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Fobi Pouch Gastric Bypass Operation to Reduce Obesity

Silastic band instead of staples to create proximal stomach pouch
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Fobi Pouch Gastric Bypass

Silastic Ring, Not Staples

What is the Fobi Pouch?

Invented by Dr. Mal Fobi, the Fobi Pouch bariatric operation for obesity is a combination of stomach reduction and gastric bypass.

The procedure has the same type of pouch construction as the Roux-en-Y stomach bypass, but instead of staples, it uses a silastic ring around distal end of the pouch to simulate the pyloric valve and prevent stretching of the opening between the pouch and the section of small bowel. A gastroenterostomy to a Roux-en-y type limb of the jejunum completes the procedure.

Success Rate of Fobi Pouch

Dr Fobi's statistics indicate that this gastric bypass operation is 95 percent effective, with 40 percent of excess weight loss maintained for at least five years. Side effects similar to the other procedures can be expected, although the rate of surgical complications appears to be lower.

Lower Failure Rate

According to some bariatric surgeons, the Fobi Pouch gastric bypass reduces several of the more common causes of surgical failure, like stomach-pouch stretching and leakage.

Side Effects of Fobi Pouch

There are occasional problems with frequent vomiting, diarrhea and meat intolerance. Many patients report a tendency towards constipation after surgery long-term.

Nutrition Problems

As in the case of other gastric bypass procedures that reduces digestion-time and nutrient absorption in the small intestine, the Fobi Pouch operation leads to a risk of nutritional deficiency. Possible long term deficiencies involve fat soluble vitamin deficiencies of Calcium, Iron, B12, and Folic Acid. All of these can either be prevented or corrected. Patients are placed on nutritional supplements for the rest of their lives, and yearly monitoring is needed.

Longer Operation

The Fobi Pouch gastric bypass takes about double the time that a vertical banded gastroplasty operation takes. The bariatric team typically comprises an anesthesiologist, scrub nurse, circulating nurse, patient counselor, cardiologist, pulmonary specialist and two surgeons.

Hospitalization for Fobi-Pouch Surgery

A four day stay in hospital is common. Follow up is at 7-10 days, six weeks, three months, six months and annually thereafter.

See also:
Health and Weight Loss Benefits
Health Complications

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources