Laparoscopic Roux-en-Y Gastric Bypass - Dr. Smith

[knightriderKITT1985]

making my stomach hurt

[macarari]

ok, so what happens to the stomach ??? you created the pouche, did the stomach got removed ??

[SuperFacebook007]

You are a well skilled surgeon.amazing

[nohatrabulsi]

wonderful surgery indeed, what are the suture you are using ? type and size

[lovelychick00541]

Does being a sergion require to know math? If so what kind.

[basolo02]

fasinating but one question is the claws burning the flesh and causing all the little specs in the air or is it just ripping through the flesh and making all that debree?

[rickcain2320]

Do they remove the gall bladder? I heard that rapid weight loss causes gallstones and surgeons remove it to prevent one more potential problem occurring as a result of the bypass.

[dparnell89]

Thats interesting, hand sewing the Gastrojejunostomy. I work with a surgeon who puts vicryl to each corner of the jejunum and sutures it to the stomach then takes a white or blue load on the ethicon stapler and fires it then uses 3-0 PDS to close the opening and then uses the SurgAssist. This is a very interesting video Doctor!

[hurricanes7373]

I look forward to being your patient! I can't wait for my life to take an 180 and finally be able to keep up with my two boys! This video really helped ease any anxiety with my fiancee and answer and questions we may have when the day comes!

[drahmedraoaf]

you are definitely a gifted surgeon. your work is so simple and artistic. thanks for showing us this video. i want to know your opinion about the new bariatric procedure so called ' laparoscopic greater curvature plication'. we want to see a video made by you.

[MistressMcPhee]

Wow, you're an artist! I hope when I get my surgery they are as good as you. My first seminar is May 4, 2011

[TheSilverlady1980]

This surgery is going to save my sisters life she is a 400 lb severe diabetic.

This is amazing. Have the manufacturers of the instruments ever thought to put an inch or mm scale on the clamps themselves? I saw a measure tape used inside. Thank you for helping me see what she had done. Its all amazing can't believe how well you do the stitches and tie offs. Amazing work Dennis.

[flashanddancedj]

@biny8 You really have no idea what this is for.... It is for people who have tried just about everything to help them loose weight including walking......

[biny8]

@flashanddancedj - yeah I'm an RN at a private hospital, I'd just been YELLED at by a gastric bypass pt' on night duty for doing my job as she was sick of me as she puts it 'annoying her' - I foolishly came on yt to vent' - Sorry 'bout that. I deal with these people EVERY DAY...!!! If I had my time over again I'd be a housewife with at least three kids, either that, or be married to a Colombian drug lord, sippin' pina colas on a yacht on the Caribean...

[flupke510]

@biny8 sorry to hear about this. i just had gastric bypass and am in total awe of the nurses who helped me recover. i appreciate what they and you do for folks getting this surgery.

[flashanddancedj]

Great Job!!! My wife literally had this done Yesterday at 7:20am and as of 7pm today she finally was able to advance to stage 2. You are very very skilled at what you do. Her Dr. was Dr. Hess from BMC here in Boston, MA. Glad you can help so many people in the world..... Keep up the great work... If all goes well my wife will be home tomorrow worse case Friday......

[TheGameplayHQ]

this is amazing, my brother just had this done at Henryford hospital yesterday, and i was so affraid for him, maybe because im afraid of doctors and whenever i think surgury, i think of all that could go wrong , but he is doing fine, i hope his doctor was as careful as your were with everything inside :)

[emmij100]

wow this is such a neat and tidy job... having my byspass in 4 days time and instead of putting me off this has reassured me....many thanks xx

[EMM3TT123]

My cousin wants to be a surgeon, unfortunately she's scared of blood. Not sure thats going to work out for her.

[grustule]

Very good!

[zyzzyxca]

Wow, I am amazed. My physician, Dr. Bennett Roth, Dir. of Gastroenterology at Ronald Reagan UCLA Med. Center has suggested this for me because of my gastroparesis. I have tried all of the other options available to me. Have you heard of this option for my kind of condition?

