The history of the Roux-en-Y gastric bypass began with its namesake, Dr. Cesar Roux. Dr. Roux was a Swiss surgeon who developed the procedure in 1892, to treat patients who had gastrointestinal obstructions.ﾠ
The technique involved creating the Y shaped bypass loop. By 1911, peptic ulcerations and the high mortality rate caused Dr. Roux to abandon the use of the procedure. Patients suffered severe malabsorption.ﾠ
Trouble with the First Bariatric Surgery
By the 1950's, the medical community responded to the increasing trend of morbid obesity by researching and developing surgical techniques designed to help those individuals regain their health and mobility. Unfortunately, the first bariatric surgical procedure developed by Dr. A. J. Kremen in 1954 produced serious side effects linked to malabsorption.ﾠ
Revival of the Roux-en-Y
In the 1960's, Dr. Edward Mason and Dr. Chikashi Ito noticed that patients who underwent partial gastrectomy had a difficult time gaining weight. The gastric procedure was based on Dr. Roux's turn of the century technique. In 1967, Drs. Mason and Ito performed the first bariatric Roux-en-Y surgery.ﾠ
The availability of surgical staples allowed the surgeons to decrease the size of the stomach and bypass a portion of the small intestine. Over the years, the Roux-en-Y procedure was modified. Today, it is considered the best restrictive and malabsorptive technique available.