Background: Laparoscopic Roux-en-Y gastric bypass (RYGB) is proven to be a safe and effective treatment of obesity and related co-morbidities. However, there is a small group of patients who are unable to tolerate postoperative complications and ultimately undergo reversal procedures In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct the gastrointestinal tract. Typically, it is between stomach and small bowel that is distal from the cut end Indications, safety, and feasibility of conversion of failed bariatric surgery to Roux-en-Y gastric bypass: a retrospective comparative study with primary laparoscopic Roux-en-Y gastric bypass. Deylgat B(1), D'Hondt M, Pottel H, Vansteenkiste F, Van Rooy F, Devriendt D Laparoscopic Roux-en-Y gastric bypass (RYGB) is proven to be a safe and effective treatment of obesity and related co-morbidities. However, there is a small group of patients who are unable to tolerate postoperative complications and ultimately undergo reversal procedures. This study demonstrates indications and postoperative outcomes in 8 patients following RYGB reversal
Roux-en-Y gastric bypass involves creating a small gastric pouch (restricting food intake) connected to a roux limb (typically between 75 to 150 cm) which bypasses a large portion of the small intestine (preventing absorption of nutrients. Laparoscopic reversal of Roux-en-Y gastric bypass is a complex revisional operation that can be safely performed in a select group of patients with serious complications. The main indications for reversal of RYGB included malnutrition with and without recalcitrant marginal ulcers There are no absolute contraindications to bariatric surgery. Relative contraindications to surgery may include severe heart failure, unstable coronary artery disease, end-stage lung disease, active cancer diagnosis/treatment, cirrhosis with portal hypertension, uncontrolled drug or alcohol dependency, and severely impaired intellectual capacity
In a study that used the 2015-2016 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database to compare 30-day outcomes between robotic-assisted and laparoscopic approaches to Roux-en-Y GBP and sleeve gastrectomy, Sebastian et al found that for Roux-en-Y GBP in particular, the robotic approach significantly reduced postoperative bleeding and blood transfusion and, after correction for relevant factors (eg, operating time), was associated with better. . Over the ensuing decades, the technique of LRYGB as well as perioperative care of patients have been gradually improved and refined [ 2 ] The main indications for hepaticojejunostomy were iatrogenic strictures of CBD (60 patients), and choledocholithiasis with markedly dilated duct (41 patients). The overall mortality rate was 4% representing principally renal hepatic failure, bile peritonitis and bleeding
[Bilio-digestive anastomosis using a mounted intestinal loop according to Roux-en-Y. Indications and late clinical and biochemical results]. [Article in Dutch] Verbeke W, Vanmaele R, Detournay G, Kerremans R, Beckers J, De Groote J Roux-en-Y gastric bypass Indications for corrective procedures after gastric bypass are inadequate weight loss, weight re gain, or recurrence of weight-related co-morbid conditions. Since these options involve modifying a portion of the bypass anatomy or adding a component to the existing bypass anatomy, they are classi ﬁe Enteroenterostomy is an anastomosis between one part of the small bowel and another part of the small bowel (jejunum or ileum). It is used to restore bowel continuity after resection of a segment of the bowel or after creation of a Roux-en-Y loop of jejunum Roux en Y gastric bypass surgery is successful for the majority of patients, but gastric bypass revision surgery may be necessary if you experience significant weight regain after hitting your low weight ().Review the information below and click the sections to find out if revision surgery is right for you
The Roux-en-Y gastric bypass is a rather complex procedure requiring many small millimeter-sized incisions and attachments. Surgeons must have proper technique and precision to minimize complications and risks. Sometimes, when the intestine is attached to the new stoma, the doctor can make the opening too big, causing too much food to 'bypass. - Components of Roux-en-Y gastric bypass procedure - Candy cane syndrome - Internal herniations - Roux en Y gastric bypass - Adjustable gastric band - Gastric erosion - Gastric prolapse - Sleeve gastrectomy - Vertical band gastroplasty - Biliopancreatic diversion - Duodenal switch - Jejunoileal bypass RELATED TOPICS. Bariatric operations for management of obesity: Indications and preoperative. Bariatric surgery procedures, including laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy, and Roux-en-Y gastric bypass, result in an average weight loss of 50 percent of. Roux-en-Y gastric bypass (RYGB), commonly called simply gastric bypass, is one of the most popularly performed bariatric procedures worldwide and has long been considered the gold standard of bariatric surgery. The gastric bypass was first reported in 1967 and was performed as open surgery for several decades The Roux-en-Y gastric bypass (RYGB) includes a small gastric pouch (15-30 mL) on the lesser gastric curvature [1, 2] which is completely divided from the gastric remnant and then anastomosed to the jejunum (leaving an alimentary or Roux limb of typically 100-150 cm).The size of the gastro-jejunal anastomosis is controversial as initially it was thought that an element of restriction may be.
In Japan, the Billroth I and Billroth II operations have been used for reconstruction after a distal gastrectomy for gastric cancer. However, a Roux-en-Y reconstruction is increasingly performed to prevent duodenogastric reflux. We herein discuss the indications for Roux-en-Y in gastric surgery and review the literature to determine its advantages and disadvantages The standard indications for bariatric surgery will usually also apply to gastric bypass. However, one of the specific gastric bypass surgery indications is when the patient has a BMI of 35 or higher and suffers from poorly controlled type 2 diabetes. For these patients, a laparoscopic Roux-en-y gastric bypass is usually a strong indication. If.
Roux-en-Y gastric bypass. Description. Adjustable silicone band placed just below the gastroesophageal junction, applying gentle pressure that suppresses hunger. Level of restriction can be adjusted by varying the amount of fluid placed in the band. Greater portion of the fundus and body of the stomach is removed. Gastric volume is reduced by. Hepatojejunostomy. Hepaticojejunostomy is performed with a Roux-en-Y configuration where, after division of the proximal jejunum at approximately 50 cm, the distal limb (Roux limb) is brought up in a retrocolic or anterocolic fashion to be anastomosed end-to-side with the common hepatic duct
Indications and mid-term results of conversion from sleeve gastrectomy to Roux-en-Y gastric bypass Obes Surg , 23 ( 2 ) ( 2013 ) , pp. 212 - 215 CrossRef View Record in Scopus Google Schola Roux-en-Y gastric bypass is a type of weight loss surgery. Staples are used to make a small stomach pouch that is separate from the rest of your stomach. The new stomach pouch is connected to the middle part of the small intestine. Food will bypass (go around) the rest of the stomach and move directly into the small intestine Roux-En-Y Laparoscopic Pancreaticojejunostomy for Chronic Pancreatitis. Juan Toro, MD, Jesus Vasquez, MD, Carlos Lopera, MD, Sergio Diaz, MD, Jean Vergnaud, MD, Andres Ricardo. Surgery department, University of Antioquia School of medicine. Medellín, Colombia. BACKGROUND: Chronic pancreatitis (CP) is characterized by irreversible damage of. ORLANDO -- Five years following surgery, Roux-en-Y gastric bypass patients had greater weight loss versus sleeve gastrectomy patients, researchers reported here. In a retrospective analysis. ICD-9-CM. 52.96. MeSH. D010193. [ edit on Wikidata] The Puestow procedure (also known as a Puestow-Gillesby procedure, or a lateral pancreaticojejunostomy) is a surgical technique used in the treatment of chronic pancreatitis. It involves a side-to-side anastomosis of the pancreatic duct and the jejunum
The reconstruction method will be selected randomly from Uncut Roux-en-Y and Roux-en-Y anastomosis preoperatively without distinct indications. All clinical data, operation data, perioperative complications and related physiological indexes after surgery will be compared Background: Roux-en-Y Hepaticojejunostomy (RYHJ) is the most common form of reconstruction of the biliary pathway. It is a time honoured, durable, less resource intensive and a defi nitive procedure. Objectives: The aim of this study was to evaluate the indications of Hepaticojejunostomy and to assess the outcome of surgery following change in surgical technique of Hepaticojejunostomy Indications for genetic testing included personal gastric cancer diagnosis and family history of gastric or breast cancer. All total gastrectomies were performed with Roux-en-Y reconstruction by 1 of 3 dedicated gastric cancer surgeons (S.S.Y., D.G.C., or V.E.S.) at our institution. The operative approach (ie, open, laparoscopic, or robotic. Laparoscopic Roux-en-Y gastric bypass (LRYGB) is considered the gold standard in bariatric surgery, achieving durable long-term weight loss with improvement of obesity-related comorbidities. Lately, the laparoscopic mini gastric bypass (LMGB) has gained worldwide popularity with similar results to LRYGB in terms of weight loss and comorbidity resolution Indications and mid-term results of conversion from sleeve gastrectomy to Roux-en-Y gastric bypass. Obes Surg. 2013; 23 : 212-215 View in Articl
Warning: This video contains actual surgical footage which may not be suitable for all viewers.Cleveland Clinic's bariatric surgery team demonstrates laparos.. Introduction. There are several indications for performing Roux-en-Y hepaticojejunostomy such as, bile duct injury, malignant strictures, benign strictures, multiple gallstones and liver transplantation 1.Once performed, it can develop complications such as postoperative bile duct strictures, intra hepatic gallstones and chronic cholestasis Gastrectomy is defined as partial when a part of the stomach is removed surgically and as total when the entire stomach is removed. Some authors further differentiate various types of partial gastrectomy on the basis of the amount of stomach removed, as follows: Antrectomy (30% resection) Hemigastrectomy (50% resection) Subtotal gastrectomy. Importance Sleeve gastrectomy is increasingly used in the treatment of morbid obesity, but its long-term outcome vs the standard Roux-en-Y gastric bypass procedure is unknown.. Objective To determine whether there are differences between sleeve gastrectomy and Roux-en-Y gastric bypass in terms of weight loss, changes in comorbidities, increase in quality of life, and adverse events Results: 17 patients (10 women, 7 men), median age 54 years (range 38-87), with prior Roux-en-Y gastrojejunostomy underwent ERCP at our center between 3/90 and 10/96. Indications for ERCP were pancreatitis (3), cholestasis with known or suspected biliary pathology (8) and right subcostal pain with abnormal liver function tests (6)
Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) was selected as bariatric surgery, and adjusted hazard ratios (HRs) (95% confidence intervals [CIs]) of RYGB against SG for the T2DM remission rate and subsequent T2DM relapse rate were 1.10 (1.04-1.16) and 0.75 (0.67-0.84), respectively. I have two concerns about their study Roux-en-Y gastric bypass (RYGB) reduces the size of the stomach to a small pouch - about the size of an egg. It does this by stapling off a section of it. This therefore drastically reduces the amount of food intake. The surgeon then attaches this pouch directly to the small intestine, bypassing most of the rest of the stomach and the upper. Roux-en-Y gastric bypass (RYGB) is a frequently per-formed bariatric procedure in the United States and world-wide. This procedure can produce sustained weight loss Our goal is to describe the indications for reversal, our laparoscopic technique, and deﬁne the short- and medium-term risks and outcomes from the operation Obesity and rapid weight loss after bariatric surgery is associated with, the development of cholelithiasis and related complications. Several algorithms have been suggested in the management of the asymptomatic gallstones in patients presenting for weight loss surgery (WLS). Charts of patients pres Laparoscopic Roux-en-Y gastric bypass (RYGB) is proven to be a safe and effective treatment of obesity and related co-morbidities. However, there is a small group of patients who are unable to tolerate postoperative complications and ultimately undergo reversal procedures. The most common indications for reversal were recurrent anastomotic.
A robotic Roux-en-Y gastric bypass (RYGB) was proposed due to the presence of hiatal hernia and GERD during the preoperative work-up. During the video, the surgical technical steps are highlighted using the da Vinci Xi™ robotic surgical system (Intuitive Surgical), namely trocar placement, liver retraction, sequential steps for gastric pouch. Gastric bypass, also known as Roux-en-Y gastric bypass, is a bariatric or weight loss surgery for obese patients who have not been successful in losing weight through dieting, exercise, and medication. The surgery uses a combination of restrictive and malabsorptive techniques to achieve a successful outcome. Staples are used to create a smaller. The duodenum is the primary site for absorption of iron and is bypassed in the Roux-en-Y procedure. Like calcium, iron requires acid to be absorbed, which is lacking in the small gastric pouch. Gastric bypass patients can take iron salts combined with ascorbic acid (vitamin C) to acidify the stomach and facilitate absorption Gastrointestinal (GI) hemorrhage is a potential complication after both open and laparoscopic gastric bypass. The incidence of GI hemorrhage after laparoscopic gastric bypass ranges from 1.1 to 4 percent. [1-6] Although the incidence is low, this complication can be life-threatening if not recognized expeditiously and treated correctly
Postbariatric hypoglycemia (PBH) affects up to 38% of Roux-en-Y gastric bypass (RYGB) patients. Severe cases are refractory to diet and medications. Surgical treatments including bypass reversal and pancreatectomy are highly morbid and hypoglycemia often recurs. We have developed a highly effective method of treatment by which enteral nutrition administered through a gastrostomy (G) tube. Gastric bypass surgery, also known as Roux-en-Y gastric bypass (RYGB), is a type of bariatric (weight-loss) surgery. The procedure works by restricting the amount of food a person can eat, as well as limiting the absorption of nutrients in the gut. In addition to careful preparation, patients must be willing and able to make permanent lifestyle. Choledochoduodenostomy (CDD) is a surgical procedure to create an anastomosis, a surgical connection, between the common bile duct (CBD) and an alternative portion of the duodenum. In healthy individuals, the CBD meets the pancreatic duct at the ampulla of Vater, which drains via the major duodenal papilla to the second part of duodenum. In cases of benign conditions such as narrowing of the. When results of Roux-en-Y bariatric surgery deteriorated, says gastroenterologist Mouen Khashab, the endoscope frequently was the next step. Whether the patient's stoma opening had widened or whether the stomach pouch itself had stretched, Khashab says the fix was endoscopic Schematic of gastric bypass using a Roux-en-Y anastomosis. The transverse colon is removed to clearly show the Roux-en-Y. Some gastric bypasses for obesity. Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer.  Roux-en-Y hepatico jejuno stomy used to treat (macroscopic) bile duct obstruction which may arise.
- EGD related to sclerotherapy for bariatric indications (e.g. revision of Roux-en-Y procedure to address weight regain) as this is considered investigational and, therefore, not medically necessary - EGD related to endoscopic gastric suturing (e.g. with the Apollo Overstitch™ System) for revision of gastric bypass or as a primary. Revision of primary sleeve gastrectomy to Roux en Y gastric bypass indications from SOCIOLOGY MISC at American University of Beiru IN BRIEF Bariatric surgery is the most efficacious treatment for obesity, type 2 diabetes, and other obesity-related comorbidities. In this article, the authors review the current indications for bariatric surgery and discuss the most commonly performed procedures. They analyze medical outcomes of bariatric procedures by reviewing key prospective trials and discuss changes in physiology after.
Antrectomy (distal gastrectomy) is a procedure in which the distal third of the stomach (the gastric or pyloric antrum) is excised. Gastrectomies are further defined by the type of reconstruction used to reestablish gastrointestinal (GI) continuity. A Billroth I procedure is a gastroduodenostomy, which can be fashioned in either an end-to-end. The main indications are the classic ones reported in the literature 3, 6, 7, 8, 14, 17, 19. The seven patients who were treated by trans-gastric ERCP after Roux-en-Y gastric bypass had choledocholithiasis confirmed by some imaging examination. The majority of the patients (57.1%) submitted to the procedure were women
Indications include oesophageal atresia, stricture and cancer, dysphagia due to neuromuscular disorders, or after trauma. Relative contraindications include primary disease of the stomach, abnormal gastric or duodenal emptying, and significant oesophageal reflux. Roux-en-Y jejunostomy, and needle catheter jejunostomy. Witzel jejunostomy. Laparoscopic Roux-en-Y Gastric Bypass A Restrictive and Malabsorptive Procedure How is it done? The laparoscopic RY gastric bypass is performed by introducing a laparoscope, which is connected to a video camera, through small abdominal incisions, giving a magnified view of the internal organs on a television monitor. The entire operation is performed inside the abdomen [
Key Points. Question Is weight loss equivalence and improvement of quality of life similar at 7 years after laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients with morbid obesity?. Findings In this randomized clinical trial of 240 patients with morbid obesity, the 7-year mean percentage excess weight loss was 47% after LSG vs 55% after LRYGB, a. Roux-en-Y reconstruction is superior to billroth I reconstruction in reducing reflux esophagitis after distal gastrectomy: special relationship with the angle of his. World J Surg 34 , 1022-1027. As with any surgery, gastric bypass carries some risks. Complications of surgery include infection, blood clots, and internal bleeding. Another risk is an anastomosis. This is a new connection created in your intestines and stomach during the bypass surgery that will not fully heal and will leak. Leaking of digestive juices and partially. A meta-analysis of short-term outcomes of patients with type 2 diabetes mellitus and BMI ≤ 35 kg/m2 undergoing Roux-en-Y gastric bypass. World J Surg. 2015; 39(1):223-230. Regan JP, Inabnet WB, Gagner M, Pomp A. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient
RYGBP, Roux-en-Y gastric bypass; SG, sleeve gastrectomy. At the 12-mo follow-up, 56.6% of the variance in CA was explained by serum PTH and 25(OH)D concentrations and total vitamin D and calcium intakes, the latter being the only one with a significant negative coefficient ( Table 3 ) FDA-approved indications for bisphosphonates include treatment of osteoporosis in postmenopausal women, osteoporosis in men, glucocorticoid-induced osteoporosis, hypercalcemia of malignancy, Paget disease of the bone, and malignancies with metastasis to the bone. and esophageal varices and patients who have undergone Roux-en-Y gastric.
R-Y HJ - Roux-en-Y Hepatico-Jejunostomy. Looking for abbreviations of R-Y HJ? It is Roux-en-Y Hepatico-Jejunostomy. Roux-en-Y Hepatico-Jejunostomy listed as R-Y HJ. Roux-en-Y Hepatico-Jejunostomy - How is Roux-en-Y Hepatico-Jejunostomy abbreviated? Major indications for hepatico-jejunostomy are benign or iatrogenic strictures and injuries. Introduction: Biliary duct injuries pose a significant management challenge due to the propensity for recurrent biliary strictures. Development of a modified Roux-en-Y hepaticojejunostomy known as a Hutson-Russell Pouch (HRP) provides a point of entry for repetitive access to the biliary tree Moreover, the diabetic patients had a significant 26 kg weight loss, 62 mg/dL lower triglycerides, and 8 mg/dL higher HDL-C compared to non-surgical controls. 11 As a result, in diabetic patients with a body mass index of ≥35 kg/m 2, bariatric surgery including Roux-en-Y gastric bypass and sleeve gastrectomy are recommended. 12 Smoking is the.
By the end of the recruitment process, patients in the surgery group who underwent Roux-en-Y gastric bypass (265 patients) represented only 13.2% of the patients in the surgery group. 16,17 In the.