Intestinal Bipartition After Failed Sleeve Gastrectomy: a Safe and Simple Alternative Technique in a Challenging Case with Vascular Anomalies

Autor:	Claudio Lazzara, David Merino, Javier Osorio, Lucia Sobrino, Jordi Pujol-Gebellí
Rok vydání:	2021
Předmět:	Reoperation Nutrition and Dietetics Gastrectomy Endocrinology Diabetes and Metabolism Weight Loss Gastric Bypass Humans Surgery Laparoscopy Obesity Morbid Retrospective Studies
Zdroj:	Obesity surgery. 32(5)
ISSN:	1708-0428
Popis:	Sleeve gastrectomy (SG) is the most performed bariatric surgery worldwide but approximately 50% of patients will present insufficient weight loss or weight regain after surgery. In 2004, Santoro et al. described an alternative revisional technique other than DS and RYGBP called intestinal bipartition (IB). It involves a pre-pyloric gastro-ileal and an ileo-ileal anastomosis without exclusion of intestinal segments. Duodenal dissection is not necessary, making it an easier and more reproducible technical alternative to DS. its preliminary reports show good weight control with resolution of obesity related comorbidities. We present our technical suggestions to perform a safe IB in a patient with a failed SG in whom revisional DS or RYGBP were not feasible due to a vascular anomaly.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f9967ee74f987b3a48bb032ac7ce7686 https://pubmed.ncbi.nlm.nih.gov/35306644 Zobrazit plný text záznamu Full text from SpringerLink