The results of the study provide strong evidence for the efficacy of
Roux-en-Y surgery for long-term weight loss and prevention and remission of type 2 diabetes, hypertension and dyslipidemia.
Material and Methods: Data on patients who underwent laparoscopic
Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy with a diagnosis of morbid obesity between January 2012 and June 2014 were retrospectively evaluated.
The commonest surgical procedure was complete cyst excision with
Roux-en-Y common hepatico-jejunostomy.
2% of the
Roux-en-Y gastric bypass procedure performed in bariatric surgery (2).
Whatever data are available they show perioperative and long term complications same as that of
Roux-en-Y procedure and more than the gastric banding.
3% 5 years later, while the use of
Roux-en-Y gastric bypass dropped from 58.
Preoperatively, most
Roux-en-Y gastric bypass patients have a higher than normal BMD, "so even a loss of 10% over 2 years is not going to put most of them in the osteopenic or osteoporotic range.
In our case, since the left main hepatic duct was transected for an extended period of time and was most probably colonized, we decided to do selective left
Roux-en-Y hepaticojejunostomy.
Contemporary bariatric surgeries include
Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, biliopancreatic diversion with duodenal switch, sleeve gastrectomy, and mini--gastric bypass.
Operative procedures performed included
Roux-en-Y hepaticojejunostomy in 19 (59.
51%) was the most frequently performed procedure, followed by choledochoduodenostomy and
Roux-en-Y choledocho-jejunostomy (i.
It concludes that one of the most common and effective forms of bariatric surgery, called
Roux-en-Y gastric bypass, melts away pounds not - or not only - by re-routing the digestive tract, as long thought, but by changing the bacteria in the gut.
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