Gastric Bypass: 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.Surgical Stapling: A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.Anastomosis, Surgical: 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.Surgical Staplers: 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)Enterostomy: Creation of an artificial external opening or fistula in the intestines.Anastomosis, Roux-en-Y: A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Obesity, Morbid: The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2.Colonic Pouches: Sacs or reservoirs created to function in place of the COLON and/or RECTUM in patients who have undergone restorative proctocolectomy (PROCTOCOLECTOMY, RESTORATIVE).Anastomotic Leak: 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.Gastroplasty: Surgical procedures involving the STOMACH and sometimes the lower ESOPHAGUS to correct anatomical defects, or to treat MORBID OBESITY by reducing the size of the stomach. There are several subtypes of bariatric gastroplasty, such as vertical banded gastroplasty, silicone ring vertical gastroplasty, and horizontal banded gastroplasty.Bariatric Surgery: Surgical procedures aimed at affecting metabolism and producing major WEIGHT REDUCTION in patients with MORBID OBESITY.Laparoscopy: 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.Weight Loss: Decrease in existing BODY WEIGHT.Remission Induction: Therapeutic act or process that initiates a response to a complete or partial remission level.Treatment Outcome: 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.Obesity: A status with BODY WEIGHT that is grossly above the acceptable or desirable weight, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).Cystadenoma: A benign neoplasm derived from glandular epithelium, in which cystic accumulations of retained secretions are formed. In some instances, considerable portions of the neoplasm, or even the entire mass, may be cystic. (Stedman, 25th ed)Cystadenoma, Mucinous: A multilocular tumor with mucin secreting epithelium. They are most often found in the ovary, but are also found in the pancreas, appendix, and rarely, retroperitoneal and in the urinary bladder. They are considered to have low-grade malignant potential.Cystadenocarcinoma: A malignant neoplasm derived from glandular epithelium, in which cystic accumulations of retained secretions are formed. The neoplastic cells manifest varying degrees of anaplasia and invasiveness, and local extension and metastases occur. Cystadenocarcinomas develop frequently in the ovaries, where pseudomucinous and serous types are recognized. (Stedman, 25th ed)Cystadenoma, Serous: A cystic tumor of the ovary, containing thin, clear, yellow serous fluid and varying amounts of solid tissue, with a malignant potential several times greater than that of mucinous cystadenoma (CYSTADENOMA, MUCINOUS). It can be unilocular, parvilocular, or multilocular. It is often bilateral and papillary. The cysts may vary greatly in size. (Dorland, 27th ed; from Hughes, Obstetric-Gynecologic Terminology, 1972)Adenoma, Bile Duct: A benign tumor of the intrahepatic bile ducts.Bile Duct Neoplasms: Tumors or cancer of the BILE DUCTS.Biliary Tract Neoplasms: Tumors or cancer in the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.Cystadenoma, Papillary: A benign neoplasm of the ovary.Bile Ducts, Intrahepatic: Passages within the liver for the conveyance of bile. Includes right and left hepatic ducts even though these may join outside the liver to form the common hepatic duct.Bile Ducts, Extrahepatic: Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).ConnecticutGeneral Surgery: A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Hernia, Hiatal: STOMACH herniation located at or near the diaphragmatic opening for the ESOPHAGUS, the esophageal hiatus.Abdominal Wall: 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.Schools, Medical: Educational institutions for individuals specializing in the field of medicine.Faculty, Medical: The teaching staff and members of the administrative staff having academic rank in a medical school.Schools: Educational institutions.Anthropology: The science devoted to the comparative study of man.Surgical Mesh: Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal.

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)

*Gastric bypass surgery

Leakage of an anastomosis can occur in about 2% of Roux-en-Y gastric bypass and less than 1% in mini gastric bypass. Leaks ... Adjustable gastric banding surgery Duodenal Switch surgery Roux-en-Y anastomosis Vagotomy-Cutting of the vagus nerve to reduce ... 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 ...

*Roux-en-Y anastomosis

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 ...

*Stump blow-out

Roux-en-Y anastomosis "Stump blow-out". The Free Medical Dictionary. Farlex. Retrieved 14 September 2013. Zivic, Edward ( ...

*Double-balloon enteroscopy

"Therapeutic ERCP with the double-balloon enteroscope in patients with Roux-en-Y anastomosis". Gastrointestinal endoscopy. 67 (6 ...

*C. Everett Koop

Roux-en-Y Anastomosis and Ileostomy Irrigation with Pancreatic Enzymes". Annals of Surgery. 145 (3): 404-414. doi:10.1097/ ...

*List of MeSH codes (E04)

File "2006 MeSH Trees".) MeSH E04.035.070 --- anastomosis, roux-en-y MeSH E04.035.087 --- arteriovenous shunt, surgical MeSH ... 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

Anatomical terms of location Billroth II Roux-en-Y anastomosis "Gastroduodenostomy - procedure, recovery, blood, tube, removal ...

*Anastomosis

Other examples include Roux-en-Y anastomosis or ureteroureterostomy. Pathological anastomosis results from trauma or disease ... Arterial anastomosis includes actual arterial anastomosis (e.g., palmar arch, plantar arch) and potential arterial anastomosis ... An anastomosis (plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are ... Anastomosis: medical or Modern Latin, from Greek ἀναστόμωσις, anastomosis, "outlet, opening", Gr ana- "up, on, upon", stoma " ...

*Choledochal cysts

... 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 ...

*Endoscopic retrograde cholangiopancreatography

... 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). The major risk of an ERCP is the development of pancreatitis, ...

*Mirizzi's syndrome

Cholecystectomy and bilioenteric anastomosis may be required. Roux-en-Y hepaticojejunostomy has shown good outcome in some ...

