
Gastric bypass (Roux-en-Y)
A reference bariatric procedure combining stomach reduction with an intestinal bypass, particularly effective for diabetes associated with obesity.
What is it?

When is it indicated?
The bypass is offered when significant excess weight puts health at risk and all the specialists have confirmed that surgery is the best option.
This procedure also acts on blood sugar regulation: it is particularly valuable when diabetes accompanies obesity, with improvement often occurring quickly.
The bypass configuration protects the oesophagus from acid reflux: it is often preferred when troublesome reflux already exists before the operation.
When a first procedure has not delivered the expected result, conversion to a bypass often makes it possible to restart lasting weight loss.
After a bypass, daily vitamin intake and regular consultations are necessary for life: the patient's adherence to this follow-up is essential.
Preparation
Procedure
General anaesthesia
Laparoscopy through small abdominal incisions
Creation of a small gastric pouch from the upper part of the stomach
Construction of the Roux-en-Y intestinal bypass
Creation of the anastomoses (connections) and checking that they are leak-proof
Closure of the incisions and monitoring in the recovery room
Gradual, supervised reintroduction of food
Duration
2 to 3 hours
Aftercare & Recovery
Weight loss is substantial and progressive over the following months, with often rapid improvement of diabetes and other associated conditions. Regular nutritional follow-up and daily vitamin supplementation ensure nutritional balance and the stability of the result over time.
Risks and side effects
These risks remain rare. Your surgeon will inform you in detail before the procedure.
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