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World J Surg Proced. Jul 28, 2014; 4(2): 48-54
Published online Jul 28, 2014. doi: 10.5412/wjsp.v4.i2.48
What makes a gastric bypass a good gastric bypass? Opinion and hypothesis
Richard S Stubbs, Rohit Sarvepalli
Richard S Stubbs, Rohit Sarvepalli, The Wakefield Clinic for Gastrointestinal Diseases, Wakefield Hospital, Wellington 6242, New Zealand
Author contributions: Stubbs RS and Sarvepalli R conceived, designed and researched the paper; Sarvepalli R drafted the paper and references; Stubbs RS completed the writing and references.
Correspondence to: Richard S Stubbs, MD, FRCS, FRACS, Professor, Director, The Wakefield Clinic for Gastrointestinal Diseases, Wakefield Hospital, PO Box 7366, Wellington 6242, New Zealand.
Telephone: +64-4-9012560  Fax: +64-4-9012528
Received: December 7, 2013
Revised: March 4, 2014
Accepted: May 31, 2014
Published online: July 28, 2014

Gastric bypass is widely accepted as the gold standard bariatric operation. It was first reported 1967 and has been the subject of many technical alterations and variations since that time. Each of these variations has the potential to confer different outcomes, in terms of such things as weight loss, ease of surgery, risk, complications and durability of weight loss. All variations being performed these days should be accomplished with high levels of safety, in which case the primary interest of those undergoing surgery is the degree of weight loss that can be expected and the durability of that weight loss. Broadly speaking these two features will also determine the degree to which all co-morbidities are improved, which is also a goal of those undergoing surgery. In this article the authors describe the features of the Fobi Pouch gastric bypass which make it the most predictable and reliable variant of gastric bypass and report such evidence in the literature as exists for their contentions.

Keywords: Gastric Bypass, Roux Y gastric bypass, Bariatric surgery, Weight loss surgery

Core tip: Gastric bypass surgery represents a family of operations. The details of how the surgery is performed will determine the success and durability of the weight loss achieved. The Fobi Pouch Gastric Bypass has been shown to be the most reliable in this respect. This article describes the details that make this the reliable gastric bypass it is.