Himpens J M, Rogge F, Leman G, Sonneville T
Department of Thoracic, Abdominal and Minimally Invasive Surgery, AZ St. Blasius Hospital, 50 Kroonveldlaan, Dendermonde 9200, Belgium.
Obes Surg. 2001 Aug;11(4):528-31. doi: 10.1381/096089201321209477.
Roux-en-Y gastric bypass (RYGBP) leaves a large blind gastric segment, which is inaccessible for conventional endoscopy.
A case is reported, describing a variation of laparoscopic RYGBP by partitioning the stomach by an inflatable band rather than by stapling or division.
The stomach was partitioned into a proximal 15 cc pouch and a distal part by an adjustable gastric band. A RYGBP was fashioned from the proximal pouch. 9 patients were treated with this technique: 7 as an initial procedure and 2 after previous gastric banding which had been followed by insufficient weight loss. 1 of these latter patients developed erosion of the band through the gastrojejunostomy 7 months postoperatively.
Laparoscopic proximal RYGBP with inflatable-band gastric partitioning is feasible. Erosion of the band though the gastrojejunostomy, however, might be a serious side-effect of this technique.
Roux-en-Y胃旁路术（RYGBP）会留下一个大的盲端胃段，传统内镜无法到达该部位。
报告一例病例，描述了一种腹腔镜RYGBP的变体，即通过可充气束带而非吻合器或分割来分隔胃。
胃通过可调节胃束带被分隔为一个近端15立方厘米的胃囊和一个远端部分。从近端胃囊构建了RYGBP。9例患者接受了该技术治疗：7例作为初始手术，2例在先前接受胃束带术但体重减轻不足之后。后一组患者中有1例在术后7个月出现束带经胃空肠吻合口侵蚀。
腹腔镜近端RYGBP联合可充气束带胃分隔术是可行的。然而，束带经胃空肠吻合口侵蚀可能是该技术的严重副作用。
