Procedure Type-Malabsorptive Description: Approximately ¾ of the stomach is removed Restricts food intake and reduces acid output Small intestine is divided One end is attached to the stomach pouch to create an alimentary limb Food moves through alimentary limb with little absorption of food Results: Studied patients have achieved excess weight loss of 74% at one year, 78% at two years, 81% at three years, 84% at four years and 91% at five years Provides highest levels of malabsorption Patients are able to eat larger meals than with restrictive procedures Risk: while all major surgery involves a certain level of risk, the following risks and considerations are specific to this procedure: A period of adaptation to bowel movements that can be very liquid and frequent – may lessen over time, but may be a lifelong occurrence Abdominal bloating and malodorous stool or gas Lifelong vitamin supplementing is required Closing lifelong monitoring for protein malnutrition, anemia and bone disease is recommended Increased risk of gallstone formation; increased risk for removal of the gallbladder Intestinal irritation and ulcers Susceptibility to dumping syndrome with ingestion of sweets, high-calorie liquids or dairy products
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