The surgeon creates a small pouch at the top of your stomach and adds a bypass around a segment of your small intestine. This redirects food, bypassing most of your stomach and the first section of your small intestine. Food enters into the section of your small intestine, limiting your a bility to absorb calories. Although food never enters the lower part of your stomach, the stomach stays healthy and continues to secrete digestive juices to mix with food in your small intestine. Since this method shortens the digestive tract to limit the number of calories and nutrients that can be absorbed, it’s described as malabsorptive.