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Patient Information Book For Gastric Bypass Surgery - permanente.net

Patient Information Book For Gastric Bypass Surgery - permanente.net

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Anatomy of the Roux Y <strong>Gastric</strong> <strong>Bypass</strong>:<br />

Food now passes from the esophagus to a smaller stomach (gastric pouch). The food then passes through<br />

a surgically created opening (GJ, gastro-jejunostomy) into the jejunum. The digestive juices of the<br />

remaining stomach (remnant), liver, and pancreas, travel down the small bowel and eventually mix with<br />

the food in the jejunum. The juices must travel through another surgically created opening (JJ, jejunojejunostomy).<br />

Variations in Anatomy:<br />

The limb of small bowel (Roux limb) can<br />

travel through several pathways depending on<br />

the technique used by the surgeon and<br />

findings during surgery. The limb can travel<br />

either in front of or behind the colon, and in<br />

front of or behind the remaining stomach.<br />

Notice how the route of the small bowel makes<br />

a Y shape (thus, roux-en-Y).

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