsorptive elements to help individuals achieve significant and sustained weight loss. This procedure is commonly performed using minimally invasive laparoscopic techniques.
Here are the key features of laparoscopic gastric bypass surgery:
The surgery is conducted using a laparoscope, which is a thin, flexible tube with a camera and light at the end. This allows the surgeon to view the internal organs and perform the surgery through several small incisions in the abdomen.
The surgeon creates a small pouch at the top of the stomach using staples or a surgical band. This pouch is then separated from the rest of the stomach. The reduced stomach size restricts the amount of food that can be consumed, leading to a feeling of fullness with smaller portions.
The small intestine is then divided, and the lower part is connected to the small stomach pouch, creating a “Y” shape. This bypasses a portion of the small intestine, reducing the absorption of calories and nutrients.
Gastric bypass surgery combines the restrictive element of reducing stomach size with the malabsorptive element of bypassing a segment of the small intestine. This dual mechanism contributes to weight loss by limiting food intake and reducing calorie absorption.
The term “Roux-en-Y” refers to the Y-shaped configuration of the small intestine after the surgery. The “Roux limb” is the part of the small intestine connected to the small stomach pouch, while the “common limb” carries digestive juices and eventually joins the Roux limb.
Gastric bypass surgery can lead to changes in gut hormones such as grhelin, by up to a 70% reduction, affecting hunger, satiety, and metabolic processes. These hormonal changes contribute to the positive outcomes observed in weight loss and improvement in obesity-related health conditions.
Patients undergoing laparoscopic gastric bypass surgery often experience significant and sustained weight loss, leading to improvements or resolution of obesity-related health conditions such as type 2 diabetes, hypertension, sleep apnea among many other comorbidities.
Regular follow-up visits with healthcare professionals are essential after surgery to monitor weight loss progress, address nutritional needs, and manage any potential complications.
What are the benefits of Roux-en-Y surgery?
Gastric bypass surgery offers several advantages for individuals seeking significant and sustained weight loss.
Here are some key benefits of gastric bypass surgery:
Gastric bypass surgery is highly effective in achieving significant weight loss. Patients often experience a reduction in excess body weight of 60% to 80%, with most of the weight loss occurring within the first year after surgery.
Many individuals see improvement or complete resolution of obesity-related health conditions such as type 2 diabetes, hypertension, sleep apnea and many other comorbidities following gastric bypass surgery. The positive impact on health can be profound.
Gastric bypass combines two weight loss mechanisms – restriction and malabsorption. The surgery reduces stomach size to limit food intake and bypasses a portion of the small intestine, reducing the absorption of calories and nutrients.
The rerouting of the digestive tract in gastric bypass surgery can lead to favorable changes in gut hormones, affecting hunger, satiety, and insulin sensitivity. This contributes to the overall success of the procedure in achieving weight loss and metabolic improvements.
Gastric bypass surgery is often performed using minimally invasive laparoscopic techniques, involving small incisions and a camera for visualization. This approach typically results in a quicker recovery, less postoperative pain, and a lower risk of complications compared to traditional open surgery.
Patients often experience rapid weight loss in the first few months following gastric bypass surgery. This early success can provide motivation for continued adherence to a healthier lifestyle.
Gastric bypass surgery has demonstrated long-term effectiveness in weight maintenance for many individuals. However, lifestyle changes, including a healthy diet and regular exercise, are crucial for sustained success.
As patients lose weight and improve their overall health, there is a decreased risk of cardiovascular diseases associated with obesity, such as heart disease and stroke.
Successful weight loss and resolution of health issues can lead to an improved quality of life. Patients often report increased energy levels, improved mobility, and enhanced psychological well-being.
Gastric bypass surgery has shown a remarkable ability to improve or even resolve type 2 diabetes in many patients, often leading to reduced reliance or elimination of diabetic medications.
Gastric bypass surgery has been shown to resolve or improve:
Commonly asked questions about gastric bypass surgery.
Gastric bypass surgery is a weight loss procedure that involves creating a smaller stomach pouch and rerouting a portion of the small intestine. This reduces both the amount of food you can eat and the absorption of nutrients.
