Roux-en-Y gastric bypass
Roux-en-Y gastric bypass surgery reduces the size of your stomach so you do not eat as much. It also helps reduce and maintain weight loss by bypassing some of your small intestines so you absorb less fatty foods. Gastric bypass surgery is the only weight loss surgery with more than 20 years of research to show long-term weight loss maintenance. People typically experience 55-65 percent weight loss during the first year following gastric bypass surgery and a significant reduction in obesity-related complications including type 2 diabetes, high blood pressure, and sleep apnea.
Choosing a gastric bypass surgeon and bariatric clinic
- PATIENT STORYChoosing weight loss surgery to control disease
- PATIENT STORYBack to dancing after weight loss surgery
- PATIENT STORYStrong and healthy after weight loss surgery
- PATIENT STORYBecky chose Duke for convenience, but got much more
ROUX-EN-Y GASTRIC BYPASS
The journey to weight loss surgery includes several consultations to evaluate your medical condition and overall well-being. The consultations are typically scheduled to take place during your first visit to our bariatric clinic.
Your bariatric surgeon will conduct a physical exam, and a series of tests. The results identify and evaluate any medical problems related to your obesity, and is used by your bariatric surgeon to recommend the right procedure for you.
During the two-hour consultation, which is required for gastric bypass surgery, our licensed clinical psychologist will review your knowledge about weight loss surgery, as well as your motivation, support, and goals following the procedure. In addition, the psychologist will review your eating patterns, psychological functioning, and history, as well as lifestyle behaviors (such as diet, exercise and smoking habits). You will leave with an individualized lifestyle and behavioral treatment plan, educational material and recommendations to help you prepare for gastric bypass surgery.
Our dietitian will review your dieting history, current meal planning, eating behaviors, and your diet progression following gastric bypass surgery. The dietician will work with you to develop a plan to change your current diet as you prepare for surgery. Dietary changes may include eliminating high-calorie beverages such as sweet tea, regular soda, juice, and alcohol from your diet; reducing fast food consumption; eating three meals a day with no meal skipping; taking a daily multivitamin, and using a food journal.
ROUX-EN-Y GASTRIC BYPASS
Several tests are needed to complete the medical evaluation. Tests can be completed at Duke Raleigh Hospital or Duke Regional Hospital, or your surgeon can order the tests at a location that is convenient to you.
Radiographic images allow your doctor to examine your chest, lungs and other organs.
Sound waves are used to capture high speed, 3-D images of the moving heart.
These procedures identify signs of gastrointestinal concerns such as acid reflux, GERD, hernias or ulcers. A solution of barium is digested during the barium swallow so your gastric bypass doctor can take X-ray images of the upper portion of your digestive tract. During an endoscopy, a lighted tube is passed through your mouth and down your throat. A camera on its tip allows your doctor to see inside your esophagus, stomach and parts of your small intestine.
A variety of tests are performed to screen for medical conditions including diabetes, high cholesterol and thyroid disorders, assess your body's chemical balance and metabolism, such as iron and folate levels, as well as possible vitamin deficiencies.
A sleep study may be necessary if you are diagnosed with sleep apnea. You may also undergo additional studies if previous tests and the medical evaluation uncover a history of heart disease, kidney disorders, or lung problems.