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Pros of Roux-en-Y gastric bypass surgery

  • Small stomach pouch and hormonal effect produce strong sensation of fullness with very small meals
  • Excellent weight loss in most patients, sustained long-term
  • ‘Dumping’ syndrome makes it harder to cheat by eating sweets

Cons of Roux-en-Y gastric bypass surgery

  • Leaks from staple lines and joins
  • Ulcers, particularly in smokers
  • Small risk of intestinal blockage
  • Life-long vitamin supplements required