Laparoscopic Roux-en-Y Gastric Bypass – Dr. Smith


Laparoscopic Roux-en-Y Gastric Bypass with Hand-Sutured Anastomosis. Dr. Dennis Smith, Advanced Obesity Surgery, Marietta, GA www.advancedobesitysurgery.com

This entry was posted in Gastric Bypass and tagged , , , , . Bookmark the permalink.

15 Responses to Laparoscopic Roux-en-Y Gastric Bypass – Dr. Smith

  1. ocpud2999 says:

    thank you for posting this. My wife will be converting a VBG in a roux en y and this really lets me now how the basic procedure is done.

  2. Mushy2000 says:

    Ha, I figured :-)

  3. drdennissmith says:

    Thanks for your compliments! I do in fact feel blessed to be able to help people who are in this situation. The Fobi pouch is just another way to do the gastric bypass, but it involves the use of a ring around the pouch. I don’t like the idea of a ring – it is very unforgiving, and many surgeons feel it leads to more vomiting issues. It is also a foreign body, which I like to avoid, since there is always the chance or erosion of foreign material into the pouch.

  4. drdennissmith says:

    My son is, that’s for sure!

  5. drdennissmith says:

    Yes, it seals the staple line so that there is less chance of micro-leaks, which could potentially turn into larger and significant leaks. It also helps ward off ozzing of blood from the staple line.

  6. drdennissmith says:

    This was NOT robotic. I do not use the robot – it is not helpful or necessary in the vast majority of cases. This is done entirely with my hands (and my outstanding assistant’s hands!) and the laparoscopic instruments.

  7. swimgal81 says:

    hi, just wondering if this is a robotic surgery procedure?

  8. supadocnz says:

    was the application of fibrin sealant to reduce the risk of anastomotic leak?

  9. Mushy2000 says:

    You must be good at guitar hero.

  10. mygastricbypassdiary says:

    There seems to be very little blood here. I did not have a drain and have been passing loose black stools from day 2 till day 5, is that normal? Thanks Jacki

  11. msassulikit says:

    WOW! You are a well skilled surgeon. God has trully blessed your mind, hands and heart. I have a question about the Fobi Pouch. Is the Fobi pouch is affective as the RNY? Why or Why not?

  12. 99minerkc says:

    Thank you for your timely response!

  13. drdennissmith says:

    The “mini” gastric bypass is basically a Billroth 2 operation, which was abandoned many years ago because of concerns over bile reflux into the stomach potentially causing cancer many years later.

    The vast majority of bariatric surgeons denounce the MGB for weight loss because of these concerns. The statement that it’s less risky comes from MGB surgeons, of course. There are many complications and reversals of the MGB that happen at other hospitals.

    IMO, patients should avoid the MGB.

  14. 99minerkc says:

    Dr Smith, what do you think about the mini gastric bypass(MGB)surgery? Is it an overall(including less medical risk)better bypass surgery than the Roux-en-y as I have been told it is?

    PS MGB is only about 17k too! :) I’m interested in it but need more information.

  15. bauer1341 says:

    Dr. Smith did this surgery on me December 20, 2006. I am so pleased with the results and thankful to Dr. Smith. He is a wonderful surgeon.

Leave a Reply

Your email address will not be published. Required fields are marked *

*

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>