Bariatric Surgery

:: Laparoscopic Adjustable Gastric Banding
:: Tube Gastrectomy
:: Open Gastric Bypass
:: Laparoscopic Roux-en -Y Gastric Bypass
:: Abdominoplasty
:: Brachioplasty

Open Gastric Bypass

Here a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the absorption of nutrients and thereby reduces the calorie intake.

Advantages:

• Good operation for sweet eaters 
• Difficult to "cheat" with sweets and chocolates because of
  intolerance due to "dumping syndrome".
• Long track record
• Tend to lose a little more weight than lap. gastric band
• More successful then lap band in keeping the weight off
  long term
• Quicker improvement with sugar control in diabetics

Disadvantages:

• Open surgery therefore increased risks 
• Risk of incisional hernia 20%
• Longer recovery time 
• Permanent 
• Possibility of a staple line leak 
• Minor late weight regain 10-20% after 2-5 yrs 
• Nutritional/ mineral supplements required

Residual stomach capacity: 10-15 mls

Estimated weight loss: 60-70% EWL over 2 years.