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Doctor insights on: Laparoscopic Roux En Y Gastric Bypass Versus Laparoscopic Sleeve Gastrectomy

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Dr. Gregg Nishi
449 doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more


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What is the difference between a gastric bypass and a sleeve gastrectomy?

What is the difference between a gastric bypass and a sleeve gastrectomy?

Sleeve vs bypass: A gastric sleeve removes ~80% of the stomach, transforming the stomach into a tube structure. There is no new gastrointestinal connection (anastamosis) created. A gastric bypass defunctionalizes ~95% of the stomach and involves 2 anastamoses. This just scratches the surface. There are differences in risk, perioperative complications, and outcomes. Talk to a bariatric surgeon for full details. ...Read more

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Can you tell me about gastric bypass or vertical sleeve gastrectomy?

For weight loss: Gastric bypass means that most of the stomach is bypass by reducing you stomach to a small pouch, about 3oz. Vertical sleeve gastrectomy means that most of your stomach is removed leaving a tube made from the stomach, near the size of a garden hose. ...Read more

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What is the difference between a sleeve gastrectomy and a mini gastric bypass?

What is the difference between a sleeve gastrectomy and a mini gastric bypass?

Malabsorption: Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 25% of its original size, classified as a restrictive bariatric procedure. Mini gastric bypass surgery is another form of Roux-en-Y gastric bypass surgery, which leaves the patient with a smaller stomach pouch (restrictive), but also bypasses a segment of intestine, causing malabsorption. ...Read more

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What is the difference between a mini gastric bypass and a sleeve gastrectomy?

Malabsorption: A sleeve removes about 75% of your stomach to reduce the amount of food you eat as well as decrease a hormone called Ghrelin, which helps control hunger. A mini bypass also reduces the stomach capacity but reroutes food beyond the first part of the small intestine to create malabsorption of calories. This can help with additional weight loss. RNY bypass better choice than mini to avoid bile reflux ...Read more

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Do you recommend roux-en-y gastric bypass surgery?

Gastric bypass: Yes. It may not be the best choice for everyone, the the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is also the best operation for patients with diabetes, heartburn/reflux, large hiatal hernias, or are very obese (bmi over 50). It should only be done by an experienced surgeon. ...Read more

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Can you tell me about roux-en-y gastric bypass surgery?

Can you tell me about roux-en-y gastric bypass surgery?

Gastric bypass: The the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is also the best operation for patients with diabetes, heartburn/reflux, large hiatal hernias, or are very obese (bmi over 50). It should only be done by an experienced gastric bypass surgeon. The sleeve is a close second. ...Read more

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Can you tell me the price range for a roux-en-y gastric bypass surgery!?

Can you tell me the price range for a roux-en-y gastric bypass surgery!?

Gastric bypass : Well, insurance usually covers it if you qualify (bmi over 40 if you have no medical problems, or bmi over 35 with medical problems). If you don't have insurance, you are looking at somewhere between $20-30, 000. You can get financing through care credit as one example. ...Read more

Dr. Adam Beall
34 doctors shared insights

Roux En Y (Definition)

In general surgery, a roux-en-y anastomosis, less formally and precisely roux-en-y, is a surgically created (end-to-side) anastomosis. Typically, it is between small bowel and small bowel that is distal (or further down the gastrointestinal tract) ...Read more


Dr. Elias Chousleb Mizrahi
74 doctors shared insights

Gastrectomy (Definition)

Gastrectomy means removal of the stomach. This is done for cancer, ischemia, or ulcer disease. One can perform a partial or total gastrectomy, and then the GI tract is reconstructed accordingly. I hope this satisfies ...Read more