Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass – revisionary surgery strategy
With the rapid development of the knowledge and techniques in bariatric surgery, as well as extensive expansion of indications for metabolic operations, surgeons have started to realize that the procedures they choose are not always suited to the needs and behavior of patients. Second and very frequ...
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| Format: | Article |
| Language: | English |
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Medycyna Praktyczna
2016-01-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
| Subjects: | |
| Online Access: | https://www.termedia.pl/Reconstruction-of-leaking-gastric-pouch-after-redo-Rouxen-Y-gastric-bypass-revisionary-surgery-strategy,42,26825,1,1.html |
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| _version_ | 1850157495571447808 |
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| author | Wojciech K. Karcz Cheng Zhou William Braun Piotr Małczak Ulrich Wellner |
| author_facet | Wojciech K. Karcz Cheng Zhou William Braun Piotr Małczak Ulrich Wellner |
| author_sort | Wojciech K. Karcz |
| collection | DOAJ |
| description | With the rapid development of the knowledge and techniques in bariatric surgery, as well as extensive expansion of indications for metabolic operations, surgeons have started to realize that the procedures they choose are not always suited to the needs and behavior of patients. Second and very frequently third revisional procedures are thus necessary in order to achieve desired outcomes and fulfill patients’ expectations. Restoration of restriction is commonly the first procedure, but not all may benefit from it. We hence want to illustrate the decision-making process by presenting a patient with the background of initial Rouxen-Y gastric bypass (RYGB) and redo-RYGB, who then underwent a further revision by a 2-stage approach due to weight regain. The first stage involved shortening of the common channel and the second one reconstruction of his gastric pouch with duodenal switch (DS). Consequently we wish to focus here on a discussion about operative techniques and strategies to improve outcomes in such patients. |
| format | Article |
| id | doaj-art-3505e9da525943c6b5d7d2c2fb08cf37 |
| institution | OA Journals |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-3505e9da525943c6b5d7d2c2fb08cf372025-08-20T02:24:08ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542016-01-0111191310.5114/wiitm.2016.5748526825Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass – revisionary surgery strategyWojciech K. KarczCheng ZhouWilliam BraunPiotr MałczakUlrich WellnerWith the rapid development of the knowledge and techniques in bariatric surgery, as well as extensive expansion of indications for metabolic operations, surgeons have started to realize that the procedures they choose are not always suited to the needs and behavior of patients. Second and very frequently third revisional procedures are thus necessary in order to achieve desired outcomes and fulfill patients’ expectations. Restoration of restriction is commonly the first procedure, but not all may benefit from it. We hence want to illustrate the decision-making process by presenting a patient with the background of initial Rouxen-Y gastric bypass (RYGB) and redo-RYGB, who then underwent a further revision by a 2-stage approach due to weight regain. The first stage involved shortening of the common channel and the second one reconstruction of his gastric pouch with duodenal switch (DS). Consequently we wish to focus here on a discussion about operative techniques and strategies to improve outcomes in such patients.https://www.termedia.pl/Reconstruction-of-leaking-gastric-pouch-after-redo-Rouxen-Y-gastric-bypass-revisionary-surgery-strategy,42,26825,1,1.html<i>bariatric surgery restriction revisionary surgery malabsorption</i> |
| spellingShingle | Wojciech K. Karcz Cheng Zhou William Braun Piotr Małczak Ulrich Wellner Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass – revisionary surgery strategy Videosurgery and Other Miniinvasive Techniques <i>bariatric surgery restriction revisionary surgery malabsorption</i> |
| title | Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass – revisionary surgery strategy |
| title_full | Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass – revisionary surgery strategy |
| title_fullStr | Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass – revisionary surgery strategy |
| title_full_unstemmed | Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass – revisionary surgery strategy |
| title_short | Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass – revisionary surgery strategy |
| title_sort | reconstruction of leaking gastric pouch after redo rouxen y gastric bypass revisionary surgery strategy |
| topic | <i>bariatric surgery restriction revisionary surgery malabsorption</i> |
| url | https://www.termedia.pl/Reconstruction-of-leaking-gastric-pouch-after-redo-Rouxen-Y-gastric-bypass-revisionary-surgery-strategy,42,26825,1,1.html |
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