
Gastric bypass is a so-called combined restrictive malabsorbing procedure. This means that on the one hand parts of the digestive tract are made defunct, and on the other hand, by reducing the size of the stomach, food intake is reduced. The reduction of the available surface area of the bowel effectively reduces energy absorption.
In this operation, the stomach is permanently reduced surgically in the upper part, to leave just a small remaining stomach. A section of small bowel from lower down the intestinal tract is then sutured to this new small stomach. The larger lower part of the stomach and the upper parts of the small bowel are defunct and no longer absorb energy from food. Calorie absorption is therefore greatly reduced. The procedure is performed laparoscopically.
Reduction of obesity can be up to 60 to 70% after a year