Date of Graduation


Degree Type

Capstone Project

Degree Name

Master of Science in Physician Assistant Studies

First Advisor

Mark Pedemonte, MD

Second Advisor

Rob Rosenow PharmD, OD

Third Advisor

Annjanette Sommers MS, PA-C


Background: Morbidly obese individuals carry with them the burden of possibly developing related conditions including hypertension, Type 2 Diabetes, stroke, sleep apnea, and myocardial infarction. Obesity has become a serious and life changing condition that has long term complications and consequences if left untreated. Roux-en-Y gastric bypass surgery has become the most widely used method in the treatment of morbid obesity and control of Type 2 Diabetes.

Hypothesis: Roux-en-Y gastric bypass surgery provides a more effective approach to morbid obesity and Type 2 Diabetes.

Study Design: Exhaustive search of available medical literature.

Methods: Literature search of CINAHL, PubMed, Ovid, Google Scholar, EJournals and search terms Roux-en-y, bariatric surgery, diabetes, surgery for obesity.

Results: The studies reviewed confirmed that Roux-en-Y gastric bypass provides significant improvement in weight loss and modification of Type 2 Diabetes.

Conclusion: When factors such as Type 2 Diabetes secondary to or contributing to morbid obesity, Roux-en-Y gastric bypass surgery should be a strong consideration.