Roux-en-Y hepatojejunostomy is one of surgeries with high difficulty in clinical pediatric surgery.
* Biliopancreatic Diversion with Duodenal Switch In this procedure, a sleeve gastrectomy is performed, and a larger section of the small intestine is bypassed than with
Roux-en-Y. "People who undergo this surgery typically lose more weight than with the
Roux-en-Y procedure, and resolution of type 2 diabetes is as high as 90 percent," Dr.
Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after
Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study.
Horowitz, "Is routine cholecystectomy necessary at the time of
Roux-en-Y gastric bypass?," Obesity Surgery, vol.
Boone, "Internal hernias after laparoscopic
Roux-en-Y gastric bypass: incidence, treatment and prevention," Obesity Surgery, vol.
The physiological advantages of preserving the autonomic nerves in the mesojejunum in the reconstructed alimentary limb have been documented [12, 13], and in our institution, we sacrifice the jejunum to create an autonomic nerve-preserved jejunal limb for
Roux-en-Y reconstruction.
Researchers compared the outcomes of patients in three groups: 418 patients who sought and underwent
Roux-en-Y gastric bypass surgery; 417 patients who sought but did not undergo surgery, mainly for insurance reasons; and 321 patients who did not seek surgery.
Material and Methods: Data on patients who underwent laparoscopic
Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy with a diagnosis of morbid obesity between January 2012 and June 2014 were retrospectively evaluated.
They found that one out of five participants treated with the
Roux-en-Y gastric bypass procedure developed alcoholism or alcohol abuse within seven years.
Complete cyst excision followed by
Roux-en-Y common hepatico-jejunostomy was performed in 30.43% and common hepatico-dudenostomy in 26.08%.
Potential spaces predisposing to internal hernias in the abdomen occurs after laparoscopic gastrectomy with
Roux-en-Y reconstruction.
Worldwide, there have been <25 reported cases of hyperammonemic encephalopathy associated with
Roux-en-Y gastric bypass surgery in the absence of cirrhosis.
