Fobi Pouch Gastric Bypass Operation to Reduce Obesity
Silastic band instead of staples to create
proximal stomach pouch
Risks & Benefits | Gastric Bypass
Surgery | Biliopancreatic
Diversion | Roux-en-Y
Fobi Pouch Gastric Bypass
What is the Fobi Pouch?
Invented by Dr. Mal Fobi, the Fobi Pouch bariatric operation for obesity is a combination of stomach reduction and gastric bypass.
Silastic Ring, Not Staples
The procedure has the same type of pouch construction as the Roux-en-Y stomach bypass, but instead of staples, it uses a silastic ring around distal end of the pouch to simulate the pyloric valve and prevent stretching of the opening between the pouch and the section of small bowel. A gastroenterostomy to a Roux-en-y type limb of the jejunum completes the procedure.
Success Rate of Fobi Pouch
Dr Fobi's statistics indicate that this gastric bypass operation is 95 percent effective, with 40 percent of excess weight loss maintained for at least five years. Side effects similar to the other procedures can be expected, although the rate of surgical complications appears to be lower.
Lower Failure Rate
According to some bariatric surgeons, the Fobi Pouch gastric bypass reduces several of the more common causes of surgical failure, like stomach-pouch stretching and leakage.
Side Effects of Fobi Pouch
There are occasional problems with frequent vomiting, diarrhea and meat intolerance. Many patients report a tendency towards constipation after surgery long-term.
As in the case of other gastric bypass procedures that reduces digestion-time and nutrient absorption in the small intestine, the Fobi Pouch operation leads to a risk of nutritional deficiency. Possible long term deficiencies involve fat soluble vitamin deficiencies of Calcium, Iron, B12, and Folic Acid. All of these can either be prevented or corrected. Patients are placed on nutritional supplements for the rest of their lives, and yearly monitoring is needed.
The Fobi Pouch gastric bypass takes about double the time that a vertical banded gastroplasty operation takes. The bariatric team typically comprises an anesthesiologist, scrub nurse, circulating nurse, patient counselor, cardiologist, pulmonary specialist and two surgeons.
Hospitalization for Fobi-Pouch Surgery
A four day stay in hospital is common. Follow up is at 7-10 days, six weeks, three months, six months and annually thereafter.
BARIATRIC SURGERY INFORMATION