Laparoscopic Gastric Bypass Complications Prevention Tips
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This document discusses potential complications of laparoscopic gastric bypass surgery and provides techniques to address them. It identifies common complications like anastamotic leak, GI hemorrhage, and bowel obstruction. It then outlines steps in the surgical procedure and recommendations to minimize complications, such as properly identifying and dividing tissues, ensuring tension-free anastamoses, and directly testing for leaks. Following surgical principles rigorously and avoiding excessive dissection or suturing can help reduce complications.
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Laparoscopic Gastric Bypass Complications Prevention Tips
- 1. Laparoscopic Gastric Bypass: Addressing Potential Complications George S. Ferzli, MD, FACS New York, NY
- 2. GASTRIC BYPASS WITH ROUX-en-Y LIMB Roux-en-Y Gastric Bypass 50 mL POUCH WITH A ROUX LIMB COMBINED RESTRICTIVE AND MALABSORPTIVE
Notas del editor
- The technique was modified to obtain a 50 mL pouch and a Roux-en-Y limb to minimize bile reflux from the loop gastrojejunostomy. The roux limb was lengthened to 100-150 cm in order to increase malabsorption and improve weight loss. The technique has been modified throughout the years with regard to the gastric pouch and retrocolic position of the roux limb. This procedure has stood the test of time, with one series of 500 patients followed for 14 years with patients maintaining 50% excess weight loss.