Distal RNY Gastric Bypass This is usually performed for patients who are in the super obese group (BMI over 50). Depending on their obesity, more small intestines are bypassed when the obesity is more severe to help them lose more weight. When more intestines are bypassed, there will be less intestinal surface for absorption of calories, especially fat. This results in more frequent bowel movements per day. If fat is consumed in the diet, fat will be digested less, and will be eliminated undigested. This may create foul smelling, loose stools. Patients with the distal bypass will need other fat soluble vitamins supplements, such as Vitamin A,D,E, and K. Patient follow up is very important to make sure they are metabolically and nutritionally healthy. Back to Surgical Options

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