Question:
Which surgery is better the Fobi Pouch or Lap RNY?

A surgeon who performs the foboi pouch states that longterm weight loss is better with this procedure. I'm confused. What does the longterm (>5 yrs) data say? Which procedure is best for long term weight loss because this operation is something no one should want to go through twice.    — Mary H. (posted on June 4, 2002)

June 4, 2002
it is all a matter of opinion and who you are talking to.....everyone thinks their sx is the best, that is why they chose it (i.e. - I personally believe the Open RNY is the best) ..........my opinion shouldn't make your decision...do your research and make a decision that is best for you
   — Jeff B.

June 4, 2002
The "fobi" and the RNY are basically the 'same' the difference is the 'ring' the fobi uses. I personally had an open RNY, and the the opening from the pouch to the intestestines is to large (so no food restriction intake) this was NOT disucessed prior to surgery as being a problem; tho surgeons have know about it for a long time. The majority of them leave you on your own if you get this 'problem' if you have the fobi - you will NOT have this problem. I for one in hin sight would pick the fobi over the RNY just for this reason. Its terrible to have.
   — star .

June 4, 2002
I'm pre-op, but I have decided on Fobi procedure will be better for my long term care and maintenance for long term weight loss. I can't speak for Lap RNY, as I have not researched it as extensively. A great website for explanation of the Fobi procedure is www.cstobesity.com, you can see a diagram of the procedure and there is a question and answer section. You will ultimately decide on what you think is best for you, best wishes and God's blessings. Jo-Dee
   — tinyjo

June 4, 2002
The National Institute of Health (NIH) identifies the RNY as the Gold Standard for long term success. Visit their web site and maybe that will assist you in determining what is right for you. Best wishes.
   — Ann B.

June 5, 2002
The second poster is correct--the fobi pouch and the RNY are basically the same procedure. The only differences are the silastic ring at the opening of the pouch into the intestines and (usually) a smaller pouch to begin with. I had the fobi procedure done a month ago, and I was so glad that I had the opportunity to have it done here in Tulsa, OK. My surgeon said that with the silastic ring, the opening to the intestines will never stretch. Also, I currently have a 1 oz. pouch--he said that it will stretch to about 4 oz. With the RNY, most doctors start with a larger pouch, and the pouch usually stretches to 8-12 oz. My surgeon said that his patients lose on average 80%-85% of their excess weight (as opposed to 65% for RNY) and that his patients have an easier time keeping it off than the average RNY patient. Hope this information helps!
   — Kristie B.