Procedure and outcomes of Roux-en-Y gastric bypass

Abstract

Bariatric surgery is an effective intervention for weight loss in the morbidly obese patient and can result in resolution of associated comorbidities. However, it is a complex area of practice and care, as these patients suffer a series of comorbidities that can compromise outcomes after surgery. Nurses must be aware of these comorbidities and anticipate the required interventions to ensure timely and effective treatment, and to minimize potential problems. This article reviews the technical procedures of the laparoscopic Roux-en-Y gastric bypass (LRYGBP)--which is considered the gold standard in bariatric surgery--and outlines its complications and outcomes. Other forms of bariatric surgery are briefly discussed in comparison to the LRYGBP. With knowledge in this area, nurses are in a ideal position to educate and prepare patients for life after surgery, and to diminish their anxiety during adaptation to this new phase of life.

Evolving self view and body image concerns in female postoperative bariatric surgery patients

“…These two procedures result in greater weight loss than gastric banding procedures. The RYGB has both a restrictive and malabsorptive component (Furtado, 2010), while the VSG is a restrictive procedure (Colquitt, Pickett, Loveman, & Frampton, 2014).…”

Role of Gut-Related Peptides and Other Hormones in the Amelioration of Type 2 Diabetes after Roux-en-Y Gastric Bypass Surgery

“…Among the various techniques in bariatric surgery, RYGB is the most common bariatric surgery performed worldwide and is considered by many surgeons as the “gold standard” procedure [6]. The RYGB operation was developed in the 1960's following observations of weight loss after gastric resection for peptic ulcer disease.…”

Recognition and management of hyperinsulinemic hypoglycemia after bariatric surgery

“…According to this data, the most common bariatric surgical procedure performed in the U.S. was the Roux-en-Y gastric bypass (RYGB) (31,668 [54.68%]), followed by gastric banding (22,947 [39.62%]), sleeve gastrectomy (1328 [2.29%]), and biliopancreatic diversion (517 [0.89%]). Thus RYGB continues to be the gold standard procedure [5]. Females were shown to constitute a significant majority of the BOLD study population (45,619 [78.76%]) [4].…”