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Obesity Surgery
Published in: Obesity Surgery 10/2014

01-10-2014 | Letter to the Editor

The Long and Narrow Gastric Pouch for Laparoscopic Roux-en-Y Gastric Bypass

Authors: Antonio Iannelli, Radwan Kassir, Jean Gugenheim

Published in: Obesity Surgery | Issue 10/2014

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Excerpt

The shape and volume of the gastric pouch and the diameter of the gastrojejunostomy of the Roux-en-Y gastric bypass (RYGBP) are responsible for the restrictive effect of this procedure. Although these are the key factors influencing long-term weight loss, no consensus exists on how to construct the optimal gastric pouch and gastrojejunostomy (GJ). Herein, we show that the long and narrow gastric pouch with a hand-sewn gastrojejunostomy undergoes only moderate dilation overtime, keeping the restrictive effect of the procedure. …
Literature
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Capella RF, Iannace VA, Capella JF. An analysis of gastric pouch anatomy in bariatric surgery. Obes Surg. 2008;18:782–90.PubMedCrossRef
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Roberts K, Duffy A, Kaufman J, et al. Size matters: Gastric pouch size correlates with weight loss after laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2007;21:1397–402.PubMedCrossRef
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O'Connor EA, Carlin AM. Lack of correlation between variation in small-volume gastric pouch size and weight loss after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4:399–403.PubMedCrossRef
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Nishie A, Brown B, Barloon T, et al. Comparison of size of proximal gastric pouch and short-term weight loss following routine upper gastrointestinal contrast study after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17:1183–8.PubMedCrossRef
Metadata
Title
The Long and Narrow Gastric Pouch for Laparoscopic Roux-en-Y Gastric Bypass
Authors
Antonio Iannelli
Radwan Kassir
Jean Gugenheim
Publication date
01-10-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1378-8

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