Influence of jejunoileal and common limb length on weight loss following Roux-en-Y gastric bypass
| Autor: | Inara Kellen Fonseca, Soraya Rodrigues de Almeida Sanches, Henrique Gomes de Barros, Jander Toledo Ferreira, Alexandre Lages Savassi-Rocha, Maria de Fátima Haueisen Sander Diniz, Paulo Roberto Savassi-Rocha, Marco Túlio Costa Diniz |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Malabsorption Endocrinology Diabetes and Metabolism Gastric bypass Population Gastric Bypass Gastroenterology Body Mass Index Weight loss Internal medicine Weight Loss medicine Humans Statistical analysis Prospective Studies education education.field_of_study Nutrition and Dietetics business.industry Middle Aged medicine.disease Roux-en-Y anastomosis Limb length Surgery Obesity Morbid Treatment Outcome Female medicine.symptom business Body mass index |
| Zdroj: | Obesity surgery. 18(11) |
| ISSN: | 0960-8923 |
| Popis: | Capella surgery is one of the technical variations of Roux-en-Y gastric bypass. The method includes the preparation of an alimentary (Roux) limb with a standardized length (110 cm) in order to induce deficiencies in the absorption of macronutrients and thereby contribute to weight loss. The recognized variation in jejunoileal length in humans (approximately 4 to 9 m) is not considered, although this range correlates with the wide variation in the length of the common limb.In order to assess the influence of variations in jejunoileal and common limb lengths on weight loss, intra-operative measurements were made of these segments on 100 patients undergoing Capella surgery. Patients were followed for a period of 1 year. Statistical analysis included subdivisions of the population by gender and body mass index.Average jejunoileal length was 671.4 +/- 115.7 cm (434-990 cm). Average common limb length was 505.3 +/- 113.3 cm (268-829 cm). No correlation was detected between jejunoileal length and weight loss at 6 months or 1 year following surgery. A weak negative correlation was detected between weight loss and common limb length at 1 year following surgery in male and super-obese patients.Jejunoileal and common limb length vary widely in gastric bypass patients. To make modifications in the alimentary and/or biliopancreatic limb length, surgeons must consider the variability of the jejunoileal and common limb length. |
| Databáze: | OpenAIRE |
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