Gastric Bypass Surgery
Dr. Steven Tersigni is one of the most experienced bariatric surgeons in Oregon. His patients have phenomenal results. If you are considering weight-loss surgery, please contact us today to schedule a consultation with Dr. Tersigni!
What Is Gastric Bypass Surgery?
The Roux-en-Y gastric bypass surgery is the most common weight-loss surgical procedure performed in the United States. During Roux-en-Y gastric
bypass, the stomach is divided just below the esophagus to create two separate compartments. The small intestine is surgically divided to create
a Y-type connection, and none of the intestine is removed. In the illustration above the red and green arrows indicate the division of the
small intestine and the flow of food (red arrow) and digestive enzymes (green arrow). The red arrow indicates where food comes into the smaller
upper portion of the stomach division and then flows into the small intestine, much the same as it does now.
The larger lower part of the stomach is closed to food intake, but it continues to produce digestive fluids, secretions, and enzymes (green arrow). Digestive secretions will flow through the first section of the intestine and combine with food for normal digestion and absorption.
*In March of 2013, Lori had gastric bypass surgery and has lost almost 100 lbs.
*Individual results may vary Read more
The second section (red arrow) of intestine is connected to the newly created stomach pouch. The stomach-to-intestine connection is small so that solid food stays in the stomach longer. This causes a sensation of fullness before the food slowly empties into the intestine through the newly reconstructed opening (red arrow). Because appetite is reduced, the drive to eat more than the body needs is also reduced.
The two sections of the small intestine are rejoined to form a common limb. The intestine-to-intestine connection is wide, so food can pass easily. At the point of this connection, digestion occurs normally because pancreatic enzymes and bile from the first section have traveled down the Roux limb (green arrow).
How Does Gastric Bypass Surgery Work?
Gastric bypass surgery may result in weight loss by reducing the size of the stomach and then bypassing a portion of the small intestine.
The stomach normally has the ability to hold a great deal of food—about 2 to 3 quarts in capacity. This allows a higher caloric intake than can be expended in energy per day. These extra calories are then stored as fat. Gastric bypass surgery uses about 3 percent of the stomach, creating a 1-ounce-size pouch. This allows you to achieve a feeling of being full while eating smaller portions. The result is a decrease in caloric intake, which may result in weight loss. Eventually, the 1-ounce pouch grows to hold about 5.5 ounces. This allows for three small meals per day without further weight loss.
Bypassing a portion of the small intestine also helps with weight loss. Most fat that is eaten is absorbed in the small intestine. Bypassing a portion of the small intestine decreases the absorption of fat, causing further weight loss. Because the small intestine also absorbs protein, many patients are protein deficient during the first year. It is therefore extremely important that patients follow the dietary regime, which includes eating at least 65 to 100 grams of protein per day.
Laparoscopic Gastric Bypass Surgery
At Bay Bariatrics we offer both open and laparoscopic Roux-en-Y gastric bypass surgery. These surgeries are the same, with the exception of the incision. During an open Roux-en-Y gastric bypass, Dr. Tersigni makes a large incision in the abdomen, whereas the laparoscopic method requires several small incisions. Dr. Tersigni performs laparoscopic surgery with small instruments and uses a camera as a guide. Most of our bariatric surgeries are performed using the laparoscopic method.
The laparoscopic Roux-en-Y gastric bypass has multiple benefits:
- Less time in the hospital
- Quicker recovery time
- Less time off work
- Less postoperative pain
- Reduced risk of hernias and wound infections
- Smaller scars
Every patient is different, and Dr. Tersigni will evaluate whether you are a candidate for the laparoscopic method.
Is Gastric Bypass Surgery Right for You?
The primary goal of Dr. Tersigni and the entire Bay Bariatrics staff is to help you meet your objectives of better health and quality of life through significant weight reduction. We also want you to make an informed decision about taking this step by being aware of the responsibilities, possible complications, and benefits of surgery. If you elect to have bariatric surgery, we will provide you with dietary, exercise, and behavior modification guidelines. The tools and the support are designed to help you achieve success and experience the “rebirth” of losing weight and maintaining your long-term goals.
If you have any questions, please write them down and bring them to your consultation appointment. We have a wealth of experience in bariatric surgery and can provide you with the information you need to make sound decisions.
Gastric Bypass Surgery Cost
Laparoscopic gastric bypass patients are typically treated on an in-patient basis. This procedure requires a 2-night hospital stay for patient safety and comfort. The total cost for gastric bypass surgery is $24,960; a cost breakdown includes fees for medical staff, testing, and hospital care.
The surgeon’s fee to perform the procedure is $4,500. The surgeon has a skilled surgery assistant on-hand to ensure the highest level of patient care. The fee for the surgery assistant is $900. The procedure does require anesthesia to be administered for patient comfort. The fee is $1,500. In order to measure the success of the laparoscopic gastric bypass surgery, a simple post-bariatric swallow study is completed after the procedure for a fee of $475. This test explores the scope and status of the gastrointestinal tract, and assesses the results of the laparoscopic gastric bypass procedure for the surgeon and patient.
General fees associated with care at Bay Area Hospital total $17,600 for the procedure. A detailed breakdown of hospital fees may be discussed with prospective patients upon request, but it includes things like room fees and nursing care. These costs are what a patient of Bay Bariatrics without insurance can expect to pay. Patients with insurance plans that do not cover a laparoscopic gastric bypass procedure can also expect to pay this cost.
Gastric Bypass Surgery Qualifications
Patients who meet certain conditions may be candidates for gastric bypass surgery, commonly called weight loss surgery. Previous attempts at serious, long-term weight loss must have been unsuccessful. And weight loss needs must be severe, as measured by body mass index. This is a calculation based on height and weight that’s often used as an assessment tool. A person’s BMI or body mass index must be at least 40, or at least 35 with certain medical conditions where excess weight poses additional serious risks.
Examples of these conditions include diabetes, hypertension, low back pain, and sleep apnea. Bariatric surgery is generally covered by patients’ insurance plans; however, some insurance companies put a few prerequisites on the procedure before approving it. For example, patients must complete a strict diet and exercise plan lasting at least six months prior to setting a surgery date; patients should check with their insurance plans for details of eligibility and coverage.
In cases where patients don’t meet these qualifications, our office may still consider performing the surgery as a cosmetic procedure. These arrangements are typically discussed privately with patients on a case-by-case basis, as cosmetic work is not generally advertised as the type of procedure performed by our practice.
In addition to both open and laparoscopic Roux-en-Y gastric bypass, Bay Bariatrics offers the following bariatric procedures:
- Laparoscopic sleeve gastrectomy
- Gastric imbrication
- Laparoscopic adjustable banding—LAP-BAND®
- Revision bariatric surgery