Combination of restrictive/mal-absorptive procedure that reduces the stomach to the size of a small pouch, so less food can be consumed. The small intestine is connected to the pouch and rerouted. Food bypasses the lower stomach, the first segment of the small intestine (duodenum) and part of the second segment (jejunum). A direct connection is created from the stomach to the lower segment of the small intestine, literally bypassing portions of the digestive tract that absorb calories and nutrients.Short hospital stay at hospital. Return to normal activities in two weeks.