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Gastric bypass is indicated for the surgical treatment of morbid obesity, a diagnosis which is made when the patient is seriously obese, has been unable to achieve satisfactory and sustained weight loss by dietary efforts, and has comorbid conditions which are either life-threatening or serious impairment to the quality of life.
A single protocol has not been found to be superior to the other. In one 2019 systematic review, estimated weight loss (EWL) for each surgical protocol is as follows: 56.7% for gastric bypass, 45.9% for gastric banding, 74.1% for biliopancreatic bypass +/- duodenal switch and 58.3% for sleeve gastrectomy. [27]
Combined restrictive and malabsorptive techniques are called gastric bypass techniques, of which Roux-en-Y gastric bypass surgery (RGB) is the most common. In this technique, staples are used to form a pouch that is connected to the small intestine , bypassing the lower stomach, the duodenum , and the first portion of the jejunum .
Weight loss surgery, like gastric bypass, had the greatest results in helping delay the plateau for participants by adding another year on average on top of that before hitting a plateau.
Some mix RNY and gastric-bypass patients with gastric-banding patients. Some gastric-band patients have criticized this approach because, while many of the underlying issues related to obesity are the same, the needs and challenges of the two groups are very different, as are their early rates of weight loss.
Types of bariatric surgeries include gastric bypass and sleeve gastrectomies, per the Mayo Clinic. "While bariatric surgery can offer many benefits, all forms of weight-loss surgery are major ...
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