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The Roux en-Y Gastric Bypass is the most common and successful type of malabsorptive surgery. Malabsorptive operations restrict both food intake and the amount of calories and nutrients the body absorbs and are the most common gastrointestinal surgeries for weight loss. First, a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This bypass reduces the amount of calories and nutrients the body absorbs, and is both non-reversible and non-adjustable. On average, more than half of patients lose 70% or more of their extra weight and then start to maintain. Long-term success is dependent on accepting new rules for eating and food selection, which is taught in the follow-up period after surgery. In this video, Dr. Matthew Brengman, from Advanced Surgical Partners of Virginia, discusses the details of the gastric bypass procedure, how it is performed, and likely outcomes of the procedure. For more information, contact Advanced Surgical Partners of Virginia at 804-360-0600, or visit advancedsurgicalpartnersofva.com.