Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.
Sequelae of gastrectomy from the second week after operation on. Include recurrent or anastomotic ulcer, postprandial syndromes (DUMPING SYNDROME and late postprandial hypoglycemia), disordered bowel action, and nutritional deficiencies.
A vessel that directly interconnects an artery and a vein, and that acts as a shunt to bypass the capillary bed. Not to be confused with surgical anastomosis, nor with arteriovenous fistula.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption.
Retrograde bile flow. Reflux of bile can be from the duodenum to the stomach (DUODENOGASTRIC REFLUX); to the esophagus (GASTROESOPHAGEAL REFLUX); or to the PANCREAS.
Fastening devices composed of steel-tantalum alloys used to close operative wounds, especially of the skin, which minimizes infection by not introducing a foreign body that would connect external and internal regions of the body. (From Segen, Current Med Talk, 1995)
The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum.
Surgical anastomosis of the pancreatic duct, or the divided end of the transected pancreas, with the jejunum. (Dorland, 28th ed)
A pattern of gastrointestinal muscle contraction and depolarizing myoelectric activity that moves from the stomach to the ILEOCECAL VALVE at regular frequency during the interdigestive period. The complex and its accompanying motor activity periodically cleanse the bowel of interdigestive secretion and debris in preparation for the next meal.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM.
Chronic delayed gastric emptying. Gastroparesis may be caused by motor dysfunction or paralysis of STOMACH muscles or may be associated with other systemic diseases such as DIABETES MELLITUS.
Breakdown of the connection and subsequent leakage of effluent (fluids, secretions, air) from a SURGICAL ANASTOMOSIS of the digestive, respiratory, genitourinary, and cardiovascular systems. Most common leakages are from the breakdown of suture lines in gastrointestinal or bowel anastomosis.
A surgical procedure involving the excision of the COLON and RECTUM and the formation of an ILEOANAL RESERVOIR (pouch). In patients with intestinal diseases, such as ulcerative colitis, this procedure avoids the need for an OSTOMY by allowing for transanal defecation.
The evacuation of food from the stomach into the duodenum.
Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)
Sacs or reservoirs created to function in place of the COLON and/or RECTUM in patients who have undergone restorative proctocolectomy (PROCTOCOLECTOMY, RESTORATIVE).
The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.
Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)
The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL.
Surgical creation of an external opening into the ILEUM for fecal diversion or drainage. This replacement for the RECTUM is usually created in patients with severe INFLAMMATORY BOWEL DISEASES. Loop (continent) or tube (incontinent) procedures are most often employed.
Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)
Homopolymer of tetrafluoroethylene. Nonflammable, tough, inert plastic tubing or sheeting; used to line vessels, insulate, protect or lubricate apparatus; also as filter, coating for surgical implants or as prosthetic material. Synonyms: Fluoroflex; Fluoroplast; Ftoroplast; Halon; Polyfene; PTFE; Tetron.
Acute INFLAMMATION in the INTESTINAL MUCOSA of the continent ileal reservoir (or pouch) in patients who have undergone ILEOSTOMY and restorative proctocolectomy (PROCTOCOLECTOMY, RESTORATIVE).
The terminal segment of the LARGE INTESTINE, beginning from the ampulla of the RECTUM and ending at the anus.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Diversion of the flow of blood from the entrance to the right atrium directly to the pulmonary arteries, avoiding the right atrium and right ventricle (Dorland, 28th ed). This a permanent procedure often performed to bypass a congenitally deformed right atrium or right ventricle.
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
Elements of limited time intervals, contributing to particular results or situations.
The segment of LARGE INTESTINE between the CECUM and the RECTUM. It includes the ASCENDING COLON; the TRANSVERSE COLON; the DESCENDING COLON; and the SIGMOID COLON.
Surgery performed on the digestive system or its parts.
The distal and narrowest portion of the SMALL INTESTINE, between the JEJUNUM and the ILEOCECAL VALVE of the LARGE INTESTINE.
Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed)
The surgical construction of an opening between the colon and the surface of the body.
The condition of an anatomical structure's being constricted beyond normal dimensions.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
The performance of surgical procedures with the aid of a microscope.
Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).
Surgical formation of an external opening (stoma) into the esophagus.
The degree to which BLOOD VESSELS are not blocked or obstructed.
The male sex chromosome, being the differential sex chromosome carried by half the male gametes and none of the female gametes in humans and in some other male-heterogametic species in which the homologue of the X chromosome has been retained.
A subclass of purinergic P2Y receptors that have a preference for ATP and ADP. The activated P2Y1 receptor signals through the G-PROTEIN-coupled activation of PHOSPHOLIPASE C and mobilization of intracellular CALCIUM.
Direct myocardial revascularization in which the internal mammary artery is anastomosed to the right coronary artery, circumflex artery, or anterior descending coronary artery. The internal mammary artery is the most frequent choice, especially for a single graft, for coronary artery bypass surgery.
Microsurgical revascularization to improve intracranial circulation. It usually involves joining the extracranial circulation to the intracranial circulation but may include extracranial revascularization (e.g., subclavian-vertebral artery bypass, subclavian-external carotid artery bypass). It is performed by joining two arteries (direct anastomosis or use of graft) or by free autologous transplantation of highly vascularized tissue to the surface of the brain.
Excision of part (partial) or all (total) of the esophagus. (Dorland, 28th ed)
The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
Surgical portasystemic shunt between the portal vein and inferior vena cava.
Surgical formation of an opening (stoma) into the COMMON BILE DUCT for drainage or for direct communication with a site in the small intestine, primarily the DUODENUM or JEJUNUM.
Restoration of integrity to traumatized tissue.
Hand-held tools or implements used by health professionals for the performance of surgical tasks.
Arteries arising from the external carotid or the maxillary artery and distributing to the temporal region.
The vessels carrying blood away from the capillary beds.
Obstruction of flow in biological or prosthetic vascular grafts.
The main artery of the thigh, a continuation of the external iliac artery.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.
Inflammation of the COLON that is predominantly confined to the MUCOSA. Its major symptoms include DIARRHEA, rectal BLEEDING, the passage of MUCUS, and ABDOMINAL PAIN.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
Predominantly extrahepatic bile duct which is formed by the junction of the right and left hepatic ducts, which are predominantly intrahepatic, and, in turn, joins the cystic duct to form the common bile duct.
Left bronchial arteries arise from the thoracic aorta, the right from the first aortic intercostal or the upper left bronchial artery; they supply the bronchi and the lower trachea.
Operative procedures for the treatment of vascular disorders.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
A mitosporic Ceratobasidiaceae fungal genus that is an important plant pathogen affecting potatoes and other plants. There are numerous teleomorphs.
Passage of blood from one fetus to another via an arteriovenous communication or other shunt, in a monozygotic twin pregnancy. It results in anemia in one twin and polycythemia in the other. (Lee et al., Wintrobe's Clinical Hematology, 9th ed, p737-8)
A stricture of the ESOPHAGUS. Most are acquired but can be congenital.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.
A tissue preparation technique that involves the injecting of plastic (acrylates) into blood vessels or other hollow viscera and treating the tissue with a caustic substance. This results in a negative copy or a solid replica of the enclosed space of the tissue that is ready for viewing under a scanning electron microscope.
The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.
Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression.
Pathological developments in the RECTUM region of the large intestine (INTESTINE, LARGE).
A hydroxylated form of the imino acid proline. A deficiency in ASCORBIC ACID can result in impaired hydroxyproline formation.
Surgical formation of an opening into the DUODENUM.
A polyposis syndrome due to an autosomal dominant mutation of the APC genes (GENES, APC) on CHROMOSOME 5. The syndrome is characterized by the development of hundreds of ADENOMATOUS POLYPS in the COLON and RECTUM of affected individuals by early adulthood.
Control of bleeding during or after surgery.
Pathological processes consisting of the union of the opposing surfaces of a wound.
The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001)
Incision into the side of the abdomen between the ribs and pelvis.
The vein which drains the foot and leg.
Abnormal passage communicating with the PANCREAS.
The normal process of elimination of fecal material from the RECTUM.
An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).
Any surgical procedure performed on the biliary tract.
A series of steps taken in order to conduct research.
The period following a surgical operation.
A noninflammatory, progressive occlusion of the intracranial CAROTID ARTERIES and the formation of netlike collateral arteries arising from the CIRCLE OF WILLIS. Cerebral angiogram shows the puff-of-smoke (moyamoya) collaterals at the base of the brain. It is characterized by endothelial HYPERPLASIA and FIBROSIS with thickening of arterial walls. This disease primarily affects children but can also occur in adults.
Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.
A variety of surgical reconstructive procedures devised to restore gastrointestinal continuity, The two major classes of reconstruction are the Billroth I (gastroduodenostomy) and Billroth II (gastrojejunostomy) procedures.
The channels that collect and transport the bile secretion from the BILE CANALICULI, the smallest branch of the BILIARY TRACT in the LIVER, through the bile ductules, the bile ducts out the liver, and to the GALLBLADDER for storage.
The duration of a surgical procedure in hours and minutes.
Coronary artery bypass surgery on a beating HEART without a CARDIOPULMONARY BYPASS (diverting the flow of blood from the heart and lungs through an oxygenator).
A plastic operation on the esophagus. (Dorland, 28th ed)
Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.
An increase in the number of cells in a tissue or organ without tumor formation. It differs from HYPERTROPHY, which is an increase in bulk without an increase in the number of cells.
Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Pathological development in the JEJUNUM region of the SMALL INTESTINE.
A segment of the COLON between the RECTUM and the descending colon.
Tumors or cancer of the RECTUM.
Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.
Endoscopic examination, therapy or surgery of the fetus and amniotic cavity through abdominal or uterine entry.
Two ganglionated neural plexuses in the gut wall which form one of the three major divisions of the autonomic nervous system. The enteric nervous system innervates the gastrointestinal tract, the pancreas, and the gallbladder. It contains sensory neurons, interneurons, and motor neurons. Thus the circuitry can autonomously sense the tension and the chemical environment in the gut and regulate blood vessel tone, motility, secretions, and fluid transport. The system is itself governed by the central nervous system and receives both parasympathetic and sympathetic innervation. (From Kandel, Schwartz, and Jessel, Principles of Neural Science, 3d ed, p766)
The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries.
Non-human animals, selected because of specific characteristics, for use in experimental research, teaching, or testing.
Failure of voluntary control of the anal sphincters, with involuntary passage of feces and flatus.
Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses.
The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.
Tumors or cancer of the ESOPHAGUS.
Maintenance of blood flow to an organ despite obstruction of a principal vessel. Blood flow is maintained through small vessels.
Opening or penetration through the wall of the INTESTINES.
Large veins on either side of the root of the neck formed by the junction of the internal jugular and subclavian veins. They drain blood from the head, neck, and upper extremities, and unite to form the superior vena cava.
The anterior and posterior arteries created at the bifurcation of the popliteal artery. The anterior tibial artery begins at the lower border of the popliteus muscle and lies along the tibia at the distal part of the leg to surface superficially anterior to the ankle joint. Its branches are distributed throughout the leg, ankle, and foot. The posterior tibial artery begins at the lower border of the popliteus muscle, lies behind the tibia in the lower part of its course, and is found situated between the medial malleolus and the medial process of the calcaneal tuberosity. Its branches are distributed throughout the leg and foot.
The venous trunk which returns blood from the head, neck, upper extremities and chest.
One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER.
A short thick vein formed by union of the superior mesenteric vein and the splenic vein.
Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
Polyester polymers formed from terephthalic acid or its esters and ethylene glycol. They can be formed into tapes, films or pulled into fibers that are pressed into meshes or woven into fabrics.
Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.
A polyester used for absorbable sutures & surgical mesh, especially in ophthalmic surgery. 2-Hydroxy-propanoic acid polymer with polymerized hydroxyacetic acid, which forms 3,6-dimethyl-1,4-dioxane-dione polymer with 1,4-dioxane-2,5-dione copolymer of molecular weight about 80,000 daltons.
Congenital obliteration of the lumen of the intestine, with the ILEUM involved in 50% of the cases and the JEJUNUM and DUODENUM following in frequency. It is the most frequent cause of INTESTINAL OBSTRUCTION in NEWBORNS. (From Stedman, 25th ed)
The inferior and superior venae cavae.
Devices used to hold tissue structures together for repair, reconstruction or to close wounds. They may consist of adsorbable or non-adsorbable, natural or synthetic materials. They include tissue adhesives, skin tape, sutures, buttons, staples, clips, screws, etc., each designed to conform to various tissue geometries.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
The vessels carrying blood away from the heart.
Veins which drain the liver.
A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.
The shortest and widest portion of the SMALL INTESTINE adjacent to the PYLORUS of the STOMACH. It is named for having the length equal to about the width of 12 fingers.
A procedure in which total right atrial or total caval blood flow is channeled directly into the pulmonary artery or into a small right ventricle that serves only as a conduit. The principal congenital malformations for which this operation is useful are TRICUSPID ATRESIA and single ventricle with pulmonary stenosis.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The transference of a part of or an entire liver from one human or animal to another.
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
The main trunk of the systemic arteries.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
Pathological development in the ILEUM including the ILEOCECAL VALVE.
Congenital abnormality characterized by the lack of full development of the ESOPHAGUS that commonly occurs with TRACHEOESOPHAGEAL FISTULA. Symptoms include excessive SALIVATION; GAGGING; CYANOSIS; and DYSPNEA.
Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
Three-dimensional representation to show anatomic structures. Models may be used in place of intact animals or organisms for teaching, practice, and study.
Short thick veins which return blood from the kidneys to the vena cava.
Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.
Temporary or permanent diversion of the flow of urine through the ureter away from the URINARY BLADDER in the presence of a bladder disease or after cystectomy. There is a variety of techniques: direct anastomosis of ureter and bowel, cutaneous ureterostomy, ileal, jejunal or colon conduit, ureterosigmoidostomy, etc. (From Campbell's Urology, 6th ed, p2654)
The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.
Methods of creating machines and devices.
Loss of blood during a surgical procedure.
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
A twisting in the intestine (INTESTINES) that can cause INTESTINAL OBSTRUCTION.
Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.
The act of dilating.
An autologous or commercial tissue adhesive containing FIBRINOGEN and THROMBIN. The commercial product is a two component system from human plasma that contains more than fibrinogen and thrombin. The first component contains highly concentrated fibrinogen, FACTOR VIII, fibronectin, and traces of other plasma proteins. The second component contains thrombin, calcium chloride, and antifibrinolytic agents such as APROTININ. Mixing of the two components promotes BLOOD CLOTTING and the formation and cross-linking of fibrin. The tissue adhesive is used for tissue sealing, HEMOSTASIS, and WOUND HEALING.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION.
Abnormal communication between two ARTERIES that may result from injury or occur as a congenital abnormality.
The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.
Radiography of blood vessels after injection of a contrast medium.
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.
The plan and delineation of prostheses in general or a specific prosthesis.
Application of a ligature to tie a vessel or strangulate a part.
Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery.
Restoration of an organ or other structure to its original site.
The period of confinement of a patient to a hospital or other health facility.
Artificial openings created by a surgeon for therapeutic reasons. Most often this refers to openings from the GASTROINTESTINAL TRACT through the ABDOMINAL WALL to the outside of the body. It can also refer to the two ends of a surgical anastomosis.
A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.
A chronic transmural inflammation that may involve any part of the DIGESTIVE TRACT from MOUTH to ANUS, mostly found in the ILEUM, the CECUM, and the COLON. In Crohn disease, the inflammation, extending through the intestinal wall from the MUCOSA to the serosa, is characteristically asymmetric and segmental. Epithelioid GRANULOMAS may be seen in some patients.
A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.
Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles, mammary gland and the axillary aspect of the chest wall.
The portion of the GASTROINTESTINAL TRACT between the PYLORUS of the STOMACH and the ILEOCECAL VALVE of the LARGE INTESTINE. It is divisible into three portions: the DUODENUM, the JEJUNUM, and the ILEUM.
The innermost layer of an artery or vein, made up of one layer of endothelial cells and supported by an internal elastic lamina.
A dead body, usually a human body.
Instruments for the visual examination of interior structures of the body. There are rigid endoscopes and flexible fiberoptic endoscopes for various types of viewing in ENDOSCOPY.
The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.
The largest of the cerebral arteries. It trifurcates into temporal, frontal, and parietal branches supplying blood to most of the parenchyma of these lobes in the CEREBRAL CORTEX. These are the areas involved in motor, sensory, and speech activities.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
An abnormal balloon- or sac-like dilatation in the wall of AORTA.
The deformation and flow behavior of BLOOD and its elements i.e., PLASMA; ERYTHROCYTES; WHITE BLOOD CELLS; and BLOOD PLATELETS.
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
A birth defect characterized by the narrowing of the AORTA that can be of varying degree and at any point from the transverse arch to the iliac bifurcation. Aortic coarctation causes arterial HYPERTENSION before the point of narrowing and arterial HYPOTENSION beyond the narrowed portion.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Removal of an endotracheal tube from the patient.
A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects.
Wounds caused by objects penetrating the skin.
The segment of LARGE INTESTINE between ASCENDING COLON and DESCENDING COLON. It passes from the RIGHT COLIC FLEXURE across the ABDOMEN, then turns sharply at the left colonic flexure into the descending colon.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Abnormal passage communicating with the ESOPHAGUS. The most common type is TRACHEOESOPHAGEAL FISTULA between the esophagus and the TRACHEA.
The largest cartilage of the larynx consisting of two laminae fusing anteriorly at an acute angle in the midline of the neck. The point of fusion forms a subcutaneous projection known as the Adam's apple.
The flow of BLOOD through or around an organ or region of the body.
A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.
Vein formed by the union (at the hilus of the spleen) of several small veins from the stomach, pancreas, spleen and mesentery.
Non-cadaveric providers of organs for transplant to related or non-related recipients.

Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. (1/202)

OBJECTIVE: To evaluate the short-term outcomes for laparoscopic Roux-en-Y gastric bypass in 275 patients with a follow-up of 1 to 31 months. SUMMARY BACKGROUND DATA: The Roux-en-Y gastric bypass is a highly successful approach to morbid obesity but results in significant perioperative complications. A laparoscopic approach has significant potential to reduce perioperative complications and recovery time. METHODS: Consecutive patients (n = 275) who met NIH criteria for bariatric surgery were offered laparoscopic Roux-en-Y gastric bypass between July 1997 and March 2000. A 15-mL gastric pouch and a 75-cm Roux limb (150 cm for superobese) was created using five or six trocar incisions. RESULTS: The conversion rate to open gastric bypass was 1%. The start of an oral diet began a mean of 1.58 days after surgery, with a median hospital stay of 2 days and return to work at 21 days. The incidence of early major and minor complications was 3.3% and 27%, respectively. One death occurred related to a pulmonary embolus (0.4%). The hernia rate was 0.7%, and wound infections requiring outpatient drainage only were uncommon (5%). Excess weight loss at 24 and 30 months was 83% and 77%, respectively. In patients with more than 1 year of follow-up, most of the comorbidities were improved or resolved, and 95% reported significant improvement in quality of life. CONCLUSION: Laparoscopic Roux-en-Y gastric bypass is effective in achieving weight loss and in improving comorbidities and quality of life while reducing recovery time and perioperative complications.  (+info)

Alternative operative techniques in laparoscopic Roux-en-Y gastric bypass for morbid obesity. (2/202)

The only effective treatment for patients with morbid obesity is surgery. Laparoscopic bariatric surgery has become quite popular in attempts to decrease the morbidity associated with laparotomy. In this article, we describe the technical details of laparoscopic Roux-en-Y gastric bypass with three different techniques for creating the 15-cc gastric pouch. These techniques avoid upper endoscopy for the transoral introduction of the 21-mm circular stapler anvil down to the gastric pouch.  (+info)

Superiority of portal venous drainage over systemic venous drainage in pancreas transplantation: a retrospective study. (3/202)

OBJECTIVE: To compare portal and systemic venous drainage of pancreas transplants and demonstrate an immunologic and survival superiority of portal venous drainage. SUMMARY BACKGROUND DATA: Traditionally, solitary pancreas transplants have been performed using systemic venous and bladder drainage, but more recently, the advantages of enteric drainage have been well documented. Although physiologic benefits for portal venous drainage have been described, the impact of portal venous drainage, especially with solitary pancreas transplants, has yet to be determined. METHODS: Since August 1995, 280 pancreas transplants with enteric duct drainage were analyzed. One hundred and seventeen were simultaneous pancreas and kidney (SPK), 63 with systemic venous drainage (SV) and 54 with portal venous drainage (PV). The remainder were solitary transplants; 97 pancreas after kidney (PAK; 42 SV and 55 PV) and 66 transplants alone (PTA; 26 SV and 40 PV). Immunosuppressive therapy was equivalent for both groups. RESULTS: The groups were similar with respect to recipient characteristics and HLA matching. Thirty-six month graft survival for all transplants was 79% for PV and 65% for SV (P =.008). By category, SPK graft survival was 74% for PV and 76% for SV, PAK graft survival was 70% for PV and 56% for SV, and PTA graft survival was 84% for PV and 50% for SV. The rate of at least one rejection episode was also significantly higher in the SV group. At 36 months, for all pancreas transplants, the rejection rate was 21% for PV and 52% for SV (P <.0001). For SPK, rejection rates were 9% for PV and 45% for SV. For PAK, rejection rates were 16% for PV and 65% for SV, and for PTA 36% for PV and 51% for SV. The rejection rates for kidneys following SPK were also lower in the PV group (26% versus 43% for SV). Furthermore, the grades of rejection were milder in PV for all transplants (P =.017). By multivariate analysis, portal venous drainage was the only parameter that significantly affected rejection. CONCLUSION: Graft survival and rejection is superior for PV. These clinical findings are consistent with published reports of experimentally induced portal tolerance and strongly argue that PV drainage should be the procedure of choice for pancreas transplantation.  (+info)

Diagnosis and treatment of congenital choledochal cyst: 20 years' experience in China. (4/202)

AIM: To summarize the experience of diagnosis and treatment of congenital choledochal cyst in the past 20 years (1980-2000). METHODS: The clinical data of 108 patients admitted from 1980 to 2000 were analyzed retrospectively. RESULTS: Abdominal pain,jaundice and abdominal mass were presented in most child cases. Clinical symptoms in adult cases were non-specific, resulting in delayed diagnosis frequently. Fifty-seven patients (52.7%) had coexistent pancreatiobiliary disease. Carcinoma of the biliary duct occurred in 18 patients (16.6%). Ultrasonic examination was undertaken in 94 cases, ERCP performed in 46 cases and CT in 71 cases. All of the cases were correctly diagnosed before operation. Abnormal pancreatobiliary duct junction was found in 39 patients. Before 1985 the diagnosis and classification of congenital choledochal cyst were established by ultrasonography preoperatively and confirmed during operation, the main procedures were internal drainage by cyst enterostomy. After 1985, the diagnosis was established by ERCP and CT, and cystectomy with Roux-en-Y hepaticojejunostomy was the conventional procedures.In 1994, we reported a new and simplified operative procedure in order to reduce the risk of choledochal cyst malignancy. Postoperative complication was mainly retrograde infection of biliary tract, which could be controlled by the administration of antibiotics, there was no perioperative mortality. CONCLUSION: The concept in diagnosis and treatment of congenital choledochal cyst has obviously been changed greatly.CT and ERCP were of great help in the classification of the disease.Currently, cystectomy with Roux-en-Y hepaticojejunostomy is strongly recommended as the choice for patients with type I and type IV cysts. Piggyback orthotopic liver transplantation is indicated in type V cysts (Caroli's disease) with frequently recurrent cholangitis.  (+info)

Results of 281 consecutive total laparoscopic Roux-en-Y gastric bypasses to treat morbid obesity. (5/202)

OBJECTIVE: To determine the safety and efficacy of laparoscopic Roux-en-Y gastric bypass for the treatment of morbid obesity. SUMMARY BACKGROUND DATA: Laparoscopic Roux-en-Y gastric bypass is a new and technically challenging surgical procedure that requires careful study. METHODS: The authors attempted total laparoscopic Roux-en-Y gastric bypass in 281 consecutive patients. Procedures included 175 proximal bypasses, 12 long-limb bypasses, and 9 revisional procedures from previous bariatric operations. The gastrojejunostomy and jejunojejunostomy were primarily constructed using linear stapling techniques. RESULTS: Eight patients required conversion to an open procedure (2.8%). The mean age of the patients was 41.6 years (range 15-71) and 87% were female. The mean preoperative body mass index was 48.1 kg/m2. The operative time decreased significantly from 234 +/- 77 minutes in the first quartile to 162 +/- 42 minutes in the most recent quartile. Postoperative length of stay averaged 4 days (range 2-91), with 75% of patients discharged within 3 days. The median hospital stay was 2 days. No patient died after surgery. Complications included three (1.5%) major wound infections (each followed a reoperation for a complication or open conversion), incisional hernia in 5 patients (1.8%), and anastomotic leak with peritonitis in 14 patients (5.1%). Three gastrojejunal leaks were managed without surgery, four by laparoscopic repair/drainage, and three by open repair/drainage. Only three patients had anastomotic leaks in the most recent 164 procedures (1.8%) since the routine use of a two-layer anastomotic technique. Data at 1 year after surgery were available in 69 of 96 (72%) patients (excludes revisions). Weight loss at one year was 70 +/- 5% of excess weight. Most comorbid conditions resolved by 1 year after surgery; notably, 88% of patients with diabetes no longer required medications. CONCLUSIONS: Laparoscopic gastric bypass demonstrates excellent weight loss and resolution of comorbidities with a low complication rate. The learning curve is evident: operative time and leaks decreased with experience and improved techniques. The primary advantage is an extremely low risk of wound complications, including infection and hernia.  (+info)

Factors influencing energy intake and body weight loss after gastric bypass. (6/202)

OBJECTIVE: The gastric bypass-induced quantitative and qualitative modifications of energy intake (En In, kcal/day) and their impact on body weight (bw) loss were evaluated. The factors influencing energy intake and body weight loss were also investigated. DESIGN: Longitudinal study. SETTING: University Hospital of Geneva. SUBJECTS: Fifty obese women undergoing a Roux-en-Y gastric bypass. RESULTS: The reduction of EnIn was significantly related to bw loss expressed either in kg or as percentage correction of excess bw (P<0.01 for both), whereas the post-operative modifications of diet composition did not play a role. Age and initial bw significantly influenced bw loss (P<0.0001 and P<0.001, respectively), as shown by multiple regression analysis. Patients were divided into four sub-groups according to their age (under or over 35 y) and initial bw (under or over 120 kg). ANOVA showed that under 35-y-old subjects reduced their EnIn significantly more than their older counterparts having similar bw (P<0.02 and P<0.05); consequently, bw loss, expressed in kg, was significantly (P<0.0001 and P<0.0005) larger in younger patients. Subjects with an initial bw over 120 kg lost significantly (P<0.001 and P<0.02) more weight as compared to patients with a smaller degree of obesity (under 120 kg) and similar age. CONCLUSIONS: Gastric bypass-induced body weight loss is mainly due to the reduction of EnIn, whereas the qualitative modifications of the diet do not play a role. Younger subjects have a greater capacity to reduce EnIn and, therefore, lose more weight. Pre-operative high degree of obesity leads to a larger weight reduction, probably because of a greater energy deficit.  (+info)

Major bile duct injuries associated with laparoscopic cholecystectomy: effect of surgical repair on quality of life. (7/202)

OBJECTIVE: To assess the quality of life (QOL) of patients after surgical reconstruction of a major bile duct injury from laparoscopic cholecystectomy (LC). SUMMARY BACKGROUND DATA: The incidence of bile duct injuries has increased dramatically since the introduction and widespread use of LC. Previous reports show that at long-term follow-up, most patients surgically repaired will have a successful outcome as measured by standard clinical parameters. However, there is a general impression that these patients have an impaired QOL. Data addressing QOL of these patients are limited. METHODS: A standard QOL questionnaire was sent to 89 patients after successful surgical repair of a major bile duct injury from a LC treated at the Johns Hopkins Hospital between 1990 and 2000. The instrument consisted of 30 items on a visual analog scale categorized into physical (15 items), psychological (10 items), and social (5 items) domains. The same questionnaire was sent to age- and sex-matched healthy controls (n = 100) and to patients who underwent uncomplicated LC (n = 100). An additional portion of the questionnaire inquired about outcome measures and legal action undertaken by patients. RESULTS: Overall QOL scores for bile duct injury patients in the three domains (physical, psychological, and social) were 76%, 77%, and 75%, respectively. QOL scores were comparable to those of patients undergoing uncomplicated LC and healthy controls in the physical and social domains but were significantly different in the psychological domain. Presenting symptoms, prior repair, level of injury, number of stents, length of postoperative stenting, and length of follow-up did not influence QOL scores. Repaired patients reported similar rates of abdominal pain, change in bowel habits, use of pain medications, and recent symptoms of fever or chills as LC controls. Thirty-one percent of responding bile duct injury patients reported having sought legal recourse for their injury. All QOL domain scores were significantly lower in the patients who pursued a lawsuit versus those who did not. CONCLUSIONS: This study provides formal data evaluating QOL after surgical repair of major bile duct injuries from LC. Although there was a significant difference in the QOL as evaluated from a psychological dimension, bile duct injury patients reported QOL scores in the physical and social domains comparable to those of control patients. The decreased QOL assessment in the psychological dimension may be attributable to the prolonged, complicated, and unexpected nature of these injuries. The presence of a lawsuit appears to be associated with a poorer QOL assessment.  (+info)

Ileocecal valve as substitute for the missing pyloric sphincter after partial distal gastrectomy. (8/202)

OBJECTIVES: Accelerated gastric emptying (including dumping syndrome) occurs frequently after gastric resections, largely resulting from rapid entry of meal contents into the small intestine. The authors hypothesized that an ileocecal segment used as an interpositional graft placed between the remaining part of the stomach and the small intestine would slow down food transit and thus replace pyloric function. METHODS: Thirty Gottingen minipigs were randomized into three groups. Group 1: partial gastrectomy and Roux-en-Y reconstruction; Group 2: partial gastrectomy and ileocecal interpositional graft; and Group 3: sham laparotomy. Gastric emptying in the nonsedated animals was quantified using radioscintigraphy at 3 and 6 months postoperatively. The animals ingested 300 grams of soft food containing 99mTc labeled resin- pellets using a technique previously described. Data were analyzed using ANOVA. RESULTS: Three months postoperatively, the ileocecal group had a significantly prolonged gastric emptying time compared with the Roux-en-Y group, but gastric emptying time was also significantly faster compared to the control group (sham laparotomy). After 6 months no significant difference was seen between the ileocecal group and the controls, while emptying rates were still significantly faster in the Roux-en-Y group. CONCLUSIONS: Reconstruction of the gastric reservoir with an ileocecal segment largely restores gastric emptying patterns of food in minipigs. Six months postoperatively, gastric emptying time is similar to that of controls, and significantly slower when compared with the group with Roux-en-Y reconstruction. These results suggest that the ileocecal interposition graft could offer specific advantages over current reconstruction procedures.  (+info)

Christopher L Kalmar, MD, MBA, Tananchai A Lucktong, MD, FACS. Virginia Tech Carilion. Roux-en-Y gastric bypass is the most commonly performed bariatric procedure in the world. Jejunojenual intussusception after RYGB at the enteroenterostomy is a rare but potentially serious complication requiring timely radiographic diagnosis. For presentations without necrosis, surgical therapy with laparoscopic enteropexy of all limbs of the enteroenteric anastomosis in our experience allows same-day management with return to work and activities of daily living without recurrence. ...
The 44-year-old man in this study was presented with sudden-onset, persistent epigastralgia and had undergone living donor living transplantation (LDLT) for familial amyloid polyneuropathy at 42 years of age, with the left hepatic lobe graft donated by his wife. During LT, biliary reconstruction was performed by hepaticojejunostomy with a Roux limb via the antecolic route as the common bile duct was removed for the sake of the following domino LT. The peritoneal defect related to Roux-en-Y anastomosis was primarily closed with several 4-0 silk interrupted sutures. Although he had experienced repeated episodes of small bowel obstruction, which had all recovered fully following conservative management, at 5, 9, and 14 months post-transplantation, continuous epigastralgia and repeated vomiting for 7 h during the present admission prompted clinical suspicion of bowel strangulation. Abdominal guarding and rigidity in the epigastric region were noted on examination. The body temperature was 37.1 °C. ...
Bariatric gastric bypass surgery is being increasingly performed, but endoscopic retrograde cholangiopancreatography (ERCP) in these patients poses a unique challenge because of a lack of per-oral access to the stomach. Small series suggest a higher technical success rate using laparoscopy-assisted ERCP (LA-ERCP) than with an enteroscopic approach via the Roux-en-Y anastomosis. We present initial experience of LA-ERCP in our unit.Retrospective case series of consecutive patients undergoing LA-ERCP in our unit between September 2011 and July 2014. Data was retrieved from electronic, clinical and endoscopy records.Seven LA-ERCPs were performed. All seven patients were female, with median age 44 years (range 36-71). Indications included symptomatic bile duct stones (5/7), benign papillary fibrosis (1/7) and retained biliary stent (1/7). 5/7 (71%) patients had had a prior cholecystectomy. To facilitate LA-ERCP, laparoscopic gastrostomy ports were created in all patients. Duodenal access, biliary cannulation
Endoscope, Jaundice, Obstructive Jaundice, Patients, Endoscopic Retrograde Cholangiopancreatography, Balloon Dilation, Gi Tract, Stenosis, Strictures, Anatomy, Billroth Ii, Ercp, Gastrectomy, Roux-en-y Anastomosis, Bile, Bile Duct, Bleeding, Cannulation, Catheter, Cholangitis
This study is being done to learn more about how different surgery procedures bring back the eating pathway after removing the stomach in patients with stomach cancer. If the surgeon has decided that some, or all, of the patients stomach must be removed the surgeon must create a new way to allow food to travel from the mouth to the intestines. Some patients develop problems because they are missing their stomach, such as lack of hunger, bloating, cramping, and heartburn.. The surgeons at Memorial Sloan-Kettering Cancer Center are conducting a study to determine if a change in surgery can help reduce these symptoms.. The most common method of creating a way for food is called a Roux-en-Y, in which one part of the intestine is connected with the end of the esophagus (the swallowing tube) in the abdomen, and another connection is made between the intestines lower down.. The change in surgery involves creating a pouch from a part of the intestines to replace the stomach.. This study will compare ...
This study is being done to learn more about how different surgery procedures bring back the eating pathway after removing the stomach in patients with stomach cancer. If the surgeon has decided that some, or all, of the patients stomach must be removed the surgeon must create a new way to allow food to travel from the mouth to the intestines. Some patients develop problems because they are missing their stomach, such as lack of hunger, bloating, cramping, and heartburn.. The surgeons at Memorial Sloan-Kettering Cancer Center are conducting a study to determine if a change in surgery can help reduce these symptoms.. The most common method of creating a way for food is called a Roux-en-Y, in which one part of the intestine is connected with the end of the esophagus (the swallowing tube) in the abdomen, and another connection is made between the intestines lower down.. The change in surgery involves creating a pouch from a part of the intestines to replace the stomach.. This study will compare ...
Although surgical hepaticojejunostomy plays an important role in the therapy for AS after Roux-en-Y hepaticojejunostomy, reduplicative biliary reconstruction remains a challenging topic for hepatobiliary surgeons, and a considerable percentage of patients still need endoscopic or intercurrent treatment. The standardized regimens in treating AS involve two operational steps: first, to remove the stricture;second, to prevent restricture. Because of this, balloon dilatation and long-term internal/external drainage become the primary approach and gold standard for minimally invasive procedures, especially for patients requiring multiple operations [13].. At present, BD is the main method to relieve AS, and there are several schemes of balloon dilatation, with differing results at follow-up. An early study reported that 93.3 % percent (14/15) of the strictures could be successfully dilated by the BD, but the incidence of restricture was high and could reach up to 45 % within a long-term follow-up ...
Tsukasa Ikeura, MD, PhD from the Third Department of Internal Medicine, Kansai Medical University, in Osaka, Japan shares this video case from the VideoGIE section, Reintervention for an occluded metal stent under the guidance of peroral direct cholangioscopy by using an ultra-slim enteroscope. A patient who had undergone partial gastrectomy with Roux-en-Y gastrojejunostomy for gastric…
This variant is the most commonly employed gastric bypass technique, and is by far the most commonly performed bariatric procedure in the United States. The small intestine is divided approximately 45 cm (18 in) below the lower stomach outlet and is re-arranged into a Y-configuration, enabling outflow of food from the small upper stomach pouch via a Roux limb. In the proximal version, the Y-intersection is formed near the upper (proximal) end of the small intestine. The Roux limb is constructed using 80-150 cm (31-59 in) of the small intestine, preserving the rest (and the majority) of it for absorbing nutrients. The patient will experience very rapid onset of the stomach feeling full, followed by a growing satiety (or indifference to food) shortly after the start of a meal.. ...
At the Medizinische Hochschule Hannover, Germany, biliary reconstruction after iatrogenic bile duct lesions was performed in 85 patients by means of end-to-side Roux-en-Y hepaticojejunostomy. In 66%...
Comparison of Revision in Roux-en-Y vs Mini-Gastric Bypass Dr K S Kular Kular Medical Education & Research Society Kular Group of Institutes [email protected]
Roux In class last week, we started by making three different types of roux: light, medium, and dark. A roux is a mixture of heated flour and fat that is then used to thicken sauces, soups, and stews. In a roux, the starch granules (from flour) are coated and separated by the fat from butter…
A roux is a blend of a fat and flour and is basis of sauces and soups! Were talking all about rouxs and how to make the perfect gumbo roux!
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Kevin El-Hayek, MD1, Ricard Corcelles, MD2, Matthew Kroh, MD2, John Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic Abu Dhabi. Introduction: Gastroparesis is a debilitating functional disorder of the stomach marked by delayed gastric emptying in the absence of mechanical obstruction. Patients with severe, refractory symptoms may ultimately be managed with Roux-en-Y gastric bypass (RYGB) or gastrectomy with Roux-en-Y reconstruction. However it is unclear whether the stomach may left in situ, as with a RYGB, or resected as in gastrectomy. The present study aims to compare perioperative outcomes and long-term symptomatic relief between these operations.. Methods: All patients underwent RYGB or gastrectomy for the treatment of gastroparesis (GP) at our institution from September 2010 through March 2018 were retrospectively reviewed. Patients with prior gastric resection or whose primary operative indication was not gastroparesis were excluded ...
AUTHORS: Schipper I et al. Obesity Surgery June 2019. BACKGROUND Several studies have shown a reduction in postoperative pain and length of hospital stay when using intraperitoneal local anesthetics during laparoscopic surgery. In morbidly obese patients, respiratory depression due to opioid use is a serious side effect. Any different type of analgesia is therefore clinically relevant.. OBJECTIVE To assess the effect of intraperitoneal bupivacaine on postoperative pain after laparoscopic Roux-en-Y gastric bypass (LRYGB).. METHODS Between March and November 2017, 130 patients were included and randomly assigned to receive 20 ml or 0 ml of 2.5% bupivacaine hydrochloride sprayed onto the diaphragm. Pain scores for abdominal and shoulder pain were conducted using the visual analogue scale (VAS) for pain score at 0, 1, 6, and 24 h postoperatively. The length of hospital stay and use of analgesics was recorded in digital patient records. The primary outcome is the pain scores and the secondary ...
This case report describes an esophagojejunal anastomotic leak following total gastrectomy for gastric cancer. The leak was treated successfully with endoscopic application of n-butyl-2-cyanoacrylate. This is the first case report on the endoscopic application of cyanoacrylate alone for the treatment of an anastomotic leak. This report describes a case of a 68-year-old Caucasian man who underwent surgery for gastric cancer. He underwent total gastrectomy and esophagojejunal anastomosis with Roux-en-Y anastomosis plus transverse colectomy. An anastomotic leak was treated conservatively at first for a total of three weeks. However, the leak persisted; therefore, the decision was made to apply topical endoscopic n-butyl-2-cyanoacrylate. The endoscopic application of n-butyl-2-cyanoacrylate alone can be used successfully to treat esophagojejunal anastomotic leakage.
HypothesisLaparoscopic Roux-en-Y gastric bypass is a complex procedure performed on a high-risk patient population. Good results can be attained with experience
The aim of this study was to assess the learning curve of one anastomosis gastric bypass (OAGB-MGB) at the start of a low volume bariatric unit and analyze its impact as a preceding procedure to Roux-en Y gastric bypass (RYGB). From January 2014 to December 2017, all patients who underwent bariatric surgeries in our teaching hospital that were performed by the same surgeon were enrolled. The first 47 patients who underwent OAGB-MGB were assigned to group A. RYGB has been offered as a treatment option since July 2016; thereafter, 26 patients who underwent OAGB-MGB and 32 patients who underwent RYGB at the same time interval were assigned to group B and group C, respectively. Baseline characteristics, perioperative outcomes and percentage of total weight loss (%TWL) up to 12 months postoperatively were collected and analyzed between groups. Compared to the patients in group C, those in groups A and B were older (39.4 yrs. and 42.2 yrs., respectively, vs. 34.2 yrs.; p = 0.021) and predominantly male (48.9
The current obesity epidemic in the U.S. is associated with major medical and social problems accompanied by increased morbidity and mortality, which is prop...
CONCLUSION: The closure of MDs eliminated the risk of IH in half of the operated patients of LRYGB in this series. PMID: 31521564 [PubMed - as supplied by publisher]...
Fingerprint Dive into the research topics of Gastrotomy with anvil dunk: A novel technique for gastrojejunostomy in the patient undergoing laparoscopic Roux-en-Y gastric bypass. Together they form a unique fingerprint. ...
Gastroenterology Research and Practice is a peer-reviewed, Open Access journal that provides a forum for researchers and clinicians working in the areas of gastroenterology, hepatology, pancreas and biliary, and related cancers. The journal welcomes submissions on the physiology, pathophysiology, etiology, diagnosis, and therapy of gastrointestinal diseases.
Roux-en-Y hepaticojejunostomy is the most commonly used surgical technique for reconstruction of the biliary tract in patients with benign biliary stricture [3, 5-8]. In those patients, there is a relatively high incidence of strictured HJ ranging from 2% to 25% [2, 3, 7-10]. The endoscopic management of these complications seems to be the best option and least invasive compared to interventional radiology or reoperation [11-13]. However, the altered anatomy of the Roux-en-Y construction represents a major difficulty to access the HJ by the endoscope. The use of standard gastroduodenoscope proved to be extremely difficult, time consuming and with high failure rate [14, 15].. Several attempts were reported to overcome these difficulties in endoscopic approach to HJ. The use of long enteroscope, whether double balloon or single balloon, was shown to improve the results of endoscopic access. However, these reports are still few with limited number of cases and the availability of the enteroscopes ...
TY - JOUR. T1 - Total gastrectomy risk model. T2 - Data from 20,011 Japanese patients in a nationwide internet-based database. AU - Watanabe, Masayuki. AU - Miyata, Hiroaki. AU - Gotoh, Mitsukazu. AU - Baba, Hideo. AU - Kimura, Wataru. AU - Tomita, Naohiro. AU - Nakagoe, Tohru. AU - Shimada, Mitsuo. AU - Kitagawa, Yuko. AU - Sugihara, Kenichi. AU - Mori, Masaki. PY - 2014/1/1. Y1 - 2014/1/1. N2 - Objective: To construct a risk model for total gastrectomy outcomes using a nationwide Internet-based database. Background: Total gastrectomy is a very common procedure in Japan. This procedure is among themost invasive gastrointestinal procedures and is known to carry substantial surgical risks. Methods: The National Clinical Database was used to retrieve records on more than 1,200,000 surgical cases from 3500 hospitals in 2011. After data cleanup, 20,011 records from 1623 hospitals were analyzed for procedures performed between January 1, 2011, and December 31, 2011. Results: The average patient age ...
Does any one know the correct CPT code for a choledochojejunostomy with Roux-en-Y? It was performed because the patient had a biliary stricture.
Le filtre à air à haut débit DNA augmente considérablement les performances et la puissance. Entièrement compatible avec Yamaha YFM 660 R Raptor.
Obesity has more than doubled since 1980 worldwide, according to the World Health Organization. And while Roux-en gastric bypass has been the gold standard, novel alternative treatments are being developed.
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Proukou В Y. пппп Page 620 Choledochojejunostomy and Cholecystojejunostomy 621 пSTEP 11 Completed cholecystojejunostomy A drain is coming off alesse in situ after finishing the anastomosis, to indicate postoperative bleeding of bile leakage.
In this weeks Homerun Slides continuing our series from Dr. Stanley Schwartz, we cover topics including the Benefits of Combined Treatment (Pharmacotherapy and Lifestyle Modification), a demonstation of how Obesity Requires Long-Term Care, and information on how Roux-en-Y surgery restores the incretin
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TY - JOUR. T1 - Preoperative Transabdominal Ultrasonography (US) Prior to Laparoscopic Roux-en-Y Gastric Bypass (LRYGBP) and Laparoscopic Sleeve Gastrectomy (LSG) in the First 100 Operations. Was It Beneficial and Reliable During the Learning Curve?. AU - Jaser, Nabil. AU - Mustonen, Harri K. AU - Pietilä, Jaakko AU - Juuti, Anne Tuulikki. AU - Leivonen , Marja. PY - 2012/3. Y1 - 2012/3. KW - 3126 Surgery, anesthesiology, intensive care, radiology. U2 - 10.1007/s11695-011-0416-z. DO - 10.1007/s11695-011-0416-z. M3 - Article. VL - 22. SP - 416. EP - 421. JO - Obesity Surgery. JF - Obesity Surgery. SN - 0960-8923. IS - 3. ER - ...
This study aimed to explore the effect of biliopancreatic limb and Roux limb lengths during laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures on weight loss and T2DM control. We studied the clinical records of 58 patients with metabolic syndrome, T2DM, and body mass index (BMI) 32 to 50 kg/m2 who underwent LRYGB in our hospital. The short limb group (Group A) underwent LRYGB with a limb ...
Vertically banded gastroplasty or adjustable gastric banding often result in weight regain, complications, or side effects. Failed restrictive bariatric procedures can be converted in revisional laparoscopic Roux-en-Y gastric bypass (LRYGB). This study aimed to compare weight loss, evolution of comorbidities, and quality of life (QOL) between primary versus revisional LRYGB. ...
TY - JOUR. T1 - Erratum to. T2 - Incidence of Gastrojejunostomy Stricture in Laparoscopic Roux-en-Y Gastric Bypass Using an Autologous Fibrin Sealant(Obesity Surgery, DOI 10.1007/s11695-014-1204-3). AU - Ibele, Anna R.. AU - Bendewald, Frank P.. AU - Mattar, Samer G.. AU - McKenna, Daniel T.. PY - 2014/10/11. Y1 - 2014/10/11. UR - http://www.scopus.com/inward/record.url?scp=84917732675&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84917732675&partnerID=8YFLogxK. U2 - 10.1007/s11695-014-1394-8. DO - 10.1007/s11695-014-1394-8. M3 - Comment/debate. AN - SCOPUS:84917732675. VL - 24. SP - 2012. JO - Obesity Surgery. JF - Obesity Surgery. SN - 0960-8923. IS - 11. ER - ...
INTRODUCTION: Internal herniation is a potential complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Previous studies have shown that closure of mesenteric defects after LRYGB may reduce the incidence of internal herniation. However, controversy remains as to whether mesenteric defect closure is necessary to decrease the incidence of internal hernias after LRYGB. This study aims to determine if jejeunal mesenteric defect closure reduces incidence of internal hernias and other complications in patients undergoing LRYGB.. METHODS: 105 patients undergoing laparoscopic antecolic RYGB were randomized into two groups: closed mesenteric defect (n = 50) or open mesenteric defect (n = 55). Complication rates were obtained from the medical record. Patients were followed up to 3 years post-operatively. Patients also completed the gastrointestinal quality of life index (GI QoL) pre-operatively and 12 months post-operatively. Outcome measures included: incidence of internal hernias, ...
Read The Association Between Weight Loss and Quality of Life 1 and 5Years After Laparoscopic Roux-en-Y Gastric Bypass in Danish Bariatric Patients, Obesity Surgery on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
TY - JOUR. T1 - Biliary complications in adult living donor liver transplantation with duct-to-duct hepaticocholedochostomy or Roux-en-Y hepaticojejunostomy biliary reconstruction. AU - Kawachi, Shigeyuki. AU - Shimazu, Motohide. AU - Wakabayashi, Go. AU - Hoshino, Ken. AU - Tanabe, Minoru. AU - Yoshida, Masashi. AU - Morikawa, Yasuhide. AU - Kitajima, Masaki. PY - 2002. Y1 - 2002. N2 - Background. The aim of this study was to compare lhe incidence of biliary complications after adult living donor liver transplantation (ALDLT) with Roux-en-Y hepaticojejunostomy (R-Y HJ) or duct-to-duct hepaticocholedochostomy (D-D HC). Methods. Biliary complications were reviewed in 20 consecutive ALDLT recipients surviving more than 1 month, including 10 patients who underwent R-Y HJ and 10 patients who underwent D-D HC reconstructions. Results. Ten biliary complications were seen in 8 patients (40%) from the study group. Specifically, 1 case of biliary leakage and 1 case of biliary hemorrhage were observed in ...
Type 2 diabetes mellitus is a chronic disease characterised by progressive insulin resistance and loss of β-cell function. An incomplete understanding of its pathogenesis is hindering the effective treatment of this disease. Roux-en Y gastric bypass surgery (RYGB); however, causes rapid remission of liver insulin resistance and type 2 diabetes, and therefore affords us an opportunity to examine some fundamental characteristics of these conditions. Gathering evidence suggests that liver insulin resistance may be a crucial contributor to development of diabetes. In this thesis, we used liver biopsies taken before, and in some individuals after, RYGB surgery to explore or identify several molecular processes involved in the pathogenesis of type 2 diabetes. The study cohort included individuals with normal glucose tolerance and others with type 2 diabetes. Ecto-nucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) may cause insulin resistance through its inhibitory action on insulin signalling. ...
Buchwald H. Laparoscopic Roux-en-Y gastric bypass. In: Buchwald H, ed. Buchwalds Atlas of Metabolic and Bariatric Surgical Techniques and Procedures. Philadelphia, PA: Elsevier Saunders; 2012:chap 6. Buchwald H. Open Roux-en-Y gastric bypass. In: Buchwald H, ed. Buchwalds Atlas of Metabolic and Bariatric Surgical Techniques and Procedures. Philadelphia, PA: Elsevier Saunders; 2012:chap 5. Halperin F, Ding SA, Simonson DC, et al. Roux-en-Y gastric bypass surgery or lifestyle with intensive medical management in patients with type 2 diabetes: feasibility and 1-year results of a randomized clinical trial. JAMA Surg. 2014;149(7):716-726. PMID: 24899464 www.ncbi.nlm.nih.gov/pubmed/24899464. Mingrone G, Panunzi S, De Gaetano A, et al. Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial. Lancet. 2015;386(9997):964-973. PMID: 26369473.\ ...
TY - JOUR. T1 - Changes in renal function following Roux-en-Y gastric bypass. T2 - A prospective study. AU - Getty, Jorge L Zelada. AU - Hamdallah, Isam N.. AU - Shamseddeen, Hazem. AU - Wu, Jennifer. AU - Low, Roger. AU - Craig, Jacqueline. AU - Ali, Mohamed R. PY - 2012/7. Y1 - 2012/7. N2 - Background: Studies of the impact of Roux-en-Y gastric bypass (RYGB) on renal function have shown mixed results. We constructed this prospective repeated-measures controlled study to characterize this response and identify the best method of gauging renal function in this setting. Methods: Clinical data, serum creatinine (SC), and 24-h urine were collected 1 week before and 6 months following RYGB. Glomerular filtration rate (GFR) was calculated utilizing the Modification of Diet in Renal Disease formula. Creatinine clearance (CCL) was measured as a 24-h collection (24CCL) and calculated by the Cockcroft-Gault (CG) formula. Results: The study population of 37 patients (81% women) had a mean age of 47±11 ...
BOSTON-The surgical learning curve for the laparoscopic Roux-en-Y gastric bypass is approximately 100 procedures, according to a study published today.
BACKGROUND: Roux-en-Y gastric bypass (RYGBP) is well tolerated and effective in ameliorating diseases common to morbidly obese patients. A potential drawback, however, is the risk for stomal ulcers, probably due to acid and peptic digestion of the mucosa in the proximal Roux limb. METHODS: In 23 RYGBP patients (mean BMI 45 kg/m(2), age 39 years), the gastro-jejunostomy was performed by circular stapler and the gastric suture ring retrieved for histological examination. 13 consecutive patients received our standard totally transected 4 x 3 cm proximal gastric pouch. The anvil was passed transgastricly and reference biopsies were taken from the gastrotomy in the corpus of the stomach. In the last 10 patients, the pouch size was reduced to 2 x 3 cm by a modified surgical technique. RESULTS: All suture rings from the standard pouches consisted of corpus-fundus mucosa with a large amount of parietal cells, histologically identical to the reference biopsies from the gastrotomy. Also, the 10 suture ...
1. National Institutes of Health. Office of Dietary Supplements. Multivitamin/mineral Supplements: Fact Sheet for Consumers. Available online at: www.ods.od.nih/gov/pdf/factshees/MVMS-Consumer.pdf. Accessed March 30, 2016.. 2. Flancbaum L, Belsley S, Drake V, et al. Preoperative nutritional status of patients undergoing Roux-en-Y gastric bypass for morbid obesity. J Gastrointest Surg. 2006; 10(7):1033-1037.. 3. Miller GD, Norris, A, Fernandez A. Changes in nutrients and food groups intakes following laparoscopic Roux-en-Y gastric bypass (RYGB). Obes Surg. 2014;24(11):1926-1932.. 4. Parrott J, Frank L, Dilks R, et al. ASMBS Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient - 2016 Update: Micronutrients. SOARD. (In-Press). Available online at: http://dx.doi.org/10.1016/j.soard.2016.12.018. Accessed January 27, 2017. 5. Coupaye M, Puchaux K, Bogard C, et al. Nutritional consequences of adjustable gastric banding and gastric bypass: A 1-year prospective study. Obes Surg. ...
TY - JOUR. T1 - Postprandial gastrointestinal hormone production is different, depending on the type of reconstruction following total gastrectomy. AU - Kalmár, Katalin. AU - Németh, József. AU - Kelemen, Ágoston. AU - Horváth, Örs Péter. PY - 2006/4/1. Y1 - 2006/4/1. N2 - Objectives: The present study examines the differences in gastrointestinal hormone production at 3 different reconstruction types after total gastrectomy. Background Data: Total gastrectomy causes significant weight loss, mainly due to a reduced caloric intake probably because of a lack of initiative to eat or early satiety during meals. Behind this phenomenon a disturbed gastrointestinal hormone production can be presumed. Methods: Patients participating in a randomized study were recruited for the clinical experiment. Seven patients with simple Roux-en-Y reconstruction, 11 with aboral pouch (AP) construction, and 10 with aboral pouch with preserved duodenal passage (APwPDP) reconstruction, as well as 6 healthy ...
Objective: To evaluate the efficacy of reinforcement on duodenal stump using single purse-string suture during laparoscopic radical gastrectomy for gastric cancer in preventing duodenal stump leakage. Methods: A descriptive cohort study was conducted to retrospectively collect clinical data of 211 patients with gastric adenocarcinoma who underwent laparoscopic radical gastrectomy with Roux-en-Y or Billroth â ¡ reconstruction and reinforcement on duodenal stump using laparoscopic single purse-string suture in Zhongshan Hospital of Fudan University between January 2013 and December 2016. Of 211 patients, 136 were male and 75 were female with mean age of (57.5±11.1)(24 to 87) years. Tumors locating at gastric upper 1/3, middle 1/3 and low 1/3 were found in 62, 68 and 81 patients respectively. Eighty-three cases underwent total gastrectomy, 128 underwent distal subtotal gastrectomy, 107 underwent Roux-en-Y reconstruction and 104 underwent Billroth II reconstruction. The procedure of reinforcement ...
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. Its often done as a laparoscopic surgery, with small incisions in the abdomen.
Abstract Objective: Roux-en-Y gastric bypass (RYGB) reduces body weight and the comorbidities associated with obesity. The aim of this study was to evaluate whether glucose and lipid profiles were maintained during a 5-year follow-up period after RYGB. Subjects and methods: Anthropometric and laboratory data from 323 patients who had undergone this operation were analyzed. Differences in laboratory variables between the baseline and 12, 24, 36, 48 and 60 months postoperatively (PO) were assessed using a one-way ANOVA test to compare the three groups. Delta significance using one-way ANOVA was performed to assess anthropometric variable in the postoperative period (p < 0.05). Results: 77 patients (24%) were included in Group 1 (G1), 101 (32%) in Group 2 (G2), and 141 (44%) in Group 3 (G3). The majority of patients, 71.7% in G1, 82.8% in G2, and 70% in G3, showed high triglycerides (TG) before surgery. A decrease in weight loss was observed in all groups followed by an increase in body weight in G2 and
Learn more about Roux-en-Y Gastric Bypass -- Laparoscopic Surgery at Capital Regional Medical Center DefinitionReasons for ProcedurePossible ComplicationsWhat to...
Roux-en-Y gastric bypass (RYGB) is performed by bariatric surgeons at the Massachusetts General Hospital Weight Center to reduce the size of the stomach and encourage weight loss in patients who are obese.
Preoperative decompression and diagnosis of pancreatic head adenocarcinoma in a patient with Roux-en-Y gastric bypass by means of EUS-guided gastric pouch hepaticogastrostomy ...
PubMed journal article: Patterns of readmission and reoperation within 90 days after Roux-en-Y gastric bypass. Download Prime PubMed App to iPhone, iPad, or Android
3 Answers - Posted in: pain, back pain, stomach, roux-en-y gastric bypass - Answer: Sascon; have not heard of anything but after 10 years and now ...
Post-surgical effects of Roux-En-Y gastric bypass on glucose homeostasis, intestinal morphology and L-cells in obese Göttingen minipigs ...
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Read Bivariate and Multivariate Analyses of the Influence of Blood Variables of Patients Submitted to Roux-en-Y Gastric Bypass on the Stability of Erythrocyte Membrane against the Chaotropic Action of Ethanol, The Journal of Membrane Biology on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
Balaram SK and Swistel DG. Long-Term Prognosis of Hypertrophic Cardiomyopathy after Surgery. Anatolian J Cardiology. Suppl N2, vol 6. September 2006. (in press) SCOTT BELSLEY, MD Abstracts. Chemouny J, Belsley S, Cordova AC, Wasielewski, A, Ballantyne GH. Does Patient Age have an Infuence on the Percentage of Excess Weight-Loss after Laparoscopic Roux-en-Y Gastric Bypass? Society of American Gastrointestinal Endoscopic Surgeons, Dallas , Texas 2006. Faloon M, Belsley S, Farkas D, Wasielewski, A, Ballantyne GH. Does C-Reactive Protein Decrease Proportionately to Body Mass Index in Both Gastric Bypass and Gastric Band Patients? Society of American Gastrointestinal Endoscopic Surgeons, Dallas , Texas 2006. Chemouny, J, Cordova, AC, Belsley S, Ewing DR , Ballantyne GH. An Easy Method for the Diagnosis of Internal Hernias After a Gastric Bypass. 76th Congreso Argentino de Cirugia. Buenos Aires, Argentina 2005. Belsley S, Ashton RC, Jr. Robotic Thymectomy for a Mediastinal Parathyroid Gland. Minimally ...
Computed Tomography of Internal Hernias Following Laparoscopic Roux-en-Y Gastric Bypass Surgery. Seminars in Ultrasound, CT and MRI. 39:145-150. 2018 ...
The hepatic duct carries bile from the liver to the small intestine to aid digestion. A hepaticojejunostomy is a surgical procedure to make a connection (anastomosis) between the hepatic duct and the jejunum portion of the small intestine. This technique is called the Roux-en-Y hepaticojejunostomy.
An anastomosis is a surgical connection between the stomach and bowel, or between two parts of the bowel. The surgeon attempts to create a water-tight connection by connecting the two organs with either staples or sutures, either of which actually makes a hole in the bowel wall. The surgeon will rely on the bodys natural healing abilities and its ability to create a seal, like a self-sealing tire, to succeed with the surgery. If that seal fails to form for any reason, fluid from within the gastrointestinal tract can leak into the sterile abdominal cavity and give rise to infection and abscess formation. Leakage of an anastomosis can occur in about 2% of Roux-en-Y gastric bypass and less than 1% in mini gastric bypass. Leaks usually occur at the stomach-intestine connection (gastro-jejunostomy). There is a change in the drain fluid contents from serous (before the leak) to faecal/bilious (after the leak). Usually significant leaks need urgent re-operation. Sometimes a minor leakage can be ...
In this study, the differences in percentages of excess weight loss (EWL) between the OAGB and LRYGB were statistically insignificant; this might have been due to the short term follow-up of this study; Thus, although the results are not statistically significant, this difference is of great clinical importance.. In the present study, EWL reduced to 34.58 in LRYGB group and 36.36 in OAGB group after three months (P = 0.46). Previous studies have also reported EWL values for bariatric procedures. Lee et al. reported better EWL at five years in OAGB compared to LRYGB.(13)In Walshs study, 80% EWL was reported twelve months after the operation (21). However, Kim et al. revealed 9.6% weight loss six months after OAGB for diabetic non-obese patients (22). Different EWL reports might be due to the difference in details of bariatric techniques, patient characteristics, such as underlying diseases like T2DM, as well as different follow-up intervals.. The rate of T2DM remission was significantly higher ...
Discusses gastric bypass surgery to treat obesity. Discusses why and when it is done. Covers laparoscopic and open Roux-en-Y surgery. Discusses risks during and after surgery.
