[journeyforlife]

well i have been doing research on here and on the internet and i found on wikipedia, quite a bit of info, that has confused me it talks about 2 types of roux en y, and i'm not sure which one is the one you all had this is what it says:

Variations of the gastric bypass
Gastric bypass, Roux en-Y (proximal)

Graphic of a gastric bypass using a Roux-en-Y anastomosis.
This variant is the most commonly employed gastric bypass technique, and is by far the most commonly performed bariatric procedure in the United States. It is the operation which is least likely to result in nutritional difficulties. The small bowel is divided about 45 cm (18 in) below the lower stomach outlet, and is re-arranged into a Y-configuration, to enable outflow of food from the small upper stomach pouch, via a "Roux limb". In the proximal version, the Y-intersection is formed near the upper (proximal) end of the small bowel. The Roux limb is constructed with a length of 80 to 150 cm (31 to 59 in), preserving most of the small bowel for absorption of nutrients. The patient experiences very rapid onset of a sense of stomach-fullness, followed by a feeling of growing satiety, or "indifference" to food, shortly after the start of a meal.

Gastric bypass, Roux en-Y (distal)
The normal small bowel is 6 to 10 m (20 to 33 ft) in length. As the Y-connection is moved farther down the Gastrointestinal tract, the amount of bowel capable of fully absorbing nutrients is progressively reduced, in pursuit of greater effectiveness of the operation. The Y-connection is formed much closer to the lower (distal) end of the small bowel, usually 100 to 150 cm (39 to 59 in) from the lower end of the bowel, causing reduced absorption (mal-absorption) of food, primarily of fats and starches, but also of various minerals, and the fat-soluble vitamins. The unabsorbed fats and starches pass into the large intestine, where bacterial actions may act on them to produce irritants and malodorous gases. These increasing nutritional effects are traded for a relatively modest increase in total weight loss.


so my question is, which one will i have? and what have everyone on RR had?

[kiwi-leelee77]

um...no idea, but I know my surgeon went down 50cm or nearly 20in. I think it depends alot on the surgeon, and possibly how much weight you have to lose (??? just a guess).

I will try and find my post op note he gave me.

[journeyforlife]

Originally Posted by kiwi-leelee77

um...no idea, but I know my surgeon went down 50cm or nearly 20in. I think it depends alot on the surgeon, and possibly how much weight you have to lose (??? just a guess).

I will try and find my post op note he gave me.

thanks leelee

[SummerBreeze]

As I sent you in private pm, I am clueless too hun...I was lucky to know my name prior and afterwards for months...rough time for me..but omg it is so good now !
Good Luck !

annie~

[journeyforlife]

Originally Posted by SummerBreeze

As I sent you in private pm, I am clueless too hun...I was lucky to know my name prior and afterwards for months...rough time for me..but omg it is so good now !
Good Luck !

annie~

i am for sure, printing this out and taking to my doctor on tuesday, and if she doesnt know, i will be asking at the orientation

[DocSanae]

Are you asking about the difference between proximal and distal? In that case, the construction of the pouch and the Roux-Y limbs bypass are no different,the only difference is in the length of the limb and bypass, and how they're chosen basically is how much weight you need to lose, so it's usually up to the surgeon.

[gail1011]

Great post I have been reading this information as well and intend on discussing it with my surgeon on the 25th of Feb.

[johnms]

Don't believe everything you read on Wikipedia, do research on more dependable sites to get your info.

[journeyforlife]

Originally Posted by DocSanae

Are you asking about the difference between proximal and distal? In that case, the construction of the pouch and the Roux-Y limbs bypass are no different,the only difference is in the length of the limb and bypass, and how they're chosen basically is how much weight you need to lose, so it's usually up to the surgeon.

that is exactly what i am asking, thankyou doc

[Jenna]

Good question I had the distal bypass. Which one you will get depends on your surgeon and which version they feel you will benefit best from. They will explain the procedure and why they are doing it. I've had fantastic success and no ill effects from having the distal bypass. Best of luck to you!