Thanks for your reply.

[catarinense07]

Hi drsmith, my family has a history of heart desease and diabet, and i drive for living and am overweight, do you think its a good idea for me to do that? I do have hight cholesterol already. Nilson RI

[mrajan999999]

thata wa a very nice video dr smith.thanks a lot for a very clean proceure.wanted to ask.the stapls you used for ileal transection,where they the blue or white one?

[SuperDaisylein]

My friend is gonna have a GB soon so I wanted to know how it works- thx for sharing!

[versebonet]

i got mine done march 26th 2010 and so far ive lost 26 lbs and the scale hasnt gone down in like 4 days! devastated!!...maybe im just being hard on myself..just wanted more weight loss considering all the pain i endured but i remain hopeful

[alyblueyz]

@versebonet

Hang tough, your gonna hit many plateaus on your journey.

I had my "roux en y" June 17, 2009, and am down apx 70 lbs, to 148.

I seem to be stuck there also. HOWEVER, I am off blood pressure meds, wear a size 10-8 depending on the day, and feel great. I may never make 115, but thats ok, cuz I am looking/feeling SOOO much better!

[ocpud2999]

thank you for posting this. My wife will be converting a VBG in a roux en y and this really lets me now how the basic procedure is done.

[drdennissmith]

This was NOT robotic. I do not use the robot - it is not helpful or necessary in the vast majority of cases. This is done entirely with my hands (and my outstanding assistant's hands!) and the laparoscopic instruments.

[swimgal81]

hi, just wondering if this is a robotic surgery procedure?

[supadocnz]

was the application of fibrin sealant to reduce the risk of anastomotic leak?

[drdennissmith]

Yes, it seals the staple line so that there is less chance of micro-leaks, which could potentially turn into larger and significant leaks. It also helps ward off ozzing of blood from the staple line.

[Bellaella86]

@drdennissmith do all doctors us it in this surgery? If not can I get my doctor to use it when my surgery is done?

[Mushy2000]

You must be good at guitar hero.

[drdennissmith]

My son is, that's for sure!

[Mushy2000]

Ha, I figured :-)

[mygastricbypassdiary]

There seems to be very little blood here. I did not have a drain and have been passing loose black stools from day 2 till day 5, is that normal? Thanks Jacki

[msassulikit]

WOW! You are a well skilled surgeon. God has trully blessed your mind, hands and heart. I have a question about the Fobi Pouch. Is the Fobi pouch is affective as the RNY? Why or Why not?

[drdennissmith]

Thanks for your compliments! I do in fact feel blessed to be able to help people who are in this situation. The Fobi pouch is just another way to do the gastric bypass, but it involves the use of a ring around the pouch. I don't like the idea of a ring - it is very unforgiving, and many surgeons feel it leads to more vomiting issues. It is also a foreign body, which I like to avoid, since there is always the chance or erosion of foreign material into the pouch.

[99minerkc]

Dr Smith, what do you think about the mini gastric bypass(MGB)surgery? Is it an overall(including less medical risk)better bypass surgery than the Roux-en-y as I have been told it is?

PS MGB is only about 17k too! :) I'm interested in it but need more information.

[drdennissmith]

The "mini" gastric bypass is basically a Billroth 2 operation, which was abandoned many years ago because of concerns over bile reflux into the stomach potentially causing cancer many years later.

The vast majority of bariatric surgeons denounce the MGB for weight loss because of these concerns. The statement that it's less risky comes from MGB surgeons, of course. There are many complications and reversals of the MGB that happen at other hospitals.

IMO, patients should avoid the MGB.

[99minerkc]

Thank you for your timely response!

[bauer1341]

Dr. Smith did this surgery on me December 20, 2006. I am so pleased with the results and thankful to Dr. Smith. He is a wonderful surgeon.