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The Roux-en-Y laparoscopic gastric bypass, first performed and reported on in case studies between 1993 and 1994, [3] is regarded as one of the most difficult procedures to perform by limited access techniques.
Sleeve gastrectomy was originally performed as a modification to another bariatric procedure, the duodenal switch, and then later as the first part of a two-stage gastric bypass operation on extremely obese patients for whom the risk of performing gastric bypass surgery was deemed too large. The initial weight loss in these patients was so ...
Researchers examined data on 249 extremely obese patients who had what's known as laparoscopic Roux-en-Y gastric bypass, which reduces the stomach to a small pouch about the size of an egg.
The first laparoscopic gastric bypass performed by Alan Wittgrove in 1994 exemplifies this leap in surgical innovation. [96] The SG laparoscopic version was first performed in 1999. [13] Historically, the RYGBP is the best bariatric surgery for obese patients, but now being rivalled by the SG.
And as the most recent data shows, gastric bypass and sleeve gastrectomy have demonstrated a total weight loss of 31.9% and 29.5%, respectively, one year after surgery, with weight loss of ...
Schematic of gastric bypass using a Roux-en-Y anastomosis. The transverse colon is not shown so that the Roux-en-Y can be clearly seen. The variant seen in this image is retrocolic, retrogastric, because the distal small bowel that joins the proximal segment of stomach is behind the transverse colon and stomach.
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