*SIPS surgery

... Image 1. Greater weight loss than sleeve gastrectomy (SG). 2. Greater weight loss than Roux-en-Y gastric bypass ( ... The SIPS involves the creation of a 300-cm common channel with a single-anastomosis duodenal enterostomy. ... No Roux limb side effects.[citation needed] 8. Similar nutritional problems to RYGB and less than DS.[citation needed] 9. Low ...

*Superior mesenteric artery syndrome

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. ...

*Billroth II

Billroth I Roux-en-Y Morgan, Matt A. "Billroth II gastrojejunostomy , Radiology Reference Article , Radiopaedia.org". ... in which the greater curvature of the stomach is connected to the first part of the jejunum in end-to-side anastomosis. This ...

*Jejunojejunostomy

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 ...

*Gastrectomy

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 ...

*Mohit Bhandari

"Comparison Between Banded and Nonbanded Roux-En-Y Gastric Bypass with 2-Year Follow-Up: A Preliminary Retrospective Analysis". ... He is also the first in India to perform single anastomosis duodenal-ileal switch. Bhandari is also the youngest surgeon to ...

*Bariatric surgery

... and complications from laparoscopic Roux-en-Y surgery are lower than conventional (open) Roux-en-Y surgery. The position of the ... It involved anastomosis of the upper and lower intestine, which bypasses a large amount of the absorptive circuit, which caused ... 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 ... It has been found to be comparable in effectiveness to Roux-en-Y gastric bypass. Intragastric balloon involves placing a ...

*Elbow

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 ...

