Duodenal switch: Fully stapled technique.

Autor:	Ng PC; Bariatric Surgeon, North Carolina Surgery, Rex Hospital, Raleigh, North Carolina. Electronic address: Peter.ng@unchealth.unc.edu., Sharp LS; Bariatric Surgeon, North Carolina Surgery, Rex Hospital, Raleigh, North Carolina., Bermudez DM; Bariatric Surgeon, North Carolina Surgery, Rex Hospital, Raleigh, North Carolina.
Jazyk:	angličtina
Zdroj:	Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2019 Mar; Vol. 15 (3), pp. 512. Date of Electronic Publication: 2019 Jan 22.
DOI:	10.1016/j.soard.2018.12.031
Abstrakt:	Background: Duodenal switch and single anastomosis modifications continue to gain greater interest among bariatric surgeons. Limiting factors to adoption include concerns around the nutritional management, patient compliance and follow-up, and the technical challenge of the operation. The majority of techniques offered currently use a hand-sewn duodenoileostomy. This approach is limited by the steep learning curve as well as longer operating times. Objectives: We present a video demonstrating the fully stapled technique for duodenoileostomy and ileileostomy. We offer technical pearls around the technique, specifically focused on maintaining a widely patent anastomosis, open biliopancreatic limb, safe duodenal dissection, and correct loop orientation. Methods: Laparoscopic fully stapled duodenoileostomy for duodenal switch and single anastomosis modification. Setting: Community hospital, single institution, 3 surgeons. Conclusion: Triple staple offers a reproducible and safe technique for the duodenoileostomy and specifically for construction of a Roux or loop anastomosis in duodenal switch. (Copyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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