Welcome to ObesityHelps Roux-en-Y Gastric Bypass Surgery Forum. On the Roux-en-Y Gastric Bypass Message Board you can reach out and share experiences with your peers who have had gastric bypass or are seeking information about gastric bypass.
Welcome to ObesityHelps Roux-en-Y Gastric Bypass Surgery Forum. On the Roux-en-Y Gastric Bypass Message Board you can reach out and share experiences with your peers who have had gastric bypass or are seeking information about gastric bypass.
The evidence behind recommendations for treatment of iron deficiency (ID) following roux-en-y gastric by pass surgery (RYGB) lacks high quality studies. Academic, United States The objective of the st
What is gastric bypass(roux-en-y) Surgery , its positive and negative side effects. Dr Maran , gastric bypass surgeon explains about it in detail
Gastric bypass is a common, safe option for weight loss surgery. The skilled specialists at MaineHealth provide surgery and support to qualified patients.
Mri after rny gastric bypass surgery - I had the gastric bypass surgery, is it safe to have an MRI without causing and problems from my surgery? Yes. Yes. The metal (staples) used in roux-en-y gastric bypass is safe for MRI procedures.
Cholecystectomy and bilioenteric anastomosis may be required. Roux-en-Y hepaticojejunostomy has shown good outcome in some ...
Greater weight loss than sleeve gastrectomy (SG). Greater weight loss than Roux-en-Y gastric bypass (RYGB).[citation needed] ... The SIPS surgery involves the creation of a 300-cm common channel with a single-anastomosis duodenal enterostomy. ... No Roux limb side effects.[citation needed] Similar nutritional problems to RYGB and less than DS.[citation needed] Low risk of ...
Roux-en-Y anastomosis "Stump blow-out". The Free Medical Dictionary. Farlex. Retrieved 14 September 2013. CS1 maint: ...
"Therapeutic ERCP with the double-balloon enteroscope in patients with Roux-en-Y anastomosis". Gastrointestinal Endoscopy. 67 (6 ...
Roux-en-Y Anastomosis and Ileostomy Irrigation with Pancreatic Enzymes". Annals of Surgery. 145 (3): 404-414. doi:10.1097/ ...
"The stapled enteroenterostomy created in Roux-en-Y procedures is a functional end-to-side anastomosis that is performed using ... "Anastomosis terminal funcional con sutura mecanica en cirugia intestinal. (Functional End-to-end Anastomosis in Surgery of the ... Brolin, Robert E.: "The Antiobstruction Stitch i Stapled Roux-en-Y Enteroenterostomy." The American Journal of Surgery, vol. ... clinical Hunt-Lawrence and Paulino Roux-en-Y pouches using a stapling instrument, with Fernando Paulino in attendance. The ...
Anatomical terms of location Billroth II Roux-en-Y anastomosis "Gastroduodenostomy - procedure, recovery, blood, tube, removal ...
Leakage of an anastomosis can occur in about 2% of Roux-en-Y gastric bypass and less than 1% in mini gastric bypass. Leaks ... The Roux-en-Y laparoscopic gastric bypass, first performed in 1993, is regarded as one of the most difficult procedures to ... Antecolic antegastric Roux-en-Y gastric bypass surgery has been estimated to result in internal hernia in 0.2% of cases, mainly ... The MGB has been suggested as an alternative to the Roux-en-Y procedure due to the simplicity of its construction and is ...
... are treated by surgical excision of the cyst with the formation of a roux-en-Y anastomosis ... "Single-incision versus conventional laparoscopic cyst excision and Roux-Y hepaticojejunostomy for children with choledochal ...
... colonoscopes for endoscopic retrograde cholangiography in liver transplant patients with Roux-en-Y biliary anastomosis. ... in patients with post-Whipple or Roux-en-Y surgical anatomy). One of the most frequent and feared complications after ...
... as the procedure is fast and simple with less anastomotic sites and does not require the creation of a Roux-en-Y anastomosis. ... Side-to-side anastomosis and end-to-side anastomosis are two procedures that can be done. Side-to-side anastomosis is preferred ... Alternative procedures could be considered, such as a Roux-en-Y hepaticojejunostomy (a connection made between the hepatic duct ... This marks the completion of the posterior wall anastomosis. Suturing of the anterior wall of the anastomosis is achieved ...
Less common surgical treatments for SMA syndrome include Roux-en-Y duodenojejunostomy, gastrojejunostomy, anterior ... Performed as either an open surgery or laparoscopically, duodenojejunostomy involves the creation of an anastomosis between the ... lysis of the duodenal suspensory muscle have the advantage that they do not involve the creation of an intestinal anastomosis. ...
MeSH E04.035.070 - anastomosis, roux-en-y MeSH E04.035.087 - arteriovenous shunt, surgical MeSH E04.035.188 - cerebrospinal ... anastomosis, roux-en-y MeSH E04.210.078 - appendectomy MeSH E04.210.120 - biliary tract surgical procedures MeSH E04.210. ... internal mammary-coronary artery anastomosis MeSH E04.100.376.730 - pericardial window techniques MeSH E04.100.376.735 - ... internal mammary-coronary artery anastomosis MeSH E04.928.220.600 - pericardial window techniques MeSH E04.928.220.605 - ...
Billroth I Roux-en-Y Robinson, JO. The History of Gastric Surgery. Postgraduate Medical Journal. Dec 1960, p 706-713. [https:// ... is then connected to the first part of the jejunum in end-to-side anastomosis. The Billroth II always follows resection of the ... this picture is a modification of Billroth's operation called a partial gastrectomy with a Kronelein anastomosis where the ...
Roux-en-Y anastomosis or ureteroureterostomy. Surgical anastamosis techniques include Linear Stapled Anastomosis, Hand Sewn ... Arterial anastomosis includes actual arterial anastomosis (e.g., palmar arch, plantar arch) and potential arterial anastomosis ... Anastomosis, End-to-End Anastomosis (EEA). Anastomosis can be performed by hand or with an anastomosis assist device. Studies ... An anastomosis (plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are ...
Roux-en-Y choledochojejunostomy - indications same as Roux-en-Y hepaticojejunostomy. Roux-en-Y pancreas transplant Roux-en-Y ... In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct ... Roux-en-Ys are used in several operations and collectively called Roux operations. When describing the surgery, the Roux limb ... Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer. Roux-en-Y hepaticojejunostomy used to ...
Marginal ulceration is a known complication of both open and laparoscopic Roux-en-Y gastric bypass, with an incidence of ... Jejunojejunostomy is a surgical technique used in an anastomosis between two portions of the jejunum. It is a type of bypass ... "Incidence of marginal ulcers and the use of absorbable anastomotic sutures in laparoscopic Roux-en-Y gastric bypass". Surgery ...
Finsterer-Hofmeister operation List of surgeries by type Roux-en-Y Sleeve gastrectomy Lahey Clinic (1941). Surgical Practice of ... involves a resection of 2/3 of the stomach with blind closure of the duodenal stump and a retrocolic gastro-jejunal anastomosis ...
... and complications from laparoscopic Roux-en-Y surgery are lower than conventional (open) Roux-en-Y surgery.[1][13][14] ... It involved anastomosis of the upper and lower intestine, which bypasses a large amount of the absorptive circuit, which caused ... Miller K (2008). Comparison of Nutritional Deficiencies and Complications following Vertical Sleeve Gastrectomy, Roux-en-y ... A common form of gastric bypass surgery is the Roux-en-Y gastric bypass, designed to reduce the amount of food a person is able ...
... and complications from laparoscopic Roux-en-Y surgery are lower than conventional (open) Roux-en-Y surgery.[2][14][15] ... It involved anastomosis of the upper and lower intestine, which bypasses a large amount of the absorptive circuit, which caused ... Miller K (2008). Comparison of Nutritional Deficiencies and Complications following Vertical Sleeve Gastrectomy, Roux-en-y ... Like the Roux en Y Bypass, it is now understood that it's results are largely due to a significant alteration in gut hormones ...
The arteries supplying the joint are derived from an extensive circulatory anastomosis between the brachial artery and its ... Le Roux, S; Saranga, S S M; Taylor, R; Vickery, J; Powell, R J; Lloyd, G (2008). "Elbow extension test to rule out elbow ...
Appelboam, A; Reuben, A D; Benger, J R; Beech, F; Dutson, J; Haig, S; Higginson, I; Klein, J A; Le Roux, S; Saranga, S S M; ... The arteries supplying the joint are derived from an extensive circulatory anastomosis between the brachial artery and its ... Retrieved from "https://en.wikipedia.org/w/index.php?title=Elbow&oldid=905872937" ...
Wilson JA, Romagnuolo J, Byrne TK, Morgan K, Wilson FA (October 2006). "Predictors of endoscopic findings after Roux-en-Y ... given mixed evidence of an increased risk of leakage from any bowel anastomosis created. This risk may vary according to the ... "Long Term Medical Issues associated after Roux-en-Y Gastric Bypass Procedure (RYGBP)" (PDF). SSMHealth. Archived from the ... given mixed evidence of increased risk of leakage from any bowel anastomosis created. An estimated 10-20% of people taking ...
"Long Term Medical Issues associated after Roux-en-Y Gastric Bypass Procedure (RYGBP)" (PDF). SSMHealth.. ... given mixed evidence of increased risk of leakage from any bowel anastomosis created.[33][34][35] ... Wilson JA, Romagnuolo J, Byrne TK, Morgan K, Wilson FA (2006). "Predictors of endoscopic findings after Roux-en-Y gastric ... ˈɛnsɛd/ EN-sed Synonyms. Nonsteroidal anti-inflammatory agents/analgesics (NSAIAs), Nonsteroidal anti-inflammatory medicines ( ...
Nisolle M, Paindaveine B, Bourdon A, Berlière M, Casanas-Roux F, Donnez J (June 1990). "Histologic study of peritoneal ... Most complications occurred in cases of low intestinal anastomosis, while risk of fistula occurred in cases of combined ...
... connection between blood vessels or other tubular or hollow structures such as loops of intestine is called anastomosis. ... Retrieved from "https://en.wikipedia.org/w/index.php?title=Surgery&oldid=897540481#Types_of_surgery" ...
Roux-en-Y choledochojejunostomy - indications same as Roux-en-Y hepaticojejunostomy. Roux-en-Y pancreas transplant Roux-en-Y ... In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct ... Roux-en-Ys are used in several operations and collectively called Roux operations. When describing the surgery, the Roux limb ... Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer. Roux-en-Y hepaticojejunostomy used to ...
Roux-en-y anastomosis definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look ... roux-en-y anastomosis in Medicine Expand. Roux-en-Y anastomosis (rōōěn-wī). n. A Y-shaped surgical connection that divides ...
Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis. Christopher L Kalmar, MD, MBA, Tananchai A Lucktong, MD, ... Roux-en-Y gastric bypass is the most commonly performed bariatric procedure in the world. Jejunojenual intussusception after ... surgical therapy with laparoscopic enteropexy of all limbs of the enteroenteric anastomosis in our experience allows same-day ...
Keyword(s): da Vinici robot, handsewn side-to-side anastomosis, intracorporeal anastomosis, JJ, JP drain, RNY, robotic ...
Single-anastomosis Duodeno Ileal Bypass (SADI) Versus Roux-en-Y Gastric Bypass (SADISLEEVE). The safety and scientific validity ... Since the laparoscopic Roux-en-Y gastric bypass (RYGB) was described in 1977, this restrictive and malabsorptive procedure has ... laparoscopic Roux-en-Y Gastric ByPass).. Similarly to the experimental group, RYGB will be performed as a primary procedure or ... Prospective Multicentric Randomized Trial Comparing the Efficacy and Safety of Single-anastomosis Duodeno Ileal Bypass With ...
Laparoscopic Roux-en-Y gastric bypass: double loop technique and linear anastomosis. A Cardoso Ramos Almino Cardoso Ramos, MD, ... Laparoscopic Roux-en-Y gastric bypass with circular anastomosis. This video presents a live demonstration of a laparoscopic ... Vieira dAlmeida demonstrates a stepwise robotic Roux-en-Y gastric bypass in a 51-year old female patient with a BMI of 51. ... Robotic assisted Roux-en-Y gastric bypass (RYBG): comments on the latest generation of robotic surgical system ...
... at the start of a low volume bariatric unit and analyze its impact as a preceding procedure to Roux-en Y gastric bypass (RYGB ... The aim of this study was to assess the learning curve of one anastomosis gastric bypass (OAGB-MGB) ... Lo, H. The learning curve of one anastomosis gastric bypass and its impact as a preceding procedure to Roux-en Y gastric bypass ... The learning curve of one anastomosis gastric bypass and its impact as a preceding procedure to Roux-en Y gastric bypass: ...
CSENDES J, Attila et al. Horizontal gastroplasty with Roux en Y anastomosis in morbidly obese patients. Preliminary results . ... Aim: To report the long term results of horizontal gastroplasty with Roux en Y anastomosis in morbidly obese subjects. Patients ... Conclusions: Horizontal gastroplasty with Roux en Y anastomosis achieved an adequate weight loss with a low rate of ... 6 kg/m2 have been subjected to a horizontal gastroplasty with Roux en Y anastomosis. During the study period, surgical ...
ERCP with the double balloon enteroscope in patients with Roux-en-Y anastomosis. Klaus Mönkemüller, Lucia C Fry, Michael ... Comparison between double-balloon and single-balloon enteroscopy in therapeutic ERC after Roux-en-Y entero-enteric anastomosis. ... Therapeutic endoscopic retrograde cholangiography using a single-balloon enteroscope in patients with Roux-en-Y anastomosis. ... Endoscopic retrograde cholangiography with a single-balloon enteroscope in patients with Roux-en-Y hepatico jejunal anastomosis ...
Roux-en-Y anastomosis. 4 (10.2). 46 (7.6). 0.53. Postoperative data. Retransplantation. 3 (7.7). 40 (6). 0.72. ...
Laparoscopic Roux-en-Y versus One Anastomosis Gastric Bypass on Remission of Diabetes in Morbid Obesity Ommolbanin Abed 1 , Ali ... Laparoscopic Roux-en-Y versus One Anastomosis Gastric Bypass on Remission of Diabetes in Morbid Obesity, J Minim Invasive Surg ... Keywords: Gastric Bypass; Roux-en-Y; Diabetes Mellitus,Type2; HbA1c; Obesity; One-Anastomosis Gastric Bypass (OAGB); Mini- ... Background: Laparoscopic one anastomosis gastric bypass (OAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are common ...
Application of side to side anastomosis between the lesser curvature of stomach and jejunum in laparoscopic Roux-en-Y gastric ... To evaluate the application of side-to-side anastomosis of the lesser curvature of stomach and jejunum in laparoscopic Roux-en- ... Side-to-side anastomosis of the lesser curvature of stomach and jejunum in LRYGB can manipulate the size of anastomosis ... The side-to-side anastomosis of the lesser curvature of stomach and jejunum avoided the laparoscopic suture. No ...
A standard Roux-en-Y gastric bypass is performed.. CONCLUSIONS: The resection of the gastrojejunal anastomosis allows ... INTRODUCTION: One anastomosis gastric bypass (OAGB) demonstrated results similar to traditional Roux-en-Y procedures [1-3], in ... Laparoscopic Conversion of One Anastomosis Gastric Bypass to a Standard Roux-en-Y Gastric Bypass.. ... We decided to convert the OAGB to a Roux-en-Y gastric bypass (RYGB). ...
La Pediatria Medica e Chirurgica (Medical and Surgical Pediatrics) [pISSN 0391-5387] is the official journal of the Italian Society of Pediatric Videosurgery and it is published online by PAGEPress®, Pavia, Italy ...
Antecolic versus retrocolic gastroenteric anastomosis for laparoscopic Roux-en-Y gastric bypass: a prospective randomized ... Antecolic versus retrocolic gastroenteric anastomosis for laparoscopic Roux-en-Y gastric b ... p,,b,OBJECTIVE,/b,To compare short-term postoperative outcomes between antecolic and retrocolic laparoscopic Roux-en-Y gastric ... gastroenteric anastomosis. Short-term outcomes were compared.,/p,,p,,b,RESULTS,/b,LRYGB procedures were successfully performed ...
Hand-sewn and Linear-stapled Roux-en-Y Gastric Bypass: Outcomes. *Roux-en-y Anastomosis Site ...
the reconstruction was performed by R-Y anastomosis. Procedure: R-Y reconstruction The reconstruction was performed by R-Y ... Benefit of Roux-en-Y (R-Y) Reconstruction After Pancreaticoduodenectomy. The safety and scientific validity of this study is ...
... clinicaltrials.gov Banded Versus Conventional Laparoscopic Roux-en-Y Gastric Bypass (GABY). The aim of this novel study is to ... Anastomosis, Roux-en-y. A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine ... Conventional laparoscopic Roux-en-Y gastric bypass, conventional laparoscopic Roux-en-Y gastric bypass with additional ... Roux-en-Y .... Laparoscopic Roux-en-Y Gastric Bypass Versus Laparoscopic Biliopancreatic Diversion (BPD)- Duodenal Switch for ...