*Nonsteroidal anti-inflammatory drug

Wilson JA, Romagnuolo J, Byrne TK, Morgan K, Wilson FA (2006). "Predictors of endoscopic findings after Roux-en-Y gastric ... 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. M. L. Kowalski, R. ... given mixed evidence of increased risk of leakage from any bowel anastomosis created. An estimated 10-20% of NSAID patients ...
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. ...
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 ...
BACKGROUND: With loss of continuity of the bile ducts after injury, surgery is the only feasible treatment option. Roux-en-Y hepatojejunostomy is the best choice. The use of transhepatic and transanastomotic tubes is still controversial. We evaluated patients who were operated on in which a transhepatic, transanastomotic tube was used because the characteristics of the ducts were inadequate. METHODS: We conducted a retrospective, descriptive study between January 1995 and December 2006 for patients with iatrogenic bile duct injuries with a Roux-en-Y hepatojejunostomy and with placement of a transhepatic and transanastomotic tube ...
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 ...
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…
Background: Roux-en-Y reconstruction excludes the afferent limb and the biliopancreatic system from conventional endoscopic access. Postoperative problems in these excluded gastrointestinal systems are therefore often dealt with surgically. We investigated the usefulness of the therapeutic double-balloon enteroscope to perform interventional endoscopic procedures in the excluded segment of the gastrointestinal tract after Roux-en-Y reconstruction. Methods: 30 procedures were performed in 22 patients with Roux-en-Y reconstruction after enterobiliary anastomosis, gastrectomy or bariatric gastric bypass. All procedures were performed with the therapeutic double-balloon enteroscope, under general anesthesia and with fluoroscopic control. Results: ERCP at the enterobiliary anastomosis was successful in 90% (n = 10) of the procedures. ERCP at the intact papilla was successful in 60% (n = 5). Enterocutaneous fistula closure after (sub)total gastrectomy was performed in 2 procedures. Successful ...
Video Endoscopic Sequence 3 of 4.. Gastric Adenocarcinoma. Gastro-jejunal anastomosis. Later that year, while operating on a case of pyloric carcinoma, Wolfer noted extension of the growth into the pancreas. Because gastrectomy was not possible, he went on to perform the first successful palliative gastrojejunostomy.. When Billroth attempted the same procedure, his patient succumbed to symptoms and postmortem findings of what is today known as afferent loop syndrome. 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.. In 1885, when Billroth encountered a large pyloric tumor during laparotomy, instead of a gastroduodenostomy, he anastomosed a loop of jejunum to the stomach proximal to the growth because the patient was not fit for primary resection due to malnourishment secondary to gastric outlet obstruction. In the second stage, Billroth resected the tumor and closed the cut ends of ...
Background: Laparoscopic Roux-en-Y gastric (RYGB) bypass is the most common Bariatric procedure performed in the US. Postoperative gastrointestinal bleeding occurs in approximately 1% of all procedures. We report our experience with the rare complication of intraluminal gastrointestinal hemorrhage leading to an obstructing intraluminal blood clot at the jejunojejunostomy (JJ) following RYGB.. Methods: Two cases of laparoscopic RYGB performed at separate institutions by different surgeons were reviewed. The patient demographics, signs and symptoms, day of presentation, diagnostic imaging, laboratory work, operative findings and perioperative sequelae were compared.. Results: Both patients were women, 46 and 49 years old with BMIs of 42.3 and 39.7 kgm-2, respectively. Onset of symptoms was on post-operative day (POD) #2. Bilous vomiting, abdominal pain, and tachycardia were present in both patients. Patient 1 was an inpatient when her symptoms developed. An emergent laparotomy revealed a ...
Roux-en Y, Weight Loss and Post-operative Care The Roux-en Y Gastric Bypass (RNYGB) procedure is in many ways todays preferred bariatric (weight loss)
HypothesisLaparoscopic Roux-en-Y gastric bypass is a complex procedure performed on a high-risk patient population. Good results can be attained with experience
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]...
Gastric Bypass uses restriction and malabsorption to help you eat less and feel full, thus reducing your caloric intake. A small pouch is made at the top of the stomach (restriction) and a section of small intestine is bypassed (malabsorption). In Open Roux-en-Y Gastric Bypass, this is performed through an incision. However, you may be a candidate for the less invasive, Laparoscopic Roux-en-Y Gastric Bypass.. ...
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 ...
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.
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
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. ...
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.\ ...
The reasons that gastrectomy was performed were adenocarcinoma in 41 cases, benign disease in three cases and gastrointestinal stromal tumor in one case, and the types of surgery were distal gastrectomy (40), total gastrectomy (four) and pylorus-preserving gastrectomy (one). Among the distal gastrectomies, Billroth I (25) was the most frequent procedure, followed by uncut Roux-en-Y gastrojejunostomy (14) and Billroth II (one), respectively. The mean operation time was 314 minutes, the mean anastomotic time was 41 minutes, the mean number of staples used was eight, and the mean estimated blood loss was 150 ml. There was no case of conversion to an open procedure. The first flatus was observed at 2.9 days, and liquid diet was started at 3.7 days. The mean number of postoperative analgesic use, except for patient-controlled analgesia (PCA), was 1.4 times, and the mean postoperative hospital stay was 11 days. Postoperative complication occurred in six patients (13.3 %), but no postoperative ...
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 ...
To the best of our knowledge, this is the first series of patients that underwent a laparoscopic adjustable gastric banded Roux-en-Y gastric bypass as a primary operation for the super-super obese in the indexed literature.. Prosthetic devices have been used in bariatric operations to control the outlet of the gastric pouch and thus induce restriction to help maintain weight loss. Initial devices commonly employed in vertical banded gastroplasties (VBG) included a fixed diameter silastic ring or even mesh prostheses. In 1991 the group of Capella was the first to describe the vertical banded gastroplasty-gastric bypass with a 5.5 cm supporting band around a small gastric pouch [23]. In that same year, Fobi et al published their results with the silastic ring vertical banded gastric bypass [24]. Although producing effective restriction, the non adjustability of these devices has led to problems that have been reported in several series. Salinas et al have reported the results on a series of 1588 ...
Water-soluble upper GI based on clinical findings is reliable to detect anastomotic leaks after laparoscopic gastric bypass. Katasani, V. G.; Leeth, R. R.; Tishler, D. S.; Leath, T. D.; Roy, B. P.; Canon, C. L.; Vickers, S. M.; Clements, R. H. // American Surgeon;Nov/2005, Vol. 71 Issue 11, p916 Anastomotic leak after laparoscopic Roux-en-Y gastric bypass (LGB) is a major complication that must be recognized and treated early for best results. There is controversy in the literature regarding the reliability of upper GI series (UGI) in diagnosing leaks. LGB was performed in patients... ...
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.
Learn more about Roux-en-Y Gastric Bypass -- Laparoscopic Surgery at Capital Regional Medical Center DefinitionReasons for ProcedurePossible ComplicationsWhat to...
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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 ...
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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 ...
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 ...
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
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.
This richly illustrated volume describes the performance of total and subtotal gastrectomy with extended D2 lymphadenectomy by providing a detailed step-by-step guide to both manual and mechanical procedures. Gastric cancer is the fourth most commonly occurring cancer, and the second most common cancer-related cause of death worldwide, and surgery remains the only potentially curative treatment. Although several aspects of surgical management are still controversial, all guidelines for the treatment of curable gastric cancer recommend subtotal gastrectomy (for tumors located in the antrum and corpus) or total gastrectomy (for tumors located in the fundus) with extended D2 lymphadenectomy. Various technical tips and secrets are revealed that serve to simplify the procedure and simultaneously make it more effective: by rendering esophagojejunal and gastrojejunal anastomosis more secure, the risk of leakage is minimized. High-quality intraoperative color photographs and drawings covering all steps ...
The Procedure - The gastric bypass procedure involves shrinking the stomach through the use of staples. Learn about the steps in the Roux-en-Y gastric bypass procedure.
Looking for online definition of Roux, Philibert J. in the Medical Dictionary? Roux, Philibert J. explanation free. What is Roux, Philibert J.? Meaning of Roux, Philibert J. medical term. What does Roux, Philibert J. mean?
Coastal Center for Obesity offers laparoscopic and open Roux-en-Y gastric bypass and the Lap-Band procedures. Information on gastric bypass surgery, morbid obesity treatment, laparoscopic bypass surgery, and clinical weight loss ...
The roux is now the color of a copper penny. You can stop here or you can continue to cook it until it is the color of milk chocolate, as called for in this gumbo. The best way to keep a roux from getting any darker is to have the vegetables and sausage prepped for the next step and to add them as soon as the desired color of roux is achieved; this will immediately drop the temperature of the roux.. ...
Do you want to lose weight? Are you the one vexed up trying all the types of weight loss programs? Then here is an amazing solution to make you shed your weight. Pause for a while!!! You are a good candidate for this if you are overweight, if you have tried all the dietary and…
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Ппп Apcalis oral jelly side effects 178 пппOphthalmoscopy пExamination Procedure To examine the right eye, remove the patientвs spectacle correction, stand to the patientвs right side, and ask him to fixate jeelly ahead and level with the left eye. The use of a Roux-en-Y jejunal limb to create a hepaticojejunostomy as commonly used erfahrungen mit malegra was first reported by Robert Dahl of Stockholm in 1909.
Greywalls Hotel & Chez Roux: I have been to this restaurant a few times, the... - See 525 traveller reviews, 219 candid photos, and great deals for Greywalls Hotel & Chez Roux at TripAdvisor.
A new incision-less procedure aims to compete with gastric bypass and the lapband. The TOGA Pivotal Trial offers obese patients stomach stapling without scars or lengthy recovery time.
Gastric bypass is medical techniques that can assist you to lower fat by reworking how your abdomen as well as your intestine would digest the meals you are attempting to try to eat.Appropriate following the surgical operation, your stomach will likely be lesser.
My friend, I can promise you that if you ask Dr. X who is the best gastric bypass surgeon, his/her answer will be You mean besides...
Fans of former duo La Roux are feeling a bit like the friends of an ex-couple going through a divorce. And as is also sometimes the case in that scenario, one of the pair is making everyone uncomforta...
Anyone here have this done? I had it done July 19th 2006... Here lately I have been having problems eating. Anytime i eat i bring it right back up........ so my...
Pennington, N.J. (PRWEB) October 4, 2010 -- PD-LD Inc., the worldwide leader in Volume-Bragg Grating (VBG®) technology, is pleased to announce the introduction
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Dear Rae,. We would like to share new updates with you. Yesterday, there was a big stand for the brotherhoods all over Egypt just to declare that they are with the new presidents decisions. Mobs were chanting, "We want Islam," and they want to enforce the Sharia. One of them said, "It is our country, and those who do not like our law or decisions should leave." He then led the crowd to insult badly those who oppose Sharia, singling out and threatening Christians though they were not present.. Today after the morning service in one of the churches, the mob began hurling insults, then attacked a couple. One of the rioters stabbed the woman and killed her. The man was able to flee from death after being beaten. You can see the violent nature of these radical Islamist demonstrations on the TV. Rapes and beatings are common.. We dont know if this is related to the government protests or if it is just against Christians as we are getting used to. Some think it is to make Christians afraid to share ...
The Gastric bypass, aka Roux-en-y gastric bypass surgery offered at Apollo Hospitals is a safe & effective form of weight loss surgery. Know about the procedure here.
Heterotopic mesenteric ossification (HMO) is a rare entity with few cases reported in the world literature. We report two cases. Both patients underwent an open gastric bypass with Roux-en-Y reconstruction procedure for morbid obesity and subsequentl
... is one of the most effective surgeries around for helping obese people lose weight and lead a happy and healthy life.
Tryptophan is an important dietary amino acid and it is the precursor for 5-hydroxytryptamine synthesis in the nervous system and by enterochromaffin cells in the gut mucosa. Tryptophan is also metabolized by enzymes in the gut mucosa and also by enzymes produced by the gut microbiome. Diet and the microbiome can contribute to metabolic disease in part by causing intestinal inflammation and increased permeability. In this issue of Neurogastroenterology and Motility, Jennis et al. test the hypothesis that indole tryptophan metabolites produced by gut bacteria might be responsible for the anti-inflammatory and beneficial metabolic effects of the gut microbiome and Roux-en-Y gastric bypass surgery for weight loss by obese patients ...
Braxton-Hicks contractions are regular and not a sign of preterm labor. So I used to be getting tossed round to create area for the infant to turn again round. While sensitivity is a very powerful thing in a pregnancy take a look at, it isnt the one factor. Acupuncture - Pregnancy nutritional indices and birth weight after roux-en-y gastric bypass has additionally been reported to assist ache ranges. This delay is not associated to the size of time you utilize this method of contraception. Hi Nadine, sure the signs mentioned by you counsel being pregnant. Frequent unwanted side effects of pregnancy embrace nausea, vomiting, swelling, varicose veins, backaches, hemorrhoids, heartburn, fatigue, constipation and sleep loss. Her body is flooded with new hormones to arrange for whats coming, and every ladys body reacts in a different way. Due to limited research and a lack of long-term studies on cannabiss effects on fetuses, though, we still dont know a whole lot on the subject. Throughout such ...
More than 100 million Americans (65% of the adult population) are overweight. Obesity is the second leading cause of preventable death in the United States after smoking.
This small study involved seven patients who underwent laparoscopic gastric bypass after having antireflux surgery to control GERD. Patients co-morbid medical conditions included sleep apnea, diabetes mellitus, hypertension, degenerative joint disease, depression, hypercholesterolemia, polycystic ovarian syndrome and lower extremity edema. "Despite a morbidity rate of 42.8 percent, this study showed that all patients did well with zero mortality and were satisfied with their condition during the follow-up period, suggesting that the long-term outcome of laparoscopic gastric bypass in obese patients who had previous antireflux surgery is promising. There also was a significant improvement of GERD symptoms following the laparoscopic gastric bypass, which was maintained during follow-up," said Ioannis Raftopoulos, M.D., Ph.D., assistant professor of surgery in the division of thoracic & foregut surgery at the University of Pittsburgh School of Medicine, and principal author of the study. In ...
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (RYGB) causes changes in body composition and bone metabolism, yet little is known about effects in adolescents. OBJECTIVES: The objective of this study was to report dual-energy X-ray absorptiometry measures and serum bone markers, hypothesizing that bone turnover increases after surgery. METHODS: Inclusion criteria included the following: age 13-18 years and body mass index (BMI) >35 kg/m2 . Seventy-two adolescents (22 boys; mean age 16.5 years; BMI 44.8 kg/m2 ) undergoing RYGB underwent dual-energy X-ray absorptiometry and serum bone marker analyses preoperatively and annually for 2 years. RESULTS: Mean BMI reduction at 2 years was 15.1 kg/m2 . Body composition changes included a reduction in fat mass (51.8% to 39.6%, p < 0.001) and relative increase in lean mass (47.0% to 58.1%, p < 0.001). In contrast to previous studies in adults, adolescent boys lost a greater percentage of their body fat than girls (-17.3% vs. -9.5%, p < 0.001). ...
SAN DIEGO -- In non-diabetic, severely obese individuals, adding omentectomy to laparoscopic Roux-en-Y gastric bypass provides some short-term metabolic benefits on top of the weight loss, a small ran
Most people do lose weight after their procedure. The risk of weight regain can be minimized if you are committed to your nutrition, behavior and fitness goals. If you find you are gaining weight, schedule an appointment with your bariatric program to get back on track as well as rule out any physical causes that may be contributing to your weight regain.. References:. Barham, K., Lautz, D.B., & Thompson, C.C., (2011). Gastrojejunal stoma diameter predicts weight regain after Roux-en-Y gastric bypass. Clinical Gastroenterology and Hepatology, 9(3), 228-233.. Filho, A., Kondo, W., Nassif, L., Garcia,M., Tirapelle, R., & Dotti, C. (2006). Gastrogastric fistula: A possible complication of Roux-en-Y gastric bypass. Journal of the Society of Laparoendoscopic Surgeons, 10(3), 326-331.. Freire, R., Borges, M., Alvarez-Leite, J., Touslon, D., & Correia, M. (2011). Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass. Nutrition, Aug 30 ...
This is a retrospective single-institution study of 83 consecutive patients (m - 61, f - 22) with Siewerts type II EGJ cancer at IB-IIIC studies undergone extended total gastrectomy by transabdominal approach between July 2007 and December 2013 at the Department of Oncology, Azerbaijan Medical University. During this period of time 171 patients underwent radical surgery for EGJ cancer. According to Siewerts classification on EGJ cancer 26 cases (15.2%) were diagnosed as type I, 88 (51.5%) - type II, and 57 (33.3%) - type III cancer. 3 patients with Siewerts type II EGJ cancer underwent extended proximal gastrectomy by thoracoabdominal approach, 2 - extended proximal gastrectomy by abdominal approach. The mean age of the remained 83 patients undergone extended total gastrectomy by transabdominal approach was 57.4 (32-80) years. Pathohistological examination confirmed adenocarcinoma in all cases. The T stages according to 7th Edition of AJCC/UICC guidelines of tumors were as following: T2 - 3 ...
Gastric Bypass Recovery Times, Process. After gastric bypass surgery takes place the patient will remain in the hospital for 3 to 5 days (varies depending on each patient).But after a gastric bypass procedure, food bypasses this part of your body before minerals and vitamins can be absorbed. This can lead to iron deficiency and other nutrition problems.Before and After Stacie Scheet, Certified TSFL Health Coach. Over time I learned that Stacie had undergone a gastric bypass procedure in the past.. Your procedure is finished, the gastric bypass went well, and the doctor says you are healing beautifully.What causes severe constipation after a gastric bypass? Hi I had gastric bypass about 5 years ago.for the past year is have had several issues. that could easily do it again, now I am afraid to go to the bathroom.Posts Tagged nutrisystem.Health after gastric bypass asked Abed was even more surprised than the officer, and was feeling almost high with relief. They were heading back to their own ...
Objective- Comparative endoscopic evaluation of two reconstructive methods (R&Y and jejunal loop interposition) after gastrectomy in dogs. Design- Experimental study. Animals- Ten healthy male dogs. Procedures- The animals were divided randomly in two groups. After a 12 hour food with hold and under general anesthesia laparotomy is performed in all dogs. In group A (R&Y), after dissection and resection of all gastric vessels and ligaments the stomach was resected cranially close to cardia and caudally close to pylorus. After gastrectomy duodenal end was closed in a two layer inverting suture pattern. Then a loop of jejunum 20 cm distal to Treitz ligament was identified and resected. End to side anastomosis was performed between the distal jejunal end and remained part of the stomach. The proximal jejunal end was end to side anastomosed to the rest of jejunum. In group B (JLI), gastrectomy was done in the same manner. The 20 cm length of jejunum was resected from a 20 cm distance to Treitz
Introduction: Roux-en-Y Hepatico-jejunostomy is the standard technique of biliary reconstruction after excision of choledochal cyst. Here the author describes a new surgical technique of biliary reconstruction using native gall bladder as biliary conduit. New Surgical Technique: The choledochal cyst is excised as standard technique but gall bladder with its neck is kept in situ. The gall bladder neck is anastomosed with the common hepatic duct stump and gall bladder fundus is anastomosed with the antero-inferior wall of the first part of distal duodenum. Materials & Methods: Eleven patients with choledochal cyst have been operated with the new technique from July 2011 to December 2012 in the city of Dhaka, Bangladesh. Feeding was started from 3rd post-operative day and drain was removed by 7th day unless complicated and they were released from the hospital between 10-15 days. Results: The ages of eleven patients were from 3 months to 11 years. There were 7 females and 4 males. Lump was felt in 3
Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.
The number of elderly patients undergoing liver transplantation (LT) is increasing worldwide. The aim of the study was to evaluate the impact of recipient age exceeding 60 years on early and long-term outcomes after LT. Material and methods. This study comprised data of 786 patients after primary LT performed at a single center between January 2005 and October 2012. Patients over and under 60 years of age were compared with respect to baseline characteristics and outcomes: postoperative mortality (90-day) and 5-year patient (PS) and graft (GS) survival. Associations between recipient age exceeding 60 years and LT results were assessed in multiple Cox regression models. Results. Recipients older than 60 years (n=107; 13.6%) were characterized by more frequent hepatitis C virus infections (p,0.001), malignancies (p,0.001), and cardiovascular comorbidities (p,0.001); less frequent primary sclerosing cholangitis (p=0.002) and Roux-en-Y hepaticojejunostomy (p,0.001); lower Model for End-stage Liver ...
Over the last year and a half, i have had 7 ERCPs (with dilatation and stenting of the CBD) and a Roux-en-y Hepaticojejunostomy 10 months ago to repair a damanged Common Bile Duct from a Lap Chole. ...
This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 1-5 ounces (30-150cc), depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary. Note that there is no intestinal bypass with this procedure, only stomach reduction. The lack of an intestinal bypass avoids potentially costly, long term complications such as marginal ulcers, vitamin deficiencies and intestinal obstructions ...
This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 1-5 ounces (30-150cc), depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary. Note that there is no intestinal bypass with this procedure, only stomach reduction. The lack of an intestinal bypass avoids potentially costly, long term complications such as marginal ulcers, vitamin deficiencies and intestinal obstructions ...
You will feel like you get full much quicker than you did before you had the gastric bypass surgery. In a gastric bypass such as Roux-en-Y, stomach is made smaller with surgical staples or plastic bands creating a small pouch near the top of your stomach. This procedure is accomplished by a large incision in the abdomen. Gastric. Bypass Surgery is not often used to treat obesity and many health professionals consider it for those who have trouble losing weight with other treatments and who are at risk for other complications.. This surgery has risks such as: infection, leak from stomach into abdominal cavity, and blood blockage; therefore it is important to discuss with your doctor on the available treatment options. Most people post- surgery begin to lose weight quickly and the weight loss continues up to a duration of 12 months.. Related Videos:. ...
Gastric bypass can be a lifesaver for many people, whether they are at risk for diabetes, or already have diabetes. If you have diabetes type 1 and you are probably not going to need a gastric bypass, because most people with type 1 diabetes are not seriously overweight. However, if you are a type 2 diabetic, you are likely to be obese. A gastric bypass can be beneficial for almost everyone who is seriously obese.. Many people who are seriously obese cant lose a significant amount of weight and keep it off permanently; however, many people who have gastric bypass surgery lose at least 65 percent of their excess body weight. The benefit for type 2 diabetics is that when they lose a significant amount of body weight, their symptoms of diabetes go away indefinitely.. It is widely known that when you have diabetes you are at risk for many severe medical problems that you would likely not have if you werent diabetic. High blood glucose is usually caused by insulin resistance at the cellular level ...
Learn more about what gastric bypass surgery is, what the goals are, and what to expect before, during, and after gastric bypass surgery at UPMC Hamot.
Wanting To Get Gastric Bypass : A true, personal story from the experience, I Had Gastric Bypass. I go thursday to talk with my doctor. I am 22 and 336 lbs. I need the bypass. I am currently on medi-cal so i am hoping we can get it approved. Has anyone else got it done through medical...
Calcium, Potassium, Cerebral Cortex, Pyramidal Cells, Role, Neurons, Cells, Phosphatidylinositol, Gastric Bypass, Gastric Remnant, Gastrostomy, Patients, Roux-en-y Gastric Bypass, Brain, Inhibition, Neuromodulators, Proteins, Regulation, Sensitivity, 5-ht
Bone and Mineral Metabolism in Patients Undergoing Roux-en-Y Gastric Bypass. Osteoporosis International 2013 Sep 6 Despite effective weight reduction, the impact of bariatric.... ...
Influence of additional resection of the gastric fundus on excessive weight loss in laparoscopic very very long limb Roux-en-Y gastric bypass ...
The gastric bypass is the most reliable operation for long-lasting weight loss because of its multiple mechanisms. With a realistic diet and exercise plan, a patient can reasonably expect to lose about one-third of their total body weight within a year of the operation and 65 percent to 75 percent of excess weight in one to one-and-a-half years ...
Question - Peritonitis, lapcholy complication due to previous gastric bypass post Robinsons drain, T-drain. Is this normal? . Ask a Doctor about Gastric bypass surgery, Ask a Gastroenterologist, Surgical
Gastric bypass surgery makes the stomach smaller and allows food to bypass part of the stomach and small intestine. You will feel full more quickly than when your stomach was its original size, which reduces the amount of food you eat and thus the calories consumed.
According to a study conducted it has been noted that the radical gastric bypass surgery heightens the effect of alcohol. In a frantic bid to loose weight they end up with drink problem and weight
According to Denise Mann for WebMD, gastric bypass surgery causes patients to change their eating habits permanently. This usually entails consuming several small meals every day and strictly pacing...
Learn the uplifting details of gastric bypass surgery story Robert Dunkerley. Morbidly obese, Robert was in a coma for 40 days, He found help at UPMC.
Jensen-Otsu, E.; Ward, E.K.; Mitchell, B.; Schoen, J.A.; Rothchild, K.; Mitchell, N.S.; Austin, G.L., 2015: The effect of Medicaid status on weight loss, hospital length of stay, and 30-day readmission after laparoscopic Roux-en-Y gastric bypass surgery
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Expertise, Disease and Conditions: Bariatric Surgery, Colon Surgery, Diseases of the Small Bowel and Colon, Gallbladder Disorders, Gallbladder Surgery, Gastric Bypass Surgery, Gastric Pacemaker Surgery, General Surgery, GERD Surgery, Heartburn, Hernia Repair, Hernia Surgery, Hernias, Incisional Hernia Repair, Inguinal Hernia, Lap Band Surgery, Laparoscopic Bariatric Surgery, Laparoscopic Gastric Banding, Laparoscopic Roux-en-y Gastric Bypass, Minimally Invasive Surgery, Nissen Fundoplication, Obesity, Pancreatic Disease, Pancreatic Surgery, Paraesophageal Hernia, Sleeve Gastrectomy, Surgery, Weight Loss ...
Expertise, Disease and Conditions: Bariatric Surgery, Gastric Bypass Surgery, General Surgery, Hernia Repair, Hernias, Incisional Hernia Repair, Inguinal Hernia, Lap Band Surgery, Laparoscopic Bariatric Surgery, Laparoscopic Gastric Banding, Laparoscopic Roux-en-y Gastric Bypass, Minimally Invasive Surgery, Natural Orifice Surgery, Paraesophageal Hernia, Robotic Surgery, Single Incision Surgery, Sleeve Gastrectomy, Ventral Hernia, Weight Loss ...
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Choledochal Cyst: A congenital anatomic malformation of a bile duct, including cystic dilatation of the extrahepatic bile duct or the large intrahepatic bile duct. Classification is based on the site and type of dilatation. Type I is most common.

Extrahepatic biliary cystadenoma with mesenchymal stroma: a true biliary cystadenoma? A case report.Extrahepatic biliary cystadenoma with mesenchymal stroma: a true biliary cystadenoma? A case report.

Anastomosis, Roux-en-Y. Bile Duct Neoplasms / complications, diagnosis*, surgery. Cystadenoma / complications, diagnosis*, ... Radical excision of the lesion and a Roux-en-Y loop bilio-enteric anastomosis was performed. Histology confirmed the presence ...
more infohttp://www.biomedsearch.com/nih/Extrahepatic-biliary-cystadenoma-with-mesenchymal/21725521.html

Roux-en-y anastomosis | Define Roux-en-y anastomosis at Dictionary.comRoux-en-y anastomosis | Define Roux-en-y anastomosis at Dictionary.com

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 ...
more infohttp://www.dictionary.com/browse/roux-en-y-anastomosis

Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis - SAGES Abstract ArchivesLaparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis - SAGES Abstract Archives

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 ...
more infohttps://www.sages.org/meetings/annual-meeting/abstracts-archive/laparoscopic-enteropexy-for-intussusception-at-roux-en-y-anastomosis/

Roux-en-Y anastomosis - WikipediaRoux-en-Y anastomosis - Wikipedia

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 ...
more infohttps://en.wikipedia.org/wiki/Roux-en-Y_anastomosis

A Comparative Study of Hand-sewn Versus Stapled Gastrojejunal Anastomosis in Laparascopic Roux-en-Y Gastric Bypass - SAGES...A Comparative Study of Hand-sewn Versus Stapled Gastrojejunal Anastomosis in Laparascopic Roux-en-Y Gastric Bypass - SAGES...

A Comparative Study of Hand-sewn Versus Stapled Gastrojejunal Anastomosis in Laparascopic Roux-en-Y Gastric Bypass. OBJECTIVE: ... anastomosis during a laparoscopic Roux-en-Y gastric bypass are stapled and hand-sewn techniques. Few outcomes differences have ... METHODS: This case study is a retrospective review of the first 200 patients to undergo laparoscopic Roux-en-Y gastric bypass ... with a linear stapled technique compared to a hand-sewn gastrojejunal anastomosis in patients undergoing laparoscopic Roux-en - ...
more infohttps://www.sages.org/meetings/annual-meeting/abstracts-archive/a-comparative-study-of-hand-sewn-versus-stapled-gastrojejunal-anastomosis-in-laparascopic-roux-en-y-gastric-bypass/

Single-anastomosis Duodeno Ileal Bypass (SADI) Versus Roux-en-Y Gastric Bypass - Full Text View - ClinicalTrials.govSingle-anastomosis Duodeno Ileal Bypass (SADI) Versus Roux-en-Y Gastric Bypass - Full Text View - ClinicalTrials.gov

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 ...
more infohttps://clinicaltrials.gov/ct2/show/NCT03610256

Laparoscopic Roux-en-Y gastric bypass: double loop technique and linear anastomosis |   WebSurg, the online university of IRCADLaparoscopic Roux-en-Y gastric bypass: double loop technique and linear anastomosis | WebSurg, the online university of IRCAD

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 ...
more infohttps://websurg.com/en/doi/vd01en5280/

Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis:...Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis:...

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 ...
more infohttp://www.pediatrmedchir.org/index.php/pmc/article/view/125/133

Journal of Minimally Invasive Surgical Sciences - Laparoscopic Roux-en-Y versus One Anastomosis Gastric Bypass on Remission of...Journal of Minimally Invasive Surgical Sciences - Laparoscopic Roux-en-Y versus One Anastomosis Gastric Bypass on Remission of...

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 ...
more infohttp://minsurgery.neoscriber.org/en/articles/55991.html

Efeitos da cirurgia de Fobi-Capella na doença hepática gordurosa não alcoólica (DHGNA):...Efeitos da cirurgia de Fobi-Capella na doença hepática gordurosa não alcoólica (DHGNA):...

