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Obesity Surgery
Published in: Obesity Surgery 3/2016

01-03-2016 | Review Article

Small Bowel Limb Lengths and Roux-en-Y Gastric Bypass: a Systematic Review

Authors: Kamal K. Mahawar, Parveen Kumar, Chetan Parmar, Yitka Graham, William R. J. Carr, Neil Jennings, Norbert Schroeder, Shlok Balupuri, Peter K. Small

Published in: Obesity Surgery | Issue 3/2016

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Abstract

There is currently no consensus on the combined length of small bowel that should be bypassed as biliopancreatic or alimentary limb for optimum results with Roux-en-Y gastric bypass. A number of different limb lengths exist, and there is significant variation in practice amongst surgeons. Inevitably, this means that some patients have too much small bowel bypassed and end up with malnutrition and others end up with a less effective operation. Lack of standardisation poses further problems with interpretation and comparison of scientific literature. This systematic review concludes that a range of 100–200 cm for combined length of biliopancreatic or alimentary limb gives optimum results with Roux-en-Y gastric bypass in most patients.
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Metadata
Title
Small Bowel Limb Lengths and Roux-en-Y Gastric Bypass: a Systematic Review
Authors
Kamal K. Mahawar
Parveen Kumar
Chetan Parmar
Yitka Graham
William R. J. Carr
Neil Jennings
Norbert Schroeder
Shlok Balupuri
Peter K. Small
Publication date
01-03-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 3/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2050-2

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