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Antecolic antegastric Roux-en-Y gastric bypass surgery has been estimated to result in internal hernia in 0.2% of cases, mainly through Petersen's defect. [ journal 8 ] An incisional hernia occurs when a surgical incision does not heal well; the muscles of the abdomen separate and allow protrusion of a sac-like membrane, which may contain bowel ...
In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct the gastrointestinal tract. Typically, it is between stomach and small bowel that is distal (or further down the gastrointestinal tract ) from the cut end.
The procedure is normally performed laparoscopically, though in a small minority of instances prior surgery may have resulted in extensive scarring, [6] requiring open surgery. Roux-en-Y gastric bypass is a commonly chosen revision technique, [7] particularly in patients who have not been successful in meeting their weight loss goals after ...
It has been found to produce a weight loss comparable to that of Roux-en-Y gastric bypass. [18] The risk of ulcers or narrowing of the gut due to intestinal strictures is less so with sleeve gastrectomy versus Roux-en-Y gastric bypass, but it is not as effective at treating GERD or type 2 diabetes. [18]
Combined restrictive and malabsorptive techniques are called gastric bypass techniques, of which Roux-en-Y gastric bypass surgery (RGB) is the most common. In this technique, staples are used to form a pouch that is connected to the small intestine , bypassing the lower stomach, the duodenum , and the first portion of the jejunum .
In addition, it was later found that gastric bypass can treat diabetes type-2. [8] [13] [10]: 61–76 Several of the early gastric bypass patients had bilious emesis, and Dr. Ward Griffen and coworkers at the University of Kentucky changed the Mason loop gastric bypass to a Roux-en-Y gastric bypass in 1977. [8] [4] [21]
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