How does RNY GASTRIC BYPASS WORK?

For almost 50 years scientists have tried to develop a variety of methods / techniques for this purpose.

A 50-60cc pouch is created at the top of the stomach, where the "satiety" signals are produced. The first effect of the procedure is the feeling of "early satiety" with the intake of "small portions of food". The small intestine is connected under this gastric pouch, and the second important effect of the procedure is to reduce the mixing of some of the calories taken into the blood, by deactivating the initial part of the small intestine, which has a high "food absorption capacity". The Rny gastric bypass procedure has been used in obesity surgery in the USA since 1991.

WHY CAN'T I LOSE WEIGHT WITH THE DIET I DO?

In adults, the gastric volume is 600-900cc and takes 2-3 portions of food. When the stomach is full, a “feeling of fullness” occurs. “Restricting food/calorie intake” is essential in diets applied to lose weight. Unfortunately, when the stomach is not full, dieters do not feel "satiety" and leave the diet.
For the feeling of fullness, it is possible with less food, either by "full filling" of the stomach or by a "small pouch" in the stomach.
It is a technique accepted as the "gold standard" in bariatric and metabolic surgery, in which both "restrictive" and "malabsorptive" mechanisms are used together.
Morbidly obese (BMI>40) people have a <2% chance of falling to the “ideal BMI” with diet and exercise alone.
The success rate of Roux-en-y Gastric bypass surgery in bariatric surgery is close to 90% on average.

IS OBESITY SURGERY SAFE DURING THE CORONA VIRUS PANDEMIC?

Patients with metabolic disorders like cardiovascular diseases, diabetes and obesity may face a greater risk of infection of COVID-19 and it can also greatly affect the development and prognosis of pneumonia

Studies have also shown that prior bariatric surgery conveys protection against mortality from COVID-19 and that obesity is the biggest risk factor for mortality from COVID-19 infection in adults. Bariatric surgery has been safely performed in patients who made a full recovery from COVID-19 without increased complications due to cardiovascular, pulmonary, venous thromboembolism, or increased mortality rates.

The following positive results were also reported in the Italian study; Introduction of strict COVID-19 protocols concerning the protection of patients and health-care professionals guaranteed a safe response of elective BMS in Italy. The safety profile was, also, maintained during the second wave of outbreak, thus allowing access to a cure for the obese population.

WHICH SURGEON SHOULD I CHOOSE FOR MY RNY GASTRIC BYPASS SURGERY?

Obesity The most important criterion in Bariatric and Metabolic surgery is the choice of surgeon. Surgeons who have performed a total of 400 or more bariatric surgical procedures according to IFSO criteria are considered "expert surgeons". Your surgery will be performed by Expert Bariatric Surgery Specialist, Ersun Topal, MD, General Surgeon. He has 9 years of bariatric surgery experience and >1500 cases (sleeve gastrectomy, rny gastric bypass, omega/mini gastric bypass, sadi-s, duodenal switch-biliopancreatic). diversion, revisionally surgery) has extensive experience and is a member of IFSO and Turkish Obesity Surgery Society

HOW IS RNY GASTRIC BYPASS DONE?

With the laparoscopic technique, 4 holes were made in the abdominal wall.

A gastric pouch is created to have 50-60cc in the stomach.

The first 60 cm area with a very high absorption capacity in the small intestines is disabled.

A new path is made between the small intestine 61 cm-stomach pouch.

Anatomy after Rny Gastric Bypass

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IS ROUX-EN Y GASTRIC BYPASS A RELIABLE PROCEDURE?

Among the bariatric surgical techniques, it is a low-risk bariatric surgery procedure. The surgeon's experience and the quality of titanium staples used are very important. Only U.S FDA (Food and Drug Administration; The FDA is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products) approved Medtronic Endoscopic Staples is used in our clinic.

Absolutely replica/cheap Chinese brands staples are not used!!

WHY SHOULD I PREFER ISTANBUL BARIATRIC CLINIC?

a-Surgeon's experience (+1500 bariatric and metabolic surgeries)
b-Using FDA approved Medtronic Tri-Staples Tech stapler

WHAT ARE THE RISKS OF RNY GASTRIC BYPASS?

laparoscopic rny gastric bypass surgery mortality rate 0.22 %.
The suture line leakage rate 0.8%
Post-operative bleeding rate 2.4%
Cardiopulmonary complications rate 1.3%

WHAT SHOULD I DO BEFORE RNY GASTRIC BYPASS?

You must stop all painkillers (ibuprofene, diclophenac, Naproxen and etc non-steroidal anti-inflammatory drugs) except Paracetamole. You should start to drink 1 of the over-the-counter Proton Pomp Inhibitor drugs (Pantaprasole, Esomeprazole, Lansaprasole ext.) every morning on an empty stomach

IS CHECK-UP REQUIRED BEFORE RNY GASTRIC BYPASS PROCEDURE

Before obesity surgery, blood tests, chest X-ray, Electro-cardiography, upper gi endoscopy (with and under sedation anesthesia) will be performed. If you have heart disease or diabetes, you will be consulted.

Frequently Asked Questions