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da Vinci ® Gastric Bypass Surgery at Our Los Angeles Center

Gastric bypass surgery is a malabsorptive and restrictive weight loss surgery type, which means it changes both the size of your stomach and the way your body absorbs nutrients. This double approach makes it the weight loss surgery option with the potential to lose the most weight the fastest. However, it requires major changes to both your diet and overall lifestyle that means you must be committed for life when you choose this surgery.

There are two chief types of gastric bypass surgery, and miVIP Los Angeles surgeons can perform both using the state-of-the-art da Vinci® Surgical System. This cutting-edge, comprehensive tool involves robotic surgical equipment controlled by your physician’s hands and three-dimensional, high-definition viewing capabilities.

To understand how the da Vinci system performs robotic gastric bypass surgery, think of your hands. While they can move and bend in many directions, they do not have the 360-degree movements of the da Vinci system. By utilizing controls to move the surgical instruments, your surgeon’s hands become less fatigued and movement is enhanced. This equals faster recovery times and minimized risk for you.

da Vinci Robotic Gastric Bypass Approaches

There are two types of surgical approaches for da Vinci gastric bypass. The first and most common is the Roux-en-Y (pronounced roo-in-why) procedure. This surgical approach involves removing a large portion of your stomach, leaving a top portion that resembles a pouch. To put this in numbers terms, your stomach goes from holding about three pints of food to holding one ounce, which is about the size of a cube of cheese. Your surgeon then attaches the new pouch to the midpoint of your small intestine instead of the top portion of the small intestine. Because the small intestine is responsible for a large amount of your nutrient absorption, this reduces the amount of calories your body takes in.

The da Vinci surgical approach for Roux-en-Y surgery has several distinct advantages. For example, the surgical precision provides for a tighter, more securely sewn surgical connection between your stomach and small intestine. This can be extremely valuable in reducing post-operative surgical risks for bleeding and infection.

The second da Vinci gastric bypass surgical approach is the biliopancreatic diversion with duodenal switch. This approach is two-pronged and involves removing a large portion of the stomach and re-attaching the stomach at the end portion of the small intestine. This reduces intestinal absorption even more than the Roux-en-Y procedure. However, it has dramatic effects on nutrient absorption and is typically reserved for the most obese surgical patients, such as those who have a body mass index (BMI) greater than 50.

Who Is A Candidate for da Vinci  Gastric Bypass?

If you are considering da Vinci gastric bypass surgery at our Los Angeles surgery center, your surgeon will likely perform a number of physical tests and psychological profiles to ensure you are the best surgical candidate. Candidates for da Vinci gastric bypass surgery typically:

  • Have tried numerous diet and exercise programs to lose weight, only to gain back any weight previously lost
  • Have a body mass index of 40 or greater
  • Have a body mass index of 35 or greater with an obesity-related medical conditions, such as sleep apnea, type 2 diabetes, high blood pressure and/or heart disease
  • Are not dependent on alcohol or illegal drugs
  • Are mentally prepared to make a life-changing step


da Vinci Gastric Bypass Recovery and Results

Thanks to da Vinci  robotic gastric bypass surgery, you will recover with smaller incisions than typical minimally invasive surgery approaches. This does not mean gastric bypass surgery is without its risks, however. Less intestinal absorption means you must maximize the nutrition in each bite you put into your mouth. This means high-sugar and high-fat foods cannot be eaten without discomfort. Eating these foods after gastric bypass can lead to “dumping syndrome,” where the body cannot properly absorb the nutrients, which leads to diarrhea, nausea and vomiting. Having a smaller-sized bowel with slight surgical scarring also can increase your risk for bowel obstruction and stomach perforation.

While da Vinci bariatric gastric bypass surgery has its risks, the rewards can be life-changing and life-saving. For example, gastric bypass surgery typically offers the greatest weight loss results of any surgical weight loss approach. You typically lose about 10 to 20 pounds per month each month for a year post-surgery. Ultimately, you may lose up to half or greater than half of your total body weight. This weight loss not only makes you look better, it also helps you feel better. Many da Vinci gastric bypass patients can reduce obesity-related medical conditions, such as sleep apnea, type 2 diabetes, high cholesterol and high blood pressure. Because these conditions are associated with a shorter lifespan, you can potentially live a longer and fuller life after da Vinci gastric bypass surgery.

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