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Laparoscopic Roux-en-Y Gastric Bypass Surgery

BSC Dallas offers Roux-en-y gastric bypass surgery at  Plano Surgical Hospital for $17,000.

This price includes a hospital stay of two nights after surgery, anesthesia, and an assistant surgeon.

The Roux-en-y gastric bypass is considered the “gold standard” for bariatric surgery techniques, and is the best-understood, most-studied, and arguably the most effective long-term solution to morbid obesity.

Benefits of the surgery include two stages of weight loss mechanisms, restriction (dramatic reduction in the amount of food you can eat at a given time) and malabsorption (reduction in your body’s capability to fully absorb all of what you do eat). Patients can expect statistically to lose 70-80% of their excess body weight with full aftercare compliance, and have shown an ability to maintain that loss 15 years with continued diligence to post-surgical dietary changes.

Negative aspects of the surgery include the potential for nutrient deficiencies due to the malabsorptive component, the need for stringent dietary and lifestyle changes, and the potential to experience dumping syndrome (negative body response to refined sugars, high-fat foods, and simple carbohydrates). Because of the extensive research done on the negative aspects of gastric bypass surgery, most programs are able to offer detailed diet modification plans to help the patient overcome any issues that could occur post-operatively.

The surgery program, with a committed follow-through by the patient, should be geared up toward a lifetime of monitoring and have a wide variety of programming for the patient’s whole life needs.

The Benefits: Medical Results of Weight Loss Surgery and Subsequent Weight Loss

  • Elimination or improvement of diabetes
  • Decrease in or elimination of hypertension
  • Elimination of GERD
  • Elimination of most forms of sleep apnea
  • Decreased risk of many forms of cancer, such as breast, pancreatic, esophageal
  • Decrease in fat concentration in liver, reduced risk of steatohepatosis
  • Decreased risk of cardiovascular event
  • Increased life expectancy
  • Improvement in orthopedic conditions
  • Improved quality of life

Description of the Procedure

Gastric bypass involves segmentation of the stomach into a small pouch (approximately one ounce in our technique), which provides the restrictive aspect. The small intestine is traced down between 75-100 centimeters, divided, and the distal portion brought up and anastomosed to the small gastric pouch, providing the malabsorptive component. The remaining lower stomach and bypassed intestine are then patched back into the small intestine at the point of separation.

The body requires fluids from the stomach for digestion, these are conducted down the bypassed intestine to combine with food passing out of the small gastric pouch at the point where the intestines are rejoined, forming a “Y” pattern; and digestion and absorption of nutrients takes place from this point forward through the remainder of the small intestine and colon. The lower stomach still has important function in the production of gastric fluids for digestion, and the bypassed small intestine is an important conduit for bile from the liver and pancreatic fluids which are also necessary for digestion.

Almost all bypasses are performed with minimally invasive laparascopic technique resulting in less discomfort and quicker recovery time.

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