Bowel obstruction rates in antecolic/antegastric versus retrocolic/retrogastric Roux limb gastric bypass: a meta-analysis

Harakeh, Ayman B. Al; Kallies, Kara J.; Borgert, Andrew J.; Kothari, Shanu N.

doi:10.1016/j.soard.2015.02.004

Cited by 60 publications

(34 citation statements)

References 16 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although bowel obstruction secondary to internal hernia is a well-documented complication of RYGB surgery, the optimum approach to minimize the risk of obstruction is controversial. A recent meta-analysis observed increased rates of small bowel obstruction and internal hernia with retrocolic, retrogastric positioning of the roux limb due to increased potential defects that may contribute as internal hernia sites [4]. The laparoscopic approach has been associated with increased small bowel obstructions compared to the open approach and this has been hypothesized to be due to the absence of adhesions that would normally stabilize the small bowel and prevent bowel obstruction within internal hernias [2].…”

Section: Discussionmentioning

confidence: 99%

Splenic Flexure Mobilization for Subacute Large Bowel Obstruction Following Gastric Bypass: A Case Report

P¹,

Bastawrous²,

Amir³

2018

Int J Surg Res Pract

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Splenic Flexure Mobilization for Subacute Large Bowel Obstruction Following Gastric Bypass: A Case Report

P¹,

Bastawrous²,

Amir³

2018

Int J Surg Res Pract

View full text Add to dashboard Cite

show abstract

“…Small-bowel obstruction is one relatively common complication after RYGB. The estimated lifetime incidence is 3–5% ( 97 ). Small-bowel obstruction presents with decreased bowel function, abdominal pain, nausea/vomiting, and bloating.…”

Section: Complications After Bariatric Surgerymentioning

confidence: 99%

Bariatric Surgery: A Perspective for Primary Care

et al. 2017

View full text Add to dashboard Cite

IN BRIEF Bariatric surgery is the most efficacious treatment for obesity, type 2 diabetes, and other obesity-related comorbidities. In this article, the authors review the current indications for bariatric surgery and discuss the most commonly performed procedures. They analyze medical outcomes of bariatric procedures by reviewing key prospective trials and discuss changes in physiology after these procedures. They conclude by discussing long-term management of bariatric patients by reviewing current guidelines for nutritional support and listing common complications related to these procedures.

show abstract

“…In the entire literature, there is only one reported case of Petersen's hernia after MGB[ 36 ] in contrast to 1-6% internal hernia rates observed with RYGB. [ 37 38 39 ] It is not inconceivable how the loop configuration will reduce sites for internal herniation. We believe that internal hernia will be a rare finding after MGB and perhaps even more importantly, this procedure will also be associated with a lower incidence of nonspecific abdominal pain compared to RYGB.…”

Section: Patient Acceptancementioning

confidence: 99%

Current status of mini-gastric bypass

et al. 2016

View full text Add to dashboard Cite

Mini-gastric bypass (MGP) is a promising bariatric procedure. Tens of thousands of this procedure have been performed throughout the world since Rutledge performed the first procedure in the United States of America in 1997. Several thousands of these have even been documented in the published scientific literature. Despite a proven track record over nearly two decades, this operation continues to polarise the bariatric community. A large number of surgeons across the world have strong objections to this procedure and do not perform it. The risk of symptomatic (bile) reflux, marginal ulceration, severe malnutrition, and long-term risk of gastric and oesophageal cancers are some of the commonly voiced concerns. Despite these expressed fears, several advantages such as technical simplicity, shorter learning curve, ease of revision and reversal, non-inferior weight loss and comorbidity resolution outcomes have prompted some surgeons to advocate a wider adoption of this procedure. This review examines the current status of these controversial aspects in the light of the published academic literature in English.

show abstract

Bowel obstruction rates in antecolic/antegastric versus retrocolic/retrogastric Roux limb gastric bypass: a meta-analysis

Cited by 60 publications

References 16 publications

Splenic Flexure Mobilization for Subacute Large Bowel Obstruction Following Gastric Bypass: A Case Report

Splenic Flexure Mobilization for Subacute Large Bowel Obstruction Following Gastric Bypass: A Case Report

Bariatric Surgery: A Perspective for Primary Care

Current status of mini-gastric bypass

Contact Info

Product

Resources

About