Revision of Gastric Anastomosis or Restrictive Procedure. *Roux-En-Y Gastric Bypass Surgery ...
Revision of Gastric Anastomosis or Restrictive Procedure. *Revision Surgery. *Roux-En-Y Gastric Bypass Surgery ...
https://en.wikiversity.org/wiki/WikiJournal_of_Medicine/Medical_gallery_of_Blausen_Medical_2014. ... Retrieved from "https://en.wikiversity.org/w/index.php?title=WikiJournal_of_Medicine/Medical_gallery_of_Blausen_Medical_2014& ...
Anastomosis, Roux-en-Y * Anthropometry * Blood Glucose / metabolism * Body Mass Index * Cross-Sectional Studies ... The aim of this study was the evaluation of plasma ghrelin levels in patients who had undergone laparoscopic Roux-en-Y gastric ...
Gastric volvulus Total gastrectomy Gangrenous Roux-en-Y anastomosis This is a preview of subscription content, log in to check ... Exploratory laparotomy and total gastrectomy with oesophago jejunal Roux-en-Y anastomosis was done. Postoperative period was ...
ANASTOMOSIS, ROUX-EN-Y. INTESTINAL ABSORPTION. GLUCOSE TRANSPORT PROTEINS, FACILITATIVE. BILE. DIABETES MELLITUS, TYPE 2 ... ANASTOMOSE DE ROUX-EN-Y. ABSORPTION INTESTINALE. TRANSPORTEURS DE GLUCOSE PAR DIFFUSION FACILITÉE. BILE. DIABÈTE DE TYPE 2 ... For nearly a decade, the somewhat mysterious but spectacular benefit of metabolic surgery, and more specifically of Roux-en-Y ... La chirurgie bariatrique et notamment le Roux-en-Y Gastric Bypass (RYGB) ont montré des effets bénéfiques spectaculaires sur le ...
... is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum. This is ... Cesar Roux and his Roux-en-Y anastomosis]. Acta Gastroenterol Latinoam. 1993. 23(3):175-85. [Medline]. ... the technique of the Roux-en-Y anastomosis was introduced by Wolfer in 1883 and later popularized by Cesar Roux of Lausanne in ... an anastomosis of the high jejunal loop to the posterior surface of the stomach to avoid the long looped Roux-en-Y anastomosis ...
The effect of roux-en-Y vs. Omega-loop gastric bypass on liver, metabolic parameters, and weight loss. Obes Surg. 2016;26(9): ... Laparoscopic roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg. 2012;22(12 ... Laparoscopic roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled ... Greater weight loss with the omega loop bypass compared to the roux-en-Y gastric bypass: a comparative study. Obes Surg. 2014; ...
Figure 1: Diagrammatic representation of gastric bypass using a Roux-en-Y anastomosis. ... Patients who undergo Roux-en-Y surgery usually lose about 65 to 80% of their excess body weight in the first year after surgery ... Roux-en-Y bypass reducing the appetite of patient is supposed to be associated with increased satiety gut hormone ... Despite a major evolution in bariatric surgery over the past two decades, the Roux-en-Y gastric bypass procedure (RYGB) remains ...
Creation of an anastomosis between the stomach and jejunum leaves a segment of small bowel, most commonly consisting of ... Roux-en-Y gastrojejunostomy. For a Roux-en-Y gastrojejunostomy, the jejunum is divided several centimeters distal to the ... In these situations, the surgeon may be unable to gain enough mobility on the stomach and duodenum to create an anastomosis ... 60] This is the so-called uncut Roux-en-Y gastrojejunostomy. The procedure was developed to avoid Roux stasis syndrome, which ...
Objective Report a case of a patient who underwent total gastrectomy with Y-en-Roux anastomosis for a gastric carcinoid tumor ... Keywords : Alendronate; Esophageal stenosis; Anastomosis, Roux-en-Y; Esophagus [surgery]; Enteric ulceration. ... She was submitted to endoscopic examination that showed an esophageal ulceration, an enteric ulceration of the anastomosis and ... The patient was subsequently treated with esophagus-enteric anastomosis dilation. She improved in her general state and ...
  • For presentations without necrosis, surgical therapy with laparoscopic enteropexy of all limbs of the enteroenteric anastomosis in our experience allows same-day management with return to work and activities of daily living without recurrence. (sages.org)
  • Since the laparoscopic Roux-en-Y gastric bypass (RYGB) was described in 1977, this restrictive and malabsorptive procedure has become a gold standard for morbid obesity with an average Excess Weight Loss % (EWL%) of 72% at 2 years, and a strong metabolic effect, especially with regard to type 2 diabetes remission. (clinicaltrials.gov)
  • This corresponds to obese patients (BMI ≥40 kg/m2 or BMI ≥35 kg/m2 +/- co-morbidities (high blood pressure, dyslipidemia, obstructive sleep apnea, type 2 diabetes mellitus, arthrosis)) benefiting from a laparoscopic SADI-S (laparoscopic Single-anastomosis duodeno ileal bypass with Sleeve gastrectomy). (clinicaltrials.gov)
  • Laparoscopic one anastomosis gastric bypass (OAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are common treatments for morbid obese patients who suffer from type 2 diabetes mellitus (T2DM). (neoscriber.org)
  • The side-to-side anastomosis of the lesser curvature of stomach and jejunum avoided the laparoscopic suture . (bvsalud.org)
  • Side-to-side anastomosis of the lesser curvature of stomach and jejunum in LRYGB can manipulate the size of anastomosis accurately and avoid the laparoscopic suturing. (bvsalud.org)
  • Laparoscopic Conversion of One Anastomosis Gastric Bypass to a Standard Roux-en-Y Gastric Bypass. (cepia.team)
  • To compare short-term postoperative outcomes between antecolic and retrocolic laparoscopic Roux-en-Y gastric bypass (LRYGB). (bvsalud.org)
  • The aim of this study was the evaluation of plasma ghrelin levels in patients who had undergone laparoscopic Roux-en-Y gastric bypass (LRYGBP) and laparoscopic adjustable silicone gastric banding (LASGB). (nih.gov)
  • GABY is designed as an international, multi center, open, prospective, randomized study to compare two methods of bariatric surgery: Banded versus conventional laparoscopic Roux-en-Y gastric bypass. (bioportfolio.com)
  • Prospective randomized clinical trial aiming to compare laparoscopic Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) with primary outcome on excess weight loss, and secondary o. (bioportfolio.com)
  • The purpose of this study is to compare the outcome in a broad perspective after laparoscopic Roux-en-Y gastric bypass and laparoscopic BPD-duodenal switch in the treatment of superobesity. (bioportfolio.com)
  • The laparoscopic sleeve-gastrectomy (SG) compared to laparoscopic proximal Roux-Y-gastric bypass (PGB) is as successful in the treatment of morbid obesity in the majority of patients. (bioportfolio.com)
  • Short-Term Outcomes of Conversion of Failed Gastric Banding to Laparoscopic Sleeve Gastrectomy or Roux-En-Y Gastric Bypass: a Meta-Analysis. (bioportfolio.com)
  • This study describes a stepwise training program to teach a laparoscopic Roux-en-Y gastric bypass (LRYGB). (bioportfolio.com)
  • Outcomes following laparoscopic Roux-en-Y gastric bypass (LRYGB) vary by sex: Analysis of 83,059 women and men with morbid obesity. (bioportfolio.com)
  • Previously we have reported variation in pre-operative clinical characteristics between women and men undergoing laparoscopic roux-en-Y gastric bypass (LRYGB). (bioportfolio.com)
  • Laparoscopic diagnosis of retrograde peristalsis and intussusception in Roux-en-Y limb after laparoscopic gastrectomy: A case report. (bioportfolio.com)
  • Endoscopic Retrograde Cholangiopancreatography after Laparoscopic Roux-en-Y Gastric Bypass: A Case Series and Review of the Literature. (ebscohost.com)
  • Transumbilical Laparoscopic Roux-en-Y Gastric Bypass with Hand-Sewn Gastrojejunal Anastomosis. (ebscohost.com)
  • Transumbilical single-incision laparoscopic intracorporeal anastomosis for gastrojejunostomy: case report. (ebscohost.com)
  • Laparoscopic Roux-en-Y-Gastric Bypass (RYGB) was introduced in Germany in the mid-1990s. (frontiersin.org)
  • Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y gastric bypass: indications and preliminary results. (springer.com)
  • Weight loss, weight regain, and conversions to Roux-en-Y gastric bypass: 10-year results of laparoscopic sleeve gastrectomy. (springer.com)
  • The LADG, unlike TLDG, requires an epigastrium auxiliary incision for safe en bloc resection of the specimen and to finish the reconstruction of the digestive tract, while TLDG enables both resection and anastomosis to be performed intracorporeally using a laparoscopic technique. (termedia.pl)
  • However, it is noteworthy that intracorporeal anastomosis is an advanced laparoscopic procedure that involves a significant learning curve. (termedia.pl)
  • Yet, this is the first time to use laparoscopic Omega Loop (Lateral Doudenojejunostomy) with Braun anastomosis (Jejunojejunostomy) for treating this syndrome. (omicsonline.org)
  • The patient was planned for laparoscopic Omega loop with Braun anastomosis as treatment. (omicsonline.org)
  • Conclusion: To our knowledge laparoscopic Omega Loop with Braun anastomosis (double drainage) is the most appropriate surgical management of SMA syndrome in comparison to Roux En Y anastomosis or Lateral Doudenojejunostomy as our experience showed successful outcome. (omicsonline.org)
  • Laparoscopic Roux-en-Y gastric bypass with 2-metre long biliopancreatic limb for morbid obesity: technique and experience with the first 150 patients. (unboundmedicine.com)
  • Laparoscopic Roux-en-Y gastric bypass (RYGBP) is being performed widely as a treatment of choice for morbid obesity. (unboundmedicine.com)
  • AU - Leifsson,Björn Geir, AU - Gislason,Hjörtur Georg, PY - 2005/3/12/pubmed PY - 2005/4/6/medline PY - 2005/3/12/entrez SP - 35 EP - 42 JF - Obesity surgery JO - Obes Surg VL - 15 IS - 1 N2 - BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (RYGBP) is being performed widely as a treatment of choice for morbid obesity. (unboundmedicine.com)
  • Background: Laparoscopic Roux-en-Y gastric bypass (RYGB) is one of the most important bariatric surgical procedures performed around the world and it can produce an important lose of weight with reversal of metabolic disorders like diabetes and dyslipidemia. (medworm.com)
  • We report an outcome analysis of our early results with laparoscopic Roux-en-Y gastric bypass for superobese (BMI >50) patients. (ebscohost.com)
  • Laparoscopic Roux-en-Y gastric bypass surgery for superobese patients as performed in the community hospital setting can be both safe and effective with respect to overall postoperative course, early weight loss, and reduction of comorbidity. (ebscohost.com)
  • The reported learning curve for laparoscopic Roux-en-Y gastric bypass (LRYGB) is 20-100 cases. (ebscohost.com)
  • Comparison of Gastrojejunal Anastomosis Techniques in Laparoscopic Roux-en-Y Gastric Bypass: Gastrojejunal Stricture Rate and Effect on Subsequent Weight Loss. (ebscohost.com)
  • Background: Different gastrojejunal anastomotic (GJA) techniques have been described in laparoscopic Roux-en-Y gastric bypass (LRYGB). (ebscohost.com)
  • Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Achieve Comparable Weight Loss at 1 Year. (ebscohost.com)
  • Although initial studies have shown weight loss and comorbidity resolution comparable to those after laparoscopic Roux-en-Y gastric bypass (RYGB), many of these studies are limited. (ebscohost.com)
  • The most commonly performed bariatric procedures are the Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, and the sleeve gastrectomy. (aapc.com)
  • Small bowel obstruction due to retrograde intussusception after laparoscopic Roux-en-Y gastric bypass. (semanticscholar.org)
  • A 39-year-old female presented 4 years after laparoscopic Roux-en-Y gastric bypass with colicky abdominal pain, vomiting and inability to pass flatus. (semanticscholar.org)
  • Anterograde intussusception following laparoscopic Roux-en-Y gastric bypass: a case report and review of the literature. (semanticscholar.org)
  • Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention. (semanticscholar.org)
  • Background: Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is a commonly performed surgical intervention for morbid obesity. (mendeley.com)
  • The intervention starts by restoring the normal anatomy of the small bowel, with the resection of the gastrojejunal anastomosis, which was located at 250-cm du Treitz's ligament. (cepia.team)
  • The resection of the gastrojejunal anastomosis allows fashioning the Roux-en-Y limb with the classical measures. (cepia.team)
  • Pure transumbilical SILS gastric bypass with mechanical circular gastrojejunal anastomosis feasibility. (ebscohost.com)
  • Additional data are necessary to evaluate the long-term effect of linear versus hand-sewn and versus circular-stapled gastrojejunal anastomosis regarding pouch dilatation, small bowel dilatation, and consecutive weight loss. (frontiersin.org)
  • The primary goal of the study was to compare the short-term follow-up rates for the different techniques of gastrojejunal anastomosis in RYGB. (frontiersin.org)
  • The wire-less BRAVO ™ -capsule was positioned at the level of the gastrojejunal anastomosis under visual control with the endoscope. (diva-portal.org)
  • The aim of this study was to assess the learning curve of one anastomosis gastric bypass (OAGB-MGB) at the start of a low volume bariatric unit and analyze its impact as a preceding procedure to Roux-en Y gastric bypass (RYGB). (biomedcentral.com)
  • As a standard procedure, Roux-en Y gastric bypass (RYGB) is technically challenging and takes a steep learning curve to achieve proficiency. (biomedcentral.com)
  • OAGB-MGB comprises all the major steps that are involved in RYGB (stapling, suturing, etc.) except for one less anastomosis (jejunojejunostomy) and lower placed gastrojejunostomy, which obviate the need for omentum division and make suturing more accessible and less cumbersome. (biomedcentral.com)
  • We decided to convert the OAGB to a Roux-en-Y gastric bypass (RYGB). (cepia.team)
  • La chirurgie bariatrique et notamment le Roux-en-Y Gastric Bypass (RYGB) ont montré des effets bénéfiques spectaculaires sur le contrôle glycémique remettant en perspective la prise en charge médicale du DT2. (academie-medecine.fr)
  • For nearly a decade, the somewhat mysterious but spectacular benefit of metabolic surgery, and more specifically of Roux-en-Y gastric bypass (RYGB), on glucose control has called into question the current paradigm of T2D management. (academie-medecine.fr)
  • Despite a major evolution in bariatric surgery over the past two decades, the Roux-en-Y gastric bypass procedure (RYGB) remains the most effective bariatric operation in the United States [ 2 ]. (hindawi.com)
  • The objective was to investigate the effect of Roux-en-Y gastric bypass (RYGB) on biodistribution of sodium pertechnetate (Na 99m Tc - ) in organs and tissues of rats. (scielo.br)
  • The RYGB group rats were submitted to the Roux-en-Y gastric bypass and the control group rats were not operated. (scielo.br)
  • ERCP in patients that have undergone Roux-en-Y gastric bypass (RYGB) is particularly challenging because traditional transoral endoscopy may be. (ebscohost.com)
  • Data collection began in 2005 for the results of Roux-en-Y-Gastric Bypass (RYGB). (frontiersin.org)
  • This study aims to demonstrate the outcomes of LSG conversions to Roux-en-Y gastric bypass (RYGB), double anastomosis duodenal switch (DS), and single anastomosis duodeno-ileal sleeve (SADI-S) due to weight regain. (springer.com)
  • Of 21 patients, 6 underwent a conversion to RYGB, 9 underwent a conversion to SADI-S, and 6 underwent a conversion to double anastomosis DS. (springer.com)
  • Conversions of LSG to RYGB, double anastomosis DS, and SADI-S are safe and can provide significant additional weight loss. (springer.com)
  • Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. (uhhospitals.org)
  • This case series demonstrates our experience with intractable GERD management after SG with conversion of SG to Roux-en-Y gastric bypass (RYGB). (medworm.com)
  • Background: Gastrogastric fistula (GGF) is a complication of Roux-en-Y gastric bypass (RYGB) that is associated with weight regain. (medworm.com)
  • Roux-en-Y gastric bypass (RYGB) operation has become a popular choice for weight-reduction surgery. (ebscohost.com)
  • The article offers steps on how to convert a laparoscoping adjustable gastric band (LAGB) procedure to a Roux-en-Y gastric bypass (RYGB). (ebscohost.com)
  • When describing the surgery, the Roux limb is the efferent or antegrade limb that serves as the primary recipient of food after the surgery, while the hepatobiliary or afferent limb that anastomoses with the biliary system serves as the recipient for biliary secretions, which then travel through the excluded small bowel to the distal anastomosis at the mid jejunum to aid digestion. (wikipedia.org)
