What does the RouxenY procedure entail Is this the type of surgery that celebrities like Al Roker and Carnie Wilson underwent

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The Roux-en-Y procedure (Figure 2.4) is the most commonly performed bariatric surgery. Reportedly, both Al Roker and Carnie Wilson underwent the Roux-en-Y surgery. While it is primarily restrictive, it does have a malab-sorptive component (but nothing like the BDDS). This procedure creates a very small stomach pouch, which is stapled horizontally, separating it from the rest of the stomach. In some cases the small stomach pouch is physically separated from the rest of the stomach. Initially the stomach pouch can hold about one or two tablespoons of food. The small intestine is cut near the beginning of the jejunum (second part of the small intestine), and the long portion of the jejunum is attached to the newly created small stomach. Food travels from the small stomach directly into the jejunum. Digestive juices and bile still enter the duodenum, but these juices do not meet the food until farther downstream (see Figure 2.4). The portion of the intestine containing the digestive juices is reunited with the portion containing food. Since food is in contact with the digestive juices for less than the normal period of time, some malabsorption occurs. Because of its low complication rate and high degree of success, the Roux-en-Y is generally accepted to be the best and safest bariatric procedure.

FIGURE 2.4 Roux-en-Y Gastric Bypass

FIGURE 2.4 Roux-en-Y Gastric Bypass

Carnie Wilson Gastric Bypass Surgery
Source: JAMA, December 11, 2002—Vol. 288, No. 22, p. 2794. Illustrated by C. Lynn. Reprinted with permission. Note: 5 mL = 1 teaspoon; 2.54 cm = 1 inch.

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