Laparoscopic Roux-en-Y Gastric Bypass (RYGB)

Roux-en-Y gastric bypass weight loss surgery, provided by our St. Louis-area bariatric surgeons, is on one of the most popular and effective procedures to combat morbid obesity and make you thinner and healthier. Although the Roux-en-Y (”end-to-side”) gastric bypass has traditionally been performed through a large abdominal incision, Dr. Van L. Wagner specializes in the laparoscopic Roux-en-Y. This newer and safer technique is less invasive, requires less recovery time, and reduces the risk of infection. Roux-en-y procedures have been performed for well over 20 years, and are among the safest and most successful weight loss surgeries.

Roux-en-Y Gastric Bypass Surgery

Patients who undergo Roux-en-Y gastric bypass surgery can experience dramatic weight loss of up to 80 percent of excess weight in the first year after surgery. More importantly, the adverse health conditions that were caused or exacerbated by the excess weight – including diabetes, heart disease, and high blood pressure – are nearly always improved. Roux-en-Y Gastric bypass creates a smaller stomach pouch to make you feel full sooner after eating. It also limits calorie intake, leading to significant weight loss and a healthier lifestyle. In addition to Roux-en-Y gastric bypass, Dr. Van L. Wagner performs LAP-BAND® Adjustable Gastric Banding, REALIZE Band, and gastric sleeve surgery for patients are considering other weight loss treatments.


During laparoscopic surgery, specialized surgical instruments and tiny cameras are inserted through small incisions in the patient’s abdomen. The cameras allow the surgeon to precisely view and control the surgical instruments and complete the surgery successfully with less post-operative scarring. In the laparoscopic Roux-en-Y procedure, a small portion of the stomach is separated, then attached directly to the small intestine; the larger portion of the stomach is sealed off. The surgery permanently reduces the size and capacity of the stomach, resulting in reduced food consumption, lower caloric absorption, and a quicker feeling of fullness, all of which lead to weight loss.


Gastric bypass patients can typically return home within a day of the procedure, and any pain and discomfort can be alleviated with medication. Patients should engage in light activity such as walking as they recover. Progress will be monitored to ensure recovery is going smoothly. Normal daily routines can usually be resumed two-to-three weeks after surgery. In order for Roux-en-Y gastric bypass weight loss surgery to achieve successful results, patients must be prepared for significant dietary and lifestyle changes. Our staff will be with you every step of the way to help you look and feel your best. Read about success stories of some of our previous weight loss surgery patients.

Roux-en-y is a major surgery that can help restore your health and your spirit. Heart of America Bariatrics has the utmost concern for your health and we would be pleased to meet with you to discuss your options. Please contact our office today to find out about Dr. Wagner’s free bariatric surgery seminar.