The influence of the percentage of the common limb in weight loss and nutritional alterations after laparoscopic gastric bypass

Abellán, Israel; Luján, Juan; Frutos, María Dolores; Abrisqueta, Jesús; Hernández, Quiteria; López, Víctor; Parrilla, Pascual

doi:10.1016/j.soard.2014.06.009

Cited by 37 publications

(24 citation statements)

References 16 publications

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“…[ 26 , 27 ] In the absence of head–head comparison studies, the ideal RYGB limb length to optimize the metabolic outcomes remains uncertain. [ 28 ] Nevertheless, previous reports including our own suggested that a longer BPL RYGB could improve diabetes control in the short term (< 5 years). [ 22 , 29 , 30 ] Thus, the aim of the herein study was to assess the influence of the BPL length in long-term T2D metabolic improvement, by comparing the clinical outcomes of patients submitted to a long BPL RYGB and the standard RYGB.…”

Section: Introductionmentioning

confidence: 89%

Should Roux-en-Y gastric bypass biliopancreatic limb length be tailored to achieve improved diabetes outcomes?

et al. 2017

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Section: Introductionmentioning

confidence: 89%

Should Roux-en-Y gastric bypass biliopancreatic limb length be tailored to achieve improved diabetes outcomes?

et al. 2017

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“…The question we would like to answer is which technique will reduce the likelihood of making a surgical error when repeated measures of the bowel are required. Abellan et al have examined the effect of the ratio of common limb length to total bowel length on clinical outcomes in patients with Roux-en-Y gastric bypass (16). They have measured the bowel length accurately and repeated the measurement twice each time to ensure greater reliability.…”

Section: Discussionmentioning

confidence: 99%

Repeated stretched or non-stretched small bowel length measurements in healthy individuals

Karagül¹,

Kayaalp²

2019

Turk J Surg

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Objective: The aim of the present study was to contribute to the establishment of a standard method of small bowel measurement by comparing repeated small bowel length measurements with and without stretching in healthy individuals. Material and Methods: Small bowel measurement was randomly performed in 24 healthy liver donors. Three repetitive measurements were performed with complete stretching in 12 cases; whereas, 3 consecutive measurements were made without any stretching in the other 12 patients. Living donor hepatectomy continued uneventfully in all cases. Results: In the non-stretched group, the second measurement was 199 cm shorter than the first measurement (p< 0.001). In the third measurement, this shortening had increased further, and the difference from the first measurement was 234 cm on average (p< 0.001). In the stretched group, a shortening of approximately 135 cm between the first and second measurements was noted. In the third measurement, an improvement of 4% was observed in contrast to the non-stretched method, with a mean reduction of 105 cm in the small bowel length compared with the first measurement (p< 0.001). Conclusion: Stretching technique can reduce error rate in repeated small bowel measurements.

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“…Especially in bariatric-metabolic surgery, most of the surgeons use standard distances for the small bowel configurations (Abellan et al 2014 ; Savassi-Rocha et al 2008 ; Stefanidis et al 2011 ). However they rarely measure the full SBL.…”

Section: Discussionmentioning

confidence: 99%

Influence of repeated measurements on small bowel length

et al. 2016

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PurposeMeasurement of small bowel