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Obesity Surgery

Obesity surgery is major surgery. Its growing use to treat morbid obesity is the result of three factors:

· Our current knowledge of the significant health risks of morbid obesity

· The relatively low risk and complications of the procedures versus not having obesity surgery

· The ineffectiveness of current non-surgical approaches to produce sustained weight loss

Types of Obesity Surgery

In recent years, better clinical understanding of procedures combining restrictive and malabsorptive approaches has increased the choices of effective obesity surgery for thousands of patients. By adding malabsorption, food is delayed in mixing with bile and pancreatic juices that aid in the absorption of nutrients. The result of this type of obesity surgery is an early sense of fullness, combined with a sense of satisfaction that reduces the desire to eat.

According to the American Society for Bariatric Surgery and the National Institutes of Health, Roux-en-Y gastric bypass is the current gold standard procedure for obesity surgery. It is one of the most common types of obesity surgery in the United States.

In this procedure, stapling creates a small (15 to 20cc) stomach pouch. The remainder of the stomach is not removed, but is completely stapled shut and divided from the stomach pouch. The outlet from this newly formed pouch empties directly into the lower portion of the jejunum, thus bypassing calorie absorption. This is done by dividing the small intestine just beyond the duodenum for the purpose of bringing it up and constructing a connection with the newly formed stomach pouch. The other end is connected into the side of the Roux limb of the intestine creating the "Y" shape that gives this obesity surgery technique its name. The length of either segment of the intestine can be increased to produce lower or higher levels of malabsorption.

Learn more about obesity surgery and additional General Surgery procedures at the Wake Forest University Baptist Medical Center.

One of the nation's preeminent academic medical centers, WFUBMC is an integrated health care system that operates 1,291 acute care, rehabilitation and long-term care beds, outpatient services, and community health and information centers. The Medical Center's component institutions carry out a joint mission of patient care, education, research and community service. The partnership includes three major members: Wake Forest University Health Sciences, North Carolina Baptist Hospital, and Wake Forest University Physicians.


Copyright:
Wake Forest University School of Medicine
and North Carolina Baptist Hospital. All rights reserved.
Medical Center Boulevard
Winston-Salem, NC 27157
(336) 716-2011

Copyright: Wake Forest University School of Medicine and North Carolina Baptist Hospitals. All rights reserved.

Medical Center Boulevard

Winston-Salem, NC 27157

The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.

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Last Modified: 3/1/2007