  • Clinical data of 29 patients with type 2 diabetes mellitus (T2DM) undergoing side to side anastomosis of the lesser curvature of stomach and jejunum in LRYGB from May 2012 to November 2012 in Department of General Surgery , Beijing Tiantan Hospital , Capital Medical University were analyzed retrospectively. (bvsalud.org)
  • Gastrojejunostomy is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum. (medscape.com)
  • In chronic gastric fistula rats provided with a duodenal loop anastomosed to the jejunum (Roux-en-Y), maximal stimulation of acid secretion by continuous intravenous infusion of pentagastrin produced a 15-fold increase of gastric histidine decarboxylase activity. (curehunter.com)
  • A hepaticojejunostomy is a surgical procedure to make a connection (anastomosis) between the hepatic duct and the jejunum, which is the middle portion of the small intestine. (medicinenet.com)
  • Two meters of the proximal jejunum were bypassed (BP-limb), creating an antecolic Roux-en-Y gastro-jejunostomy to the posterior wall of the gastric tube using a 45-mm linear Endo-GIA stapler. (unboundmedicine.com)
  • Pada total gastrectomi dilakukan rekonstruksi dengan cara : $ Interposisi jejunum, anastomosis esofago jejunostomi end to side dan duodeno jejunostomi end to end. (scribd.com)
  • A small, 15 to 30 mL gastric pouch is created to restrict food intake, and a Roux-en-Y anastomosis bypasses the duodenum and proximal jejunum. (aapc.com)
  • The other end of the small intestine is attached (anastomosis) back to the small intestine (jejunum). (bonsecourscommunityhosp.org)
  • Roux-en-Y hepaticojejunostomy used to treat (macroscopic) bile duct obstruction which may arise due to: a common bile duct tumour or hepatic duct tumour (e.g. resection of cholangiocarcinoma) a bile duct injury (e.g. cholecystectomy, iatrogenic, trauma) an infection/inflammation (e.g. pancreatic pseudocyst) Roux-en-Y choledochojejunostomy - indications same as Roux-en-Y hepaticojejunostomy. (wikipedia.org)
  • Roux-en-Y hepaticojejunostomy or choledochojejunostomy with gastrojejunostomy as palliation for irresectable pancreatic head cancer. (wikipedia.org)
  • Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy. (qxmd.com)
  • Since 1972, 41 patients have had cyst excision with hepaticojejunostomy using a 40-cm Roux loop without an antireflux procedure. (biomedsearch.com)
  • The lesion was stented giving temporary relief but subsequent blockage necessitated a hepaticojejunostomy with Roux-en-Y. Pathological examination of the excised CBD showed the presence of widespread chronic inflammation and fibrosis most likely secondary to radiation. (ispub.com)
  • The common bile duct was excised and a hepaticojejunostomy performed, with Roux-en-Y anastomosis. (ispub.com)
  • A hepaticojejunostomy, or Roux-en-Y procedure, bypasses the bile duct to allow digestive juices to drain from the liver directly into the small intestine. (medicinenet.com)
  • This technique is called the Roux-en-Y hepaticojejunostomy. (medicinenet.com)
  • Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. (laparoscopyhospital.com)
  • We did a robotic adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. (laparoscopyhospital.com)
  • A very interesting and motivating topic on Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. (laparoscopyhospital.com)
  • Horizontal gastroplasty with Roux en Y anastomosis achieved an adequate weight loss with a low rate of complications in this group of morbidly obese subjects. (conicyt.cl)
  • No gastrojejunostomy anastomotic bleeding , fistula , obstruction and other complications occurred after operation and no complications of gastrojejunostomy anastomosis were found during a follow up of 1 to 7 months. (bvsalud.org)
  • One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. (springer.com)
  • A 100-mm long Hanarostent[R] Esophagus Benign BS (CCC) (EBN22080-Z070) stent was used for complications with esophagojejunostomy anastomosis after gastric cancer surgery. (thefreelibrary.com)
  • Revisional strategies after long-term complications of single-anastomosis DS are also not reported in the literature. (asmbs.org)
  • Is the Roux limb a determinant for meal size after gastric bypass surgery? (wikipedia.org)
  • The surgeon then attaches this pouch directly to part of the small intestine called the Roux limb. (uhhospitals.org)
  • You may also have leaks from the stomach pouch or the Roux limb. (uhhospitals.org)
  • One end of the small intestine (the Roux limb) is brought up to the stomach pouch, and a small connection (anastomosis) is made between them. (uhhospitals.org)
  • The authors reporting on the SADI-S procedure have raised intestinal adaptation, enteritis, gas bloat, unclear optimal limb lengths, and weight regain as potential long-term concerns unique to the single-anastomosis modification [2]. (asmbs.org)
  • Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer. (wikipedia.org)
  • A novel technique combining the physiological advantages of pylorus preservation and the technical benefits of single-loop reconstruction was introduced in 2007 by Sanchez-Pernaute, who described the single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) as an evolution of the BPD-DS. (clinicaltrials.gov)
  • Exploratory laparotomy and total gastrectomy with oesophago jejunal Roux-en-Y anastomosis was done. (springer.com)
  • Objective Report a case of a patient who underwent total gastrectomy with Y-en-Roux anastomosis for a gastric carcinoid tumor and developed an esophagus-enteric anastomosis ulceration after the use of alendronate. (scielo.br)
  • Revision of sleeve gastrectomy to Roux-en-Y gastric bypass: a Canadian experience. (springer.com)
  • Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass is effective for gastro-oesophageal reflux disease but not for further weight loss. (springer.com)
  • Currently, the most common bariatric procedures performed at UAB are sleeve gastrectomy and Roux-en-Y gastric bypass. (appliedradiology.com)
  • If barium esophagography reveals significant esophageal dysmotility or GER, further testing may be indicated and Roux-en-Y gastric bypass may be a better option, since sleeve gastrectomy can worsen both of these conditions. (appliedradiology.com)
  • The single-anastomosis duodenal switch (SADS), also known as the single-anastomosis loop duodenal switch (LDS), single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S), and stomach intestinal pylorussparing surgery (SIPS), have recently emerged worldwide as a new bariatric and metabolic procedure. (asmbs.org)
  • Several procedures have been described, but the two predominant operations are Billroth I gastroduodenostomy and Roux-en-Y gastrojejunostomy. (medscape.com)
  • Roux-en-Y gastric bypass is the most commonly performed bariatric procedure in the world. (sages.org)
  • Although retrocolic procedure may be closer to anatomical structure, antecolic and retrocolic anastomosis have comparable short-term outcomes after surgery . (bvsalud.org)
  • Single-port Roux-en-Y gastric bypass: toward a less invasive procedure with the same surgical results and a better cosmesis. (ebscohost.com)
  • Roux-en-Y-Gastric Bypass is a popular procedure in Germany. (frontiersin.org)
  • An alternative procedure is hepaticoduodenostomy, which creates an anastomosis between the hepatic duct and the duodenum, the beginning portion of the small intestine. (medicinenet.com)
  • Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? (ebscohost.com)
  • The Roux-en-Y gastric bypass procedure (RYGBP) is in many countries the gold standard for obtaining long-lasting weight reduction and improvement of obesity-related comorbidities. (ebscohost.com)
  • THIS MONTH'S TECHNIQUE: How to Convert an Adjustable Gastric Band Procedure to a Roux-en-Y Gastric Bypass. (ebscohost.com)
  • The Roux-en-Y gastric bypass combines a restrictive component and a limited proximal intestinal bypass, and is the most common bariatric procedure performed in the United States. (aapc.com)
  • The average excess weight loss after the Roux-en-Y procedure is generally higher in a compliant patient than with purely restrictive procedures. (bonsecourscommunityhosp.org)
  • A roux en Y gastro-entero-anastomosis was performed in 2 patients for early gastric stenosis. (omicsonline.org)
  • The exposure of the distal esophagus is essential for achieving an appropriate esophageal resection margin and for constructing a safe anastomosis in the lower mediastinum by the transhiatal approach. (springer.com)
  • surgery with resection of the stenotic segment and re-anastomosis or choledochoenterostomy (e.g. (radiopaedia.org)
  • The mini gastric bypass is also known as the one anastomosis gastric bypass. (springer.com)
  • The IFSO has agreed that the standard nomenclature should be the mini gastric bypass-one anastomosis gastric bypass (MGB-OAGB). (springer.com)
  • CAD may be removed at the end of the surgery, or left in place for 3-4 days postoperative to provide a safe and fast access for anastomosis inspection as well to reduce the endo-luminal pressure. (bioportfolio.com)
  • PURPOSE: Postoperative abdominal pain after Roux en Y gastric bypass associated with gastro esophageal reflux is difficult to manage. (bireme.br)
  • A circular anastomosis was performed in 1587 patients, and a linear anastomosis was performed in 2734 patients. (frontiersin.org)
  • The study took place from January 2009 to December 2011 and we retrospectively assessed 15 patients with Roux-en-Y HJA who had signs of biliary obstruction. (qxmd.com)
  • Use of a single-balloon enteroscope compared with variable-stiffness colonoscopes for endoscopic retrograde cholangiography in liver transplant patients with Roux-en-Y biliary anastomosis. (qxmd.com)
  • A hepatotomy was done at the hilar plate, and the biliary duct was dissected and anastomosed to a Roux-en-Y jejunal loop. (hindawi.com)
  • Diagrammatically, the Roux-en-Y anastomosis looks a little like the letter Y. Typically, the two upper limbs of the Y represent (1) the proximal segment of stomach and the distal small bowel it joins with and (2) the blind end that is surgically divided off, and the lower part of the Y is formed by the distal small bowel beyond the anastomosis. (wikipedia.org)
  • The following statement is issued by the American Society for Metabolic and Bariatric Surgery (ASMBS) in response to numerous inquiries made to the Society by patients, physicians, society members, hospitals, and others regarding single-anastomosis duodenal switch as a primary treatment for obesity or metabolic disease. (asmbs.org)
  • Single-anastomosis duodenal switch procedures are considered investigational at present. (asmbs.org)
  • In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct the gastrointestinal tract. (wikipedia.org)
  • ileorectal anastomosis surgical anastomosis of the ileum and rectum after total colectomy, as is sometimes performed in the treatment of ulcerative colitis. (thefreedictionary.com)
  • intestinal anastomosis establishment of a communication between two formerly distant portions of the intestine. (thefreedictionary.com)
  • Devido a alta prevalência da Doença Hepática Gordurosa Não Alcoólica (DHGNA) em pacientes portadores de obesidade grave e os escassos conhecimentos acerca de sua evolução para doença crônica do fígado após cirurgias bariátricas, foram objetivos deste estudo avaliar os efeitos da cirurgia gastrorredutora com derivação intestinal em Y de Roux Cirurgia de Fobi-Capella) sobre DHGNA após 24 meses. (usp.br)
  • dog ears, combined with direct inspection of the anastomosis, easy performance of trans-anal air leak tests and eventually direct repair of any small anastomotic defects. (bioportfolio.com)
  • The rectal anastomosis was carefully inspected trans-anally then tested intraoperatively by air leak test through trans-anal air insufflation with the pelvis immersed with physiological saline to detect bubbles, and competence of donuts. (bioportfolio.com)
  • However morbidity is till high and dominated particularly by leak of esophagocolic anastomosis [ 7 , 8 ]. (omicsonline.org)
  • The cause of jejunojejunal intussusception, a rare complication after Roux-en-Y gastric surgery, remains unclear. (bioportfolio.com)
  • Jejunojejunal intussusception after Roux-en-Y gastric bypass: a review. (semanticscholar.org)
  • Antiperistaltic and isoperistaltic intussusception associated with abnormal motility after Roux-en-Y gastric bypass: a case report. (semanticscholar.org)
  • Roux-en-Y pancreas transplant Roux-en-Y pancreas reconstruction after blunt abdominal trauma. (wikipedia.org)
  • To avoid this complication, the technique of the Roux-en-Y anastomosis was introduced by Wolfer in 1883 and later popularized by Cesar Roux of Lausanne in 1887. (medscape.com)
  • One the basis of his anatomic studies, Petersen recommended an anastomosis of the high jejunal loop to the posterior surface of the stomach to avoid the long looped Roux-en-Y anastomosis. (medscape.com)
  • Robotic Roux-en-Y gastric bypass with hand sewn anastomosis (with video). (nih.gov)
  • The leakage rate for the linear technique is 1.6%, and the leakage rate is 1.2% for circular anastomosis, and 1.4% for hand-sewn technique. (frontiersin.org)
  • To evaluate single balloon enteroscopy in diagnostic and therapeutic endoscopic retrograde cholangiography (ERC) in patients with Roux-en-Y hepaticojejunoanastomosis (HJA). (qxmd.com)
  • Endoscopic retrograde cholangiography with a single-balloon enteroscope in patients with Roux-en-Y hepatico jejunal anastomosis]. (qxmd.com)
  • Therapeutic endoscopic retrograde cholangiography using a single-balloon enteroscope in patients with Roux-en-Y anastomosis. (qxmd.com)
  • Single balloon enteroscopy (SBE) assisted therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in patients with roux-en-y anastomosis. (qxmd.com)
  • RESULTS: At long-term evaluation, 2 of 91 patients (2.2%) were lost and 1 patient underwent Roux-en-Y gastric bypass. (bvsalud.org)
  • She was submitted to endoscopic examination that showed an esophageal ulceration, an enteric ulceration of the anastomosis and an esophageal stenosis. (scielo.br)
  • Horizontal gastroplasty with Roux en Y anastomosis in morbidly obese patients. (conicyt.cl)
  • Fifty patients with an initial body mass index of 41.3 ± 6 kg/m 2 have been subjected to a horizontal gastroplasty with Roux en Y anastomosis. (conicyt.cl)
  • ERCP with the double balloon enteroscope in patients with Roux-en-Y anastomosis. (qxmd.com)
  • All patients were randomly assigned to undergo antecolic (group A, 20 cases) and retrocolic (group B, 20 cases) gastroenteric anastomosis. (bvsalud.org)
  • One-anastomosis gastric bypass by laparoscopy: results of the first 209 patients. (springer.com)
  • There are currently 4 published studies on single-anastomosis DS procedures (prospective or retrospective case series) with 222 total patients (including second-stage patients) with follow-up from 18 months to 5 years [3-6]. (asmbs.org)
  • An innovative technique using a percutaneously placed guidewire allows for higher success rate for ERCP compared to balloon enteroscopy assistance in Roux-en-Y gastric bypass anatomy. (mayo.edu)
  • The pH in the proximal pouch after Roux-en-Y gastric bypass (RYGBP) was investigated with catheter-based and wire-less technique. (diva-portal.org)
  • During the study period, surgical techniques were modified, reducing the gastric pouch size, adding a truncal vagotomy, cholecystectomy, and increasing the length of the Roux en Y loop from 70 to 100 cm. (conicyt.cl)
  • Hepatic-jejunostomy was performed with Roux-en-Y and cholecystectomy. (scielo.cl)
  • The patient was subsequently treated with esophagus-enteric anastomosis dilation. (scielo.br)
  • How do I get ready for Roux-en-Y gastric bypass surgery? (uhhospitals.org)
  • Reply to: What Causes Late Perforation of the Jejuno-Jejunal Anastomosis After Roux-en-Y Gastric Bypass Surgery? (semanticscholar.org)
  • Radical excision of the lesion and a Roux-en-Y loop bilio-enteric anastomosis was performed. (biomedsearch.com)
  • We performed Braun anastomosis later on in order to connect the two limbs of the Omega loop that had been created by the previous team. (omicsonline.org)
  • 2. anastomosis of two sections of colon, such as with partial colectomy or when an ileostomy is closed. (thefreedictionary.com)
  • 2. anastomosis of two sections of colon, as with partial colectomy or closure of an ileostomy. (thefreedictionary.com)
  • It consisted of resecting the redundant colon and performing an end-to-end anastomosis. (omicsonline.org)
  • The amelioration of comorbidities is not influenced by the anastomosis technique. (frontiersin.org)