WHY DO WE PREFER RNY GASTRIC BYPASS
SURGERY?
Bariatric Surgery Techniques are
classified in two different groups according with
their mechanism of action as follows:
- Restrictive Procedures
- Malabsortion Procedures
Restrictive Procedures (Lap-band, Vertical
Banded Gastroplasty)
Restrictive procedures decrease food intake by
creating a small gastric pouch (with no more than
1 ounce capacity) that generates an early fullness
sensation and stops the patient from further eating.
With a restrictive procedure you may lose 35%
- 40% of your excess weight
after gastric bypass surgery.
Malabsortive Procedures (Biliopancreatic
Diversion)
This kind of surgery procedure alters the digestive flow,
causing the food to be poorly digested and incompletely
absorbed, especially carbohydrates and fat.
RNY Gastric Bypass COMBINES THESE TWO DIFFERENT MECHANISMS:
- It creates a small gastric pouch
(as in the Restrictive Procedures)
- Diverts the
digestive flow (as in the Malabsortion Procedures)
These two different mechanisms
of surgery ACT SYNERGICLY producing the best results in sustained
weight loss (75% - 80% of your excess weight).
 Sugarman,
Capella and others have also reported that
Gastric Bypass procedures resulted in significantly
greater sustained weight loss when compared
to patients undergoing gastric restrictive
procedures 
(SURGERY
FOR THE MORBIDLY OBESE PATIENT. Deitel - Cowan,
FD-Communications Inc., Toronto - Canada, June
2000. Page 142)
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Gastric Bypass
Surgery has also the lowest reintervention rates and the best patient compliance
with the new life style and diet.
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