Gastric bypass is one of the most popular and extensively studied procedures, as it was the surgical model for all other bariatric surgeries. It has the advantage of documented long-term success and a direct metabolic effect. It is the procedure of choice for patients with preexisting gastroesophageal reflux disease (GERD).
There are different types of gastric bypass (Roux-en-Y, Mini-Gastric/BAGUA, Duodenal Switch, SADI, among others), all involving varying degrees of diversion and the number of anastomoses in the intestine and stomach.
The gastric bypass technique involves reducing the size of the stomach and directly connecting the small intestine to the new stomach, excluding a portion of the stomach, which allows the patient to consume less food and also not absorb calories in the excluded segment of the intestine.
This results in weight loss, regulation of hormones responsible for glucose metabolism, and early satiety.
It is ideal for individuals with gastroesophageal reflux disease and diabetics.
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