Of the following bariatric surgical procedures, which is the best
procedure for long-term weight loss?
a) Roux-en-Y
The Roux-en-Y gastric bypass is the recommended procedure for longterm weight loss. In this procedure, a horizontal row of staples creates
a stomach pouch with a 1-cm stoma that is anastomosed with a
portion of distal jejunum, creating a gastroenterostomy.
b) Vertical banded gastroplasty
In vertical banded gastroplasty, a double row of staples is applied
vertically along the lesser curvature of the stomach, beginning at the
angle of His. Over time, the gastric restriction may fail.
c) Gastric ring application
Application of a silicone ring to the fundus of the stomach may fail.
d) Jejuno-ileal bypass
The first surgical procedure to treat morbid obesity was the jejuno-ileal
bypass. This procedure, which resulted in significant complications,
has been largely replaced by gastric restriction procedures
procedure for long-term weight loss?
a) Roux-en-Y
The Roux-en-Y gastric bypass is the recommended procedure for longterm weight loss. In this procedure, a horizontal row of staples creates
a stomach pouch with a 1-cm stoma that is anastomosed with a
portion of distal jejunum, creating a gastroenterostomy.
b) Vertical banded gastroplasty
In vertical banded gastroplasty, a double row of staples is applied
vertically along the lesser curvature of the stomach, beginning at the
angle of His. Over time, the gastric restriction may fail.
c) Gastric ring application
Application of a silicone ring to the fundus of the stomach may fail.
d) Jejuno-ileal bypass
The first surgical procedure to treat morbid obesity was the jejuno-ileal
bypass. This procedure, which resulted in significant complications,
has been largely replaced by gastric restriction procedures