Brown Andrew M, Spaniolas Konstantinos
Department of Surgery, Health Sciences Center, Division of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Health Sciences Center T18-040, Stony Brook Medicine, Stony Brook, NY, 11794-8191, USA.
J Gastrointest Surg. 2020 Sep;24(9):2183-2184. doi: 10.1007/s11605-020-04625-3. Epub 2020 May 15.
Laparoscopic Roux-en-Y gastric bypass is an effective surgical procedure to manage obesity and associated comorbidities. Despite this, some patients experience suboptimal weight loss or weight regain. Several revisional options are available following gastric bypass. Distalization, by increasing the biliopancreatic limb and decreasing the common channel, has been previously shown to improve weight loss with low perioperative morbidity. The impact on weight and nutritional deficiencies is associated with lengths of the different intestinal limbs. Although gastric bypass distalization is an established procedure, in this video we present some technical tips and peals.
腹腔镜Roux-en-Y胃旁路术是治疗肥胖症及相关合并症的一种有效外科手术。尽管如此，一些患者的体重减轻效果欠佳或出现体重反弹。胃旁路术后有多种翻修选择。通过延长胆胰支和缩短共同通道进行远端化手术，此前已证明可改善体重减轻情况，且围手术期发病率较低。对体重和营养缺乏的影响与不同肠段的长度有关。虽然胃旁路远端化手术是一种成熟的手术，但在本视频中，我们展示了一些技术要点和技巧。
