Question:
considering, fobi pouch, RnY and banding and need to understand the differences.

   — Cy A. (posted on April 22, 1999)

April 22, 1999
Of the three, the Fobi pouch is the most radical, and the one I know least about (even though I saw Dr. Fobi on Roseanne). The RNY is a gastric bypass. A pouch is created and the stomach is bypassed--the small intestine is connected to the pouch, and the stomach is re-connected to the small intestine (after some of it is bypassed). Pictures really help. The gastric juices pour into the small intestine and meet the food, which by passes the stomach through the bypassed part of the intestine. I know this is confusing, but in essence the two parts of the small intesting form a Y (hence Roux eN Y). One part of Y connected to small pouch, the other part connected to bottom of stomach, and the food meets gastric juices where they join, and continue the digestive process. Sheesh! In the VBG, the stomach is not bypassed. A pouch is created, and a portion is banded, so that only a small amount of food can be consumed. Then the food passes slowly through the band, and is digested in the stomach. Of the three, this procedure is the least successful, to my understanding (I had the VBG a number of years ago, and am now going to have the RNY).
   — Peggy51

July 20, 2000
I too had a VBG, about 10 years ago...I've been gaining weight the past few years...Does anyone know any Drs. in the Fresno Ca. area who will do a LAP RNY revision?
   — saxon1014