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Stapled Gastric Bypass With Isolated Pouch And Terminal Anastomosis
About Gastric Bypass Technique
Fully Stapled Gastric Bypass With Isolated Pouch And Terminal Anastomosis: 1-3 Year Results
Roux-en-Y gastric bypass is a bariatric procedure of choice. There is evidence supporting a small isolated pouch and a wide anastomosis. Gastric vascular anatomy renders the ventral aspect less suited for anastomotic construction. The lesser curvature has abundant blood supply that should preferably not be interfered with. Terminal anastomosis is a logical choice.
We devised a way of making a fully stapled gastric bypass with complete separation of a pouch that empties dependently. The technique obviates the oral passage of the stapler anvil. Such a procedure facilitates the creation of an "end-of-pouch to end-of-jejunal limb" wide-diameter anastomosis and precludes the risk of staple-line disruption.
Since October 1997 we have performed 227 such anastomoses (146 primary, 81 reoperative procedures) in consecutive patients with no leaks, no gastro-gastric fistulas and no mortality. The postoperative hospital time was 3.6 (3-8) days (median, range). In primary operations baseline BMI was 47.5, 1-yr 29.7 and 3-yr 29.2. Corresponding values for reoperations were 39.3, 30.8 and 31.5. Weight loss was adequate, and complications were limited to three anastomotic ulcers and two narrow stomas without visible ulcers but necessitating endoscopic dilatation.
The technique of fully stapled gastric bypass confers distinctive advantages.
After Jejunoileal Bypass - Binge Eating Bypass Patients - Bariatric Surgery Adolescents - Bypass After Failed Banding Operation - Bypass Diet Exercise - Bypass Super-Obese Patients - Energy Expenditure Bypass - Energy Intake Weight Loss Bypass - Isolated Pouch Terminal Anastomosis - Jejunoileal Bypass Obesity - Gastric Bypass Sleep Apnea - Respiratory Failure Gastric Bypass - Roux Limb Length - Anastomosis Stricture Bypass - Adjustable Gastric Banding Follow-Up - Adjustable Silicone Gastric Banding - Esophagogastric Banding - Heliogast Band - Lap-Band System United States - Body Fluid Gastric Banding - Lap-band Experience - Lap-Band Failure - Lap Band Gastric Banding Italy - Lap-Band System - Low-Pressure Gastric Band - Magenstrasse Gastroplasty - Minimal Invasive Gastric Banding - Morbid Obesity Probnp levels - Non-Adjustable Gastric Banding - Swedish Adjustable Gastric Banding - Lap-Band Surgery Sweet-Eating - Visceral Obesity Banding - Central Obesity Adverse Effects - Laparoscopic Duodenal Switch - Gastric Bypass Obese Adolescents - Laparoscopic Adjustable Gastric Banding Adolescents - Radiology Laparoscopic Adjustable Gastric Banding - Laparoscopic Roux-en-Y Gastric Bypass - Laparoscopic Gastric Bypass Versus Banding - Laparoscopic Duodenal Switch - Review Laparoscopic Gastric Banding - Laparoscopic Gastric Bypass Study - Results Laparoscopic Lap-Band Bariatric Surgery - Laparoscopic Silicone Banding - Laparoscopic Surgical Procedures - Laparoscopic Versus Open Bypass - Linear Gastroenterostomy - Posterior Rectus Sheath - Repair Ventral Hernias Bypass - Results Laparoscopic Banding - Review Lap Banding Results - Roux-en-Y Gastric Bypass Hospital - Roux-en-Y Gastric Bypass Recalcitrant Gerd - Stapled Gastrojejunal Anastomosis - Access-Port Complications - Acylation-Stimulating Protein - Anastomotic Stricture Complication - Band Leakage After Gastric Banding - Lipid Profile Biliopancreatic Bypass - Body Composition After Bypass - Body Composition Gastric Banding - Cholecystectomy Combined Bypass - Comorbidities After Lap Band Surgery - Diabetes Hypertension Gastric Bypass - Weight Loss Obese Diabetics - Bariatric Surgery Diabetes Obese - Effects Adjustable Gastric Banding - Fat Soluble Vitamin Deficiency - Gastric Band Infection - Bone Metabolism Gastric Banding - Gastric Banding Crural Repair - Gastric Banding Renal Disease - Bypass Surgery Ghrelin Leptin - Gastric Bypass Surgery Ghrelin Levels - Bypass Surgery Immunity Effects - LAGB Two-Step Technique - LAGB Weight Health - Effect Of Laparoscopic Bypass Diabetes - Laparoscopic Heliogast Band - Laparoscopic Revisional Surgery - Gastrointestinal Symptoms After Bypass Surgery - Post-Operative Band Management - Pouch Dilation Slippage - Prophylactic Cholecystectomy - Radiological Examination Lap-Band - Reoperative Sleeve Gastrectomy - Safety of Duodenal Switch Bypass - Silicone Gastric Banding - Quality of Life After Gastric Bypass - Gastric Banding Outcomes - Health-Related Gastric Bypass - Preoperative Gastric Band Therapy - Psychological Effects After Gastric Banding - Psychosocial Outcomes Bypass Surgery - Counseling Support After Gastric Banding - Abdominoplasty Dermolipectomy - Fleur-de-Lys Abdominoplasty - Autologous Breast Augmentation - Breast Enlargement Liposuction
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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources