Revision of Roux-en-Y Gastric Bypass with Limb …

Background: Of patients undergoing Roux-en-Y gastric bypass (RYGB), 15-35% of patients fail to achieve "adequate" weight loss or regain significant weight. Multiple solutions have been proposed, but not well studied. We report our experience with limb distalization with lengthening the biliopancreatic (BP) limb and shortening the common channel (CC).

Laparoscopic Roux-en-Y gastric bypass with 2-metre long …

Two meters of the proximal jejunum were bypassed (BP-limb), creating an antecolic Roux-en-Y gastro-jejunostomy to the posterior wall of the gastric tube using a 45-mm linear Endo-GIA stapler. The entero-anastomosis was created 50 cm below the gastro-jejunostomy, also with a 45-mm linear Endo-GIA.

Roux-en-Y Gastric Bypass - The Gastric Guru

The Long-Limb Roux-en-Y Gastric Bypass procedure bypasses even more of your intestine; in this case, the surgeon attaches a newly formed small stomach pouch to a place even lower on the small intestine. The long-limbed RNY procedure can lead to faster weight loss because of greater nutrient malabsorption (fewer nutrients absorbed). ...

Radiology of the Laparoscopic Roux-en-Y Gastric Bypass …

Obesity is an epidemic in the United States. The laparoscopic Roux-en-Y gastric bypass procedure is an effective surgical intervention that can produce dramatic weight loss in morbidly obese patients. Despite the inherent risks, the surgery is increasing in popularity. Radiology plays a crucial role in postoperative evaluation. Upper gastrointestinal (UGI) series …

Derivação gástrica em Y-de-Roux: comprimento das alças …

A cirurgia bariátrica representa o melhor tratamento para os pacientes obesos, por ser método efetivo na redução e manutenção do peso no longo prazo6,17. O tratamento cirúrgico da obesidade ocasiona perda de peso e melhora das comorbidades2,18. A derivação gástrica em Y-de-Roux (DGYR) é uma das técnicas mais realizadas com essa finalidade; no entanto, não se …

Long limb compared with standard limb Roux-en-Y gastric …

However, the optimal length of the Roux-en-Y gastric bypass limbs remains controversial, with substantial variation in practice. Specifically, a longer biliopancreatic limb length of 150 cm ('long limb') has been hypothesised to be better for the treatment of diabetes mellitus because it increases the postprandial secretion of gut hormones ...

Influence of Roux-en-Y gastric bypass on plasma bile acid …

Roux-en-Y gastric bypass (RYGBP) is the most widely used bariatric surgery procedure, which induces profound metabolic and physiological effects, such as substantial improvements in obesity, type ...

Roux-en-Y | definition of Roux-en-Y by Medical dictionary

Roux-en-Y: [ roo-en-wi; Fr. roo-ahn-e-grek´ ] denoting any Y-shaped anastomosis in which the small intestine is included.

Roux-en-Y Biliary Reconstruction | Plastic Surgery Key

Roux-en-Y Biliary Reconstruction David Lee Joohyun Kim DEFINITION Roux-en-Y hepaticojejunostomy (RYH) was described by Cesar Roux in 1926 to reconstruct drainage of the esophagus following a total gastrectomy. This configuration of the intestines has been applied for biliary reconstruction following bile duct excision. In the setting of liver transplantation, the …

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Roux-en-Y hepaticojejunostomy - TVASurg - The Toronto …

Roux-en-Y hepaticojejunostomy technique is a commonly performed during biliary reconstruction. The roux limb will be created by dividing the jejunum about 15-20 cm downstream from the Ligament of Trietz. A distance of 40 cm will be measured distal to the efferent cut end and the afferent limb will be anastomosed at this point.

Roux-en-Y Gastric Bypass Weight-Loss Surgery - Hopkins …

Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. It's often done as a laparoscopic surgery, with small incisions in the abdomen. This surgery reduces the size of your upper stomach to a small pouch about the size of an egg. The surgeon does this by stapling off the upper ...

BP Limb Length of 60cm vs 100cm in Roux-en-Y Gastric …

Phase 3. Detailed Description: Patients will be randomized into 2 groups: Group 60: Patients will undergo a Roux-en-Y gastric bypass with a Biliopancreatic limb length of 60cm. Group 100: Patients will undergo a Roux-en-Y gastric bypass with a Biliopancreatic limb length of 100cm Alimentary limb will be constant in both groups (150cm length ...

Gastric bypass (Roux-en-Y) - Mayo Clinic

Overview. Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine. After gastric bypass, swallowed food will go into this small pouch of stomach and then directly into the small ...

Intestinal Complications after Roux-en-Y Gastric Bypass

7. Rogula T, Yenumula PR, Schauer PR. A complication of Roux-en-Y gastric bypass: intestinal obstruction. Surg Endosc. 2007;21(11):1914–1918. Epub 2007 Sep 22. 8. Goudsmedt F, Deylgat B, Coenegrachts, et al. Internal hernia after laparoscopic Roux-en-Y gastric bypass: a correlation between radiological and operative findings.

Roux-en-Y gastric bypass Definition & Meaning - Merriam …

The meaning of ROUX-EN-Y GASTRIC BYPASS is a gastric bypass surgical procedure in the treatment of severe obesity that involves partitioning off part of the upper stomach (as by stapling and separation from the lower stomach) to form a small pouch, dividing the jejunum into upper and lower parts, and forming a Y-shaped anastomosis by attaching the free end of the lower …

Roux-en-Y gastric bypass: limb length and weight loss

Background: Roux-en-Y gastric bypass is a surgical technique widely used in the treatment of obesity. It is unclear, however, if the length of the biliopancreatic and alimentary limb interferes with the magnitude of weight loss. Aim: To evaluate if the length of these limbs is related to the percentage of weight loss one year after surgery.

バイパス(Roux-en-Yバイパス)

バイパス(またはRoux-en-Y)は、のにするためのもなです。. このは、なとのをみわせたにより、なをもたらします。. には、は(のと ...

Roux-en-Y Biliary-Enteric Bypass | SpringerLink

Abstract. Roux-en-Y biliary bypass is performed for common duct injuries or common duct obstruction not amenable to stenting. It is also performed as part of other operations (e.g., it is part of the reconstructive phase of a Whipple resection). This chapter describes techniques and pitfalls.

What is Laparoscopic Roux en-y gastric bypass …

Laparoscopic Roux en-y gastric bypass is a type of weight-loss/bariatric surgery. As the name suggests it can be performed through key-hole method (laparoscopy). In this technique 4 to 5 tiny cuts of half to one cm …

Roux‐en‐Y or 'uncut' Roux procedure? Relation of …

The second operation was performed 10 days after the implantation of electrodes and implants, and consisted of either a Roux-en-Y limb (12–15 cm long) or 'uncut' Roux limb formation. The Roux-en-Y limb procedure consisted of an incision of the jejunum just distal to the ligament of Treitz, connecting the distal remnant with the stomach ...

Roux-en-Y or 'uncut' Roux procedure? Relation of …

The Roux-en-Y limb procedure consisted of an incision of the jejunum just distal to the ligament of Treitz, connecting the distal remnant with the stomach, and connecting the proximal (duodenal) remnant with the jejunal loop by an end-to-side anastomosis between electrodes II and III (Fig. 1). The 'uncut' Roux procedure

Roux limb | Radiology Reference Article | Radiopaedia.org

a distal component connected to the terminal ileum and colon. The end of the distal component is dragged up and connected (anastomosed) to the remnant stomach (or esophagus in the case of total gastrectomy). This is the Roux limb. It accepts incoming food and transmits it from the gastric remnant to the colon. It is sometimes referred to as the ...

Roux-en-Y Gastric Bypass - an overview | ScienceDirect …

Roux-en-Y gastric bypass (RYGB) is a popular weight loss surgery for adults with morbid obesity. This chapter reviews potential renal complications caused by abnormalities in oxalate handling after RYGB—i.e., enteric hyperoxaluria, calcium oxalate (CaOx) nephrolithiasis, and oxalate nephropathy. Hyperoxaluria is an adverse effect of RYGB that ...

Roux-en-Y Gastric Bypass Chronic …

Bariatric surgery for weight loss has become a common practice in the United States, with about 179,000 operations performed in 2013. The second most common bariatric procedure done today is the Roux-en-Y gastric bypass …

Roux-en-Y Limb Motility after Total Gastrectomy

The Roux-en-Y stasis syndrome is a troublesome postgastrectomy syndrome. Although the era of gastric resection for peptic ulcer disease has almost come to an end, the increasing incidence of proximal gastric cancer and the outbreak of bariatric operations make the study of the motility of the Roux-en-Y limb (RYL) after gastric resection or gastroplasty very …

Laparoscopic Roux-en-Y gastric bypass - UpToDate

INTRODUCTION. Laparoscopic Roux-en-Y gastric bypass (LRYGB), as a bariatric procedure, was first described by Alan Wittgrove in 1994 [].Over the ensuing decades, the technique of LRYGB as well as perioperative care of patients have been gradually improved and refined [].Consequently, the mortality rate associated with the RYGB has decreased from 2.6 …

Roux-en-Y - an overview | ScienceDirect Topics

The Roux-en-Y limb will not reach the proximal gastric pouch, necessitating efforts to later further mobilize it, which are much more difficult after creation of the enteroenterostomy and closure of the mesenteric defect. This risks injuring the distal anastomosis. The Roux-en-Y limb may just barely reach the pouch, in which case tension on the anastomosis puts it at high risk for ...

Hepaticojejunostomy Using Short-Limb Roux-en-Y …

Roux en Y hepatocholangiojejunostomy was performed for high strictures of the hepatic bile duct in 22 patients. Follow up studies extend to 20 yr. Sixteen patients (73 per cent) have had ...