Question:
Roux-en-y ?

Ok Im not sure if there is a difference between having a Distal bypass or a Promixal bypass or a Roux en Y bypass.. From what I have read some types make you lose weight faster? and is there a difference between all three.. Please Im total lost ..    — ana A. (posted on August 6, 2002)

August 5, 2002
The ROUX en Y ( RNY )is the name of the surgery itself. The difference is the DISTAL or the PROXIMAL. In the DISTAL procedure, there is more intestine bypassed. Usually people who have 200 or more pounds to lose will have the Distal. There is more malabsorbtion with the Distal. You will need to research DISTAL and PROXIMAL to find out which would be right for you.
   — Kim B.

August 6, 2002
Hi, I had the proximal rny. By this, he only bypassed 75cm of intestine. With distal (my doctor says) you would have had at least 100 up to 250 cm. The more intestine bypassed, the more malabsorption takes place (calories, fat, essential nutrients, etc). Statistically the weight loss is a little slower with proximals(not always), but you don't have many or ANY of the nutritional deficiencies often associated with the distal. Please remember though, that we are all different, and there are distals who are healthier than us proximals. My doctor will not do a distal because he has seen too many bad results with some very ill patients. On the other hand, there are doctors who won't do the proximal except in "lightweights". I encourage you to talk to your doctor about your individual situation, and do lots of research. Best Wishes.
   — Tina B.

August 7, 2002
my doctor told me the r.n.y. open is the best for losing the weight the fastest, i needed that because of my size then 425#'s and i needed a hip implant as fast as i could get it,, in 9 months i dropped to goal, 200#'s,, a loss of 225 #'s and feeling good.
   — bruce M.