The ASMBS Guidelines now recommends bariatric surgery for individuals with a BMI of 35 or more regardless of presence, absence, or severity of obesity-related conditions and that it be considered for people with a BMI 30-34.9 with significant comorbidities such as Type 2 Diabetes, Obstructive Sleep Apnea, Uncontrollable Hypertension. It is also recommended that obesity definitions using standard BMI thresholds be adjusted by population and that Asian individuals consider weight-loss surgery beginning at BMI 27.5.
Gastric bypass should be considered permanent procedure, but it can be reversed. Reversal of gastric bypass surgery is a complex procedure and should be reserved for life-threatening complications only.
Obesity is a chronic, debilitating disease, and needs to be addressed permanently, not temporarily. Most of the patients who come to us for help, have the “obesity gene”, and therefore looking for a permanent solution, and have been struggling with weight problems their entire life.
All these discussions take place during the initial visit, and we make every effort to customize the treatment plan, based on the individual patients needs and goals. Please always ask our surgeons about different options available and which one is best for you.
Gastric bypass surgery usually takes about 1 to 2 hours, depending on the patient’s specific circumstances.
Most patients can return to normal activities within 2 to 4 weeks. Strenuous activities may need to be avoided for a longer period.
Yes, adopting a healthier lifestyle is crucial for long-term success. This includes dietary modifications, regular exercise, and adherence to post-operative guidelines.
While complications are rare, they can include infection, bleeding, leakage, and nutritional deficiencies. Our practice has a complication rate below the national average of .01% and recognized as a Center of Excellence in Bariatric Surgery by both the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery (ASMBS).
Weight loss varies, but many patients often experience a reduction in excess body weight of 60% to 80%, with most of the weight loss occurring within the first year after surgery.
Yes, nutritional supplements are usually recommended to prevent nutritional deficiencies, given the altered absorption in the digestive system.
Yes, many individuals experience improvement or resolution of conditions such as type 2 diabetes, high blood pressure, sleep apnea among many other comorbidities following gastric bypass surgery. However, individual results may vary, and ongoing monitoring is essential.
Bariatric surgeons specializing in gastric bypass surgery.
Gastric bypass surgery in New Jersey has become a popular option for weight loss due to its effectiveness, relatively lower complication rates, and faster recovery. However, like any surgery, gastric bypass requires careful consideration, thorough pre-operative evaluation, and post-operative follow-up to ensure its success and the overall well-being of the individual undergoing gastric bypass in NJ.
Individuals who suffer from severe obesity should request a consult with our experienced gastric bypass surgeons in New Jersey to determine the most suitable treatment plan based on their specific needs and health conditions.
“I have been a patient of Dr. Abkin for over 3 years, since 2020. I’ve lost 85 pounds and will be forever grateful for this life changing experience. Every staff member genuinely cares in the ease and success of your journey. They leave no stone unturned. Dr. Abkin is a master at his craft and truly makes you feel comfortable with process. I’ve never felt more confident in my own skin! I will continue to refer anyone struggling with weight loss and health issues to his office. It’s a second chance at a new life!”
“Dr. Abkin’s expertise in performing my gastric sleeve surgery in 2022 was truly remarkable. From our first consultation to post-op follow-ups, he demonstrated genuine care and professionalism. The procedure went flawlessly, and I felt well-informed and confident throughout. Thanks to Dr. Abkin’s skill and guidance, I’ve achieved significant weight loss and improved health. Grateful for his exceptional care on this transformative journey.”
“After undergoing gastric sleeve surgery, I am amazed by the positive impact it has had on my life. The procedure was smooth, and the medical team was extremely supportive throughout the process. I’ve experienced significant weight loss and newfound energy. My confidence has soared, and I’m enjoying a healthier lifestyle. Grateful for this life-changing surgery.”
“Today, at the age of 45, I can confidently say that I am in the best shape of my life. I feel great, and my depression is a thing of the past. I have found purpose once again. And now, I am eager to share my story with all of you. Dr. Abkin and Dr. Jawed, you have saved my life! You have given my wife her husband back, and my children have their father again!”
“Enormously thankful to Dr. Abkin for changing my life! Lost over 150 lbs after having sleeve surgery in 2019. His expertise and support made my transformation possible. Forever grateful!”
“Dr. Abkin was so friendly and explained each procedure thoroughly. I never felt forced or not heard, which really made me feel very comfortable with going forward with the surgery. Well a year later and I’m reflux free and still losing weight and extremely happy with all my services from him and his staff! I have referred him several times to my friends and co workers and will keep referring him!”
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