Paul Saladino· MD
basically the stomach is cut in half and the duodenum is then you know turned into a blind Loop and the end of the stomach is attached lower down in the small intestine at the ilium so what Tucker points out in that podcast is that by doing that we are avoiding having that whole section of intestine that goes from the you know base basically the jejunum is probably more accurate the middle part of the small intestine to the duodenum so this first part of the small intestine that comes off the stomach there are a number of endocannabinoid receptors that probably connect with the brain and influence satiety and what's fascinating is if we bypass those with this bypass we move the stomach down the small intestine people become almost insulin more insulin sensitive instantly and they're less hungry and they eat way less just by moving it