Procedure Type- Combined Restrictive / Malabsorptive Description: Stapling is used to create a small, upper stomach pouch which restricts the amount of food able to be consumed A portion of small bowel is bypassed thus delaying food from mixing with digestive juices to avoid complete calorie absorption Results: Average of 77% of excess body weigh loss one year after surgery Studies show that after 10 to 14 years, patients have maintained 60% of excess body weight loss 2000 study of 500 patients showed that 96% of certain associated health conditions studied were improved or resolved, including back pain, sleep apnea, high blood pressure, Type II diabetes and depression Risk: while all major surgery involves a certain level of risk, the following risks and considerations are specific to this procedure: Poor absorption of iron and calcium Chronic anemia due to Vitamin B12 deficiency Dumping syndrome can occur when too much sugar or large amounts of food are consumed Stomach pouch stretching Bypassed portion of the stomach, duodenum and segments of the small intestine cannot be easy visualized using X-ray or endoscopy Started in 2006 with gastric bypass operations 164 cases so far operated (until Dec 2009) Medium BMI 45 Age between 25 & 45 Technique applied (Lonroth & Miller) Small pouch Linear staple Anterior gastro jejunostomy No over sewing Complications : no mortality one leak from gastro jejunostomy Lately seamguard use for staples Weight loss more impressive, down to average BMI between 30-35 in 60% of followed up cases within 2 years. DM II resolution in 85% of patients with known DMII.
Copyrights © 2010 Copyrights Khalilzayadin,laparascopic-surgery Amman, Jordan,Hernia, GERD, In Amman Jordan . All rights reserved