In the first figure, the esophagus, stomach and the beginning of the small intestine are located.
In the RNY Gastric Bypass operation, the stomach is divided into a small and large piece with the help of staples in the upper part of the stomach, so that the patient can eat smaller portions in quantity (restrictive effect).
The small intestine is divided (A) and prepared for connection to the shrunken stomach.
The small intestine (A) is pulled up from where it is divided and connected to the shrunken stomach using circular staples.At a point further than the newly formed small gastrointestinal junction, the remaining stomach intestine (B) is reconnected to the main line. Thus, the remaining enzymes and liquids (B) produced by the stomach combine with the food taken and continue on their normal course, and since the necessary vitamins continue to be taken by the body, no deficiency occurs.
One of the biggest advantages of this operation is that the food taken and the remaining (non-food) gastric fluids (enzymes, bile and pancreatic fluids) do not converge at a later point, rather than immediately. Thus, the absorption of fat and sugar, that is, the absorption of calories, is reduced. (absorption reducing effect)
In addition, by the fact that the transition point of the shrunken stomach to the intestine is smaller than normal, slow emptying of the stomach is ensured and a longer feeling of fullness is created in the patients.