Anastomosis Roux-en-Y. Fatty liver/complications. Fatty liver/metabolism. Fatty liver/pathology. Fatty liver/surgery. Fatty ... Methods: Forty patients with body mass index (BMI) IMC > 40 kg/m2 were submitted to Roux-en-Y gastric bypass with ... Eighteen patients with body mass index >40 kg/m2 submitted to Roux-n-Y gastric bypass were enrolled, and wedge liver biopsy was ... Anastomose em-Y de Roux. Fígado gorduroso/cirurgia. Fígado gorduroso/complicações. Fígado gorduroso/metabolismo. Fígado ...
more infohttp://www.teses.usp.br/teses/disponiveis/5/5147/tde-31102006-142922/pt-br.php

Banded Versus Conventional Laparoscopic Roux-en-Y (GABY)Banded Versus Conventional Laparoscopic Roux-en-Y (GABY)

... 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 ...
more infohttps://www.bioportfolio.com/resources/trial/70728/Banded-Versus-Conventional-Laparoscopic-Roux-en-Y-GABY.html

Transanal Inspection and Management of Low ColoRectal Anastomosis Performed With a New TechniqueTransanal Inspection and Management of Low ColoRectal Anastomosis Performed With a New Technique

... clinicaltrials.gov The technique the investigators propose to perform colorectal and colo-anal anastomosis in patients ... Anastomosis, Roux-en-y. A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine ... The rectal anastomosis was carefully inspected trans-anally then tested intraoperatively by air leak test through trans-anal ... If the anastomosis was considered safe the need for protective stoma was left to discretion of operating surgeon. ...
more infohttps://www.bioportfolio.com/resources/trial/164719/Transanal-Inspection-and-Management-of-Low-ColoRectal-Anastomosis-Performed-With-a-New.html

Early and late results of excision of choledochal cysts.Early and late results of excision of choledochal cysts.

Anastomosis, Roux-en-Y. Bile Ducts, Intrahepatic. Child. Child, Preschool. Cholangitis / etiology. Choledochal Cyst / surgery* ... Since 1972, 41 patients have had cyst excision with hepaticojejunostomy using a 40-cm Roux loop without an antireflux procedure ...
more infohttp://www.biomedsearch.com/nih/Early-late-results-excision-choledochal/9396526.html

Andrew Duffy, MD, FACS, FASMBS > Surgery | Yale School of...Andrew Duffy, MD, FACS, FASMBS > Surgery | Yale School of...

Anastomosis, Roux-en-Y. *Appendectomy. *Barrett Esophagus. *Biliary Tract. *Cholecystectomy. *Cholecystostomy. *Choledochostomy ...
more infohttp://medicine.yale.edu/surgery/specialties/andrew_duffy-3.profile

Modulation de labsorption intestinale postprandiale du glucose après Roux-en-Y Gastric Bypass chez le miniporc - Académie...Modulation de l'absorption intestinale postprandiale du glucose après Roux-en-Y Gastric Bypass chez le miniporc - Académie...

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 ...
more infohttp://www.academie-medecine.fr/modulation-de-labsorption-intestinale-postprandiale-du-glucose-apres-roux-en-y-gastric-bypass-chez-le-miniporc/

Intraduodenal instillation of acid and hyperosmolal solution suppresses pentagastrin-stimulated acid secretion but not...Intraduodenal instillation of acid and hyperosmolal solution suppresses pentagastrin-stimulated acid secretion but not...

Anastomosis, Roux-en-Y. *Animals. *Duodenum (drug effects) *Gastric Acid (secretion) *Histamine Release (drug effects) ... In chronic gastric fistula rats provided with a duodenal loop anastomosed to the jejunum (Roux-en-Y), maximal stimulation of ...
more infohttp://www.curehunter.com/public/pubmed2445017.do

Anastomosis graft | definition of anastomosis graft by Medical dictionaryAnastomosis graft | definition of anastomosis graft by Medical dictionary

... anastomosis graft explanation free. What is anastomosis graft? Meaning of anastomosis graft medical term. What does anastomosis ... Looking for online definition of anastomosis graft in the Medical Dictionary? ... Roux-en-Y anastomosis any Y-shaped anastomosis in which the small intestine is included. Roux-en-Y anastomosis ... Kinds of anastomoses are end-to-end anastomosis,end-to-side anastomosis,side-to-side anastomosis. See also bypass. anastomose, ...
more infohttp://medical-dictionary.thefreedictionary.com/anastomosis+graft

Total Gangrenous Mesentroaxial Gastric Volvulus: Case Report | SpringerLinkTotal Gangrenous Mesentroaxial Gastric Volvulus: Case Report | SpringerLink

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 ...
more infohttps://link.springer.com/article/10.1007/s12262-018-1762-z

Hematological Disorders following Gastric Bypass Surgery: Emerging Concepts of the Interplay between Nutritional Deficiency and...Hematological Disorders following Gastric Bypass Surgery: Emerging Concepts of the Interplay between Nutritional Deficiency and...

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 ...
more infohttps://www.hindawi.com/journals/bmri/2013/205467/

State of the art |   WebSurg, the online university of IRCADState of the art | WebSurg, the online university of IRCAD

Gastrojejunal anastomosis in Roux-en-Y gastric bypass (RYGB). Watch it Laparoscopic cholecystectomy for cholecystitis ...
more infohttps://websurg.com/virtual-university/state-of-the-art/

Liver disease Flashcards by Clara Sage | BrainscapeLiver disease Flashcards by Clara Sage | Brainscape

Surgical excision of the cyst - formation of a Roux-en-Y anastomosis to biliary duct ...
more infohttps://www.brainscape.com/flashcards/liver-disease-4768111/packs/7066321

Disorders of Gastric Motility and Emptying | SpringerLinkDisorders of Gastric Motility and Emptying | SpringerLink

Nausea, vomiting and abdominal pain after Roux-en-Y anastomosis: motility of the jejuna) limb. Gastroenterology 1985;88:101-107 ...
more infohttps://link.springer.com/chapter/10.1007/978-1-4615-4803-4_13
  • 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)
  • intestinal anastomosis establishment of a communication between two formerly distant portions of the intestine. (thefreedictionary.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)
  • 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)
  • No statistical difference of stricture formation based on age (those younger than versus those older than 40 years) was noted between the two groups (p=0.88 and p=0.32 for the stapled and the hand-sewn anastomoses respectively). (sages.org)