A 14-16 cm long gastric tube is created using a 60 mm stapler starting on the lesser curvature at the crow's foot level. It is tailored following the edge of a 38F calibrating orogastric tube up to the angle of His. A loop gastroenterostomy is then created with the small bowel about 200 cm distal to the ligament of Treitz with the same stapler using a 60 mm blue cartridge

A 14-16 cm long gastric tube is created using a 60 mm stapler starting on the lesser curvature at the crow's foot level. It is tailored following the edge of a 38F calibrating orogastric tube up to the angle of His. A loop gastroenterostomy is then created with the small bowel about 300 cm proximal to the ileocecal valve with the same stapler using a 60 mm blue cartridge

Obesity, Morbid

Weight Loss

Bariatric Surgery Candidate

Laparoscopic single anastomosis gastric bypass is reported to be a safe alternative to LRYGB, showing comparable efficacy in weight reduction and resolution of metabolic complications with reduced surgical complications.
The advantages with this technique as claimed by those speaking in favor of it are many: fewer sites for leakage and internal hernia, easier and faster to learn and perform, easy to reverse and revise, and with results at least comparable with the result following standard Roux-en-Y gastric bypass (RYGB).
The length of the biliopancreatic limb in single anastomosis gastric bypass as reported by Rutledge is fixed 200 cm starting at the duodenojejunal junction, neglecting the length of the common limb.
Because of deficient data regarding the effect of common limb length on the outcome of LSAGB, so a clinical trial shall add new knowledge regarding sufficient weight loss, rate of complications and the need for revision.

One-anastomosis gastric bypass

Common Limb Length in One-anastomosis Gastric Bypass

Evaluation on Common Limb Length in Laparoscopic One-anastomosis Gastric Bypass for Morbidly Obese Patients

cessation of treatment or reduction of medications

leakage, bleeding, thromboembolic complications

The data are planned to be published as a research paper.

Hosam Hamed

Lecturer of general surgery

Mansoura University

Clinically Severe Obesity

Metabolic Complications After Jejunoileal Bypass

Nutritional Complications After Jejunoileal Bypass

Obesity Recidivism

Inadequate Initial Weight Loss

Intestinal Malabsorptive Syndrome

Protein Malnutrition

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steatorrhea/obesitat

Common Limb Length in One-anastomosis Gastric Bypass

Laparoscopic Revision of Jejunoileal Bypass to Gastric Bypass

La base de dades d’herbes medicinals més completa avalada per la ciència