Roux-en-Y is the most common and successful type of gastric bypass. It creates a direct connection from a small stomach pouch to the jejunum, bypassing the duodenum, where calories are absorbed.
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Compared to stomach removal, Roux-en-Y gastric bypass poses fewer operative risks. It also is more effective in reducing a patient’s weight and reversing health problems associated with severe obesity.
In this brief intraoperative video, Philip Schauer, MD, Director of Cleveland Clinic’s Bariatric and Metabolic Institute, explains essential steps of the procedure, including:
- Jejunojejunostomy, using a hand-sewn technique
- Creation of a gastric pouch
- Endoscopic evaluation and leak test