The Fobi Pouch is a Roux-en-Y gastric bypass with a band. (see diagram 2). The scientific name for The Fobi Pouch is the Vertically Transected, Silastic Ring Banded, Roux-en-Y Gastric Bypass with the Gastrostomy and the Gastrostomy Site Marker (TSRBVGB).

Roux-en-Y (pronounced ROO-en-why) gastric bypass surgery is the most popular bariatric surgery in the United States. In this procedure, the surgeon creates a small stomach pouch and then constructs a “bypass” of some of the small intestine. The smaller stomach pouch restricts the amount of food the patient can comfortably eat, and the bypass decreases the number of nutrients and calories absorbed. Back to Top

Several different techniques are used in the gastric bypass procedure, and surgeons have specific reasons for using certain gastric pouch sizes. While in the operating room, a test is typically performed to check for leaks before the surgery is completed. In addition, the following day, you will be asked to swallow a small amount of contrast dye while in the Radiology Suite to again determine if there are any leaks.

You will have 30 cc, or one ounce. You can have this several times a day, but only 30 cc at a time. Some can tolerate more than this without vomiting, but we recommend you be quite strict the first few weeks.

On average, patients can usually expect to lose 30 lbs. within a month, 60 lbs. in six months and 100 lbs. in a year. Patients who exercise after surgery, as recommended, will experience better weight loss. People who are super-morbidly obese tend to lose weight at a faster rate. Men usually lose weight more quickly than women do, as they have more muscle mass and muscle burns calories more quickly. (Top)

Yes, there are risks with any abdominal surgery. These risks include bleeding, the need for a blood transfusion, infection, the need for reoperation, injury to other abdominal organs, pain, complications outside of the abdomen, including the heart (MI or heart attack, arrhythmia), lungs (pneumonia), blood clots and death.

For the first three weeks after surgery the only thing you can eat must be able to fit through a straw - tacos don't fit through a straw. The first four weeks are critical to healing. Some patients cannot tolerate certain foods they ate before the operation. Each individual is different. After four weeks most patients graduate to pureed foods.

A roux-en-Y gastric bypass is a surgical procedure for achieving and maintainina healthy body weight. This procedure divides the stomach into a small gastric pouch, which will reduce the amount of food the stomach will hold. In addition, part of the small intestine is devided and attached to the small stomach pouch through a new small outlet. This rerouting causes the food to bypass the lower part of the stomach and a portion of the samll intestine where some digestive processes take place.

The stomach is left in place with intact blood supply. In some cases it may shrink in size, but for the most part it remains unchanged. The lower stomach still contributes to the function of the intestines, even though it does not receive or process food. Home: Our Specialties & Services: Michigan Weight Loss Specialists: Patient Education & Resources: FAQ: About Bariatric Surgery

The Roux-en-Y helps you lose weight in three different ways: volume restriction, behavior modification and malabsorption. Volume restriction is achieved by reducing the size of the upper stomach. The Roux-en-Y procedure restricts the volume of food you can eat before feeling full. This means you will eat fewer calories, helping you lose weight. The changes in your small intestine create a behavioral modification component.

This operation has been performed for almost 20 years. The laparoscopic approach is relatively new. We have designed the laparoscopic procedure to be almost identical to the "open procedure".

Gastric restriction. The small stomach pouch created during surgery can hold only about two to four tablespoons (three ounces) at a time. In addition, the connection between this pouch and the jejunum is approximately 1.0 to 1.5 centimeters (1/3 to 1/2 inch) in diameter. Both of these factors drastically reduce the amount of food that can be eaten at one time. Nutrient malabsorption. Normally, the body absorbs calories and nutrients at all stages of digestion.

vomiting, watery stools, difficulty breathing without a respirator, back pain, numbness, nerve and muscle injuries, difficulty passing urine, outlet obstruction, drainage from wound, wound dehiscence, bed ulcers and bowel obstruction.

Yes, there are more than two hundred and fifty (250) surgeons who have visited and observed Dr. Fobi perform surgery and have learned how to do the FOBI POUCH GASTRIC BYPASS. There are others who perform similar surgeries, but not exactly as described by Dr. Fobi and are having equally good results. You may call the Center for referral. Yes.

The term "Roux-en-Y" refers to the "Y" shape of the small bowel connection that is created during surgery. The small bowel is transected (divided) and then reattached at one end to the newly created pouch (the new stomach) where it will now receive food that has been chewed and swallowed. The other end is reconnected farther down on the small intestine, creating the "Y" shape. None of the bowel is removed during surgery.

Most surgeons when asked this question by their patients will assure the patient that the RNY gastric bypass or duodenal switch (like earlier surgeries i.e. the stomach stapling - gastroplasty or the intestinal bypass) is reversible. However those seeking reversal sometimes found out differently. One four month post op patient whose body reacted poorly to the surgery rendering her bedfast, sought reversal from several surgeons.

This happens during the transition time. The transition time is typically between week four and six after surgery, although sometimes it is later. During this time you put foods into a blender or a food processor. This is when you can enjoy more. But you do this with the doctor's supervision. Some foods will still not be tolerated. During this time your food is more semi-solid. You still take in a limited volume of food.