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01-01-2016 | Review Article

Antecolic or Retrocolic Alimentary Limb in Laparoscopic Roux-en-Y Gastric Bypass? A Meta-Analysis

Authors: Fabio Rondelli, Walter Bugiantella, Matteo Desio, Maria Cristina Vedovati, Marcello Boni, Nicola Avenia, Adriano Guerra

Published in: Obesity Surgery | Issue 1/2016

Abstract

Internal hernia (IH) is a severe complication after laparoscopic Roux-en-Y gastric bypass. The orientation of the alimentary limb has advocated to affect IH. Available data regarding the incidence of IH, gastro-jejunostomy leakage, obstructive symptoms, anastomotic obstruction, adhesion, incisional hernia, total complications, and recurrent IH were meta-analyzed according to the orientation of the alimentary limb. Fourteen studies (13,660 patients) were included. Antecolic orientation resulted associated with a lower incidence of IH and obstructive symptoms, while the route of the alimentary limb did not show to affect the other outcomes. Antecolic orientation decreases the IH. However, the role and the technique of the closure of mesenteric defects cannot be stated due to the lack of adequate data to date. Well-designed randomized controlled trials (RCTs) are needed.

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Title: Antecolic or Retrocolic Alimentary Limb in Laparoscopic Roux-en-Y Gastric Bypass? A Meta-Analysis
Authors: Fabio Rondelli
Walter Bugiantella
Matteo Desio
Maria Cristina Vedovati
Marcello Boni
Nicola Avenia
Adriano Guerra
Publication date: 01-01-2016
Publisher: Springer US
Published in: Obesity Surgery / Issue 1/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-015-1918-x

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Antecolic or Retrocolic Alimentary Limb in Laparoscopic Roux-en-Y Gastric Bypass? A Meta-Analysis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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