The
Texas Children’s Hospital Center for Comprehensive Surgical
Management of Adolescent Obesity
pediatric surgeons perform the
laparoscopic Roux-en-Y Gastric Bypass, a less-invasive procedure known for its
reliable results for improved health and
its greater success at achieving long-lasting weight loss.
The Roux-en-Y
Gastric Bypass procedure combines restrictive
and malabsorptive procedures and is the most
popular technique, comprising 75 percent of
bariatric surgical procedures done each year.
As shown in the graphic below, during
the Roux-en-Y procedure, stapling is used to create a small,
upper-stomach pouch that restricts the amount of food able to be
consumed. A portion of the small bowel is bypassed, thus delaying
food from mixing with digestive juices to avoid complete calorie
absorption.
An average of 77
percent of excess body weight loss has been
noted one year after surgery. Studies have
shown that health conditions associated with
obesity were greatly improved or resolved, and that 10 years to 14 years
after having the surgery, patients have
maintained 60 percent of excess body weight
loss.
Specific results of
this surgery include:
- Up to 83 percent of patients see
improvement of their diabetes
- Up to 90 percent of patients see
improvement or cure of their high blood pressure
- Up to 80 percent of patients see
improvement or cure of their sleep apnea
- Patients see a lessening of their
gastric reflux symptoms
In most cases,
patients report an early sense of fullness,
combined with a sense of satisfaction that
reduces the desire to eat.
All major
surgery involves a certain level of risk. Your
child's treatment team will discuss the risks
of Roux-en-Y Gastric Bypass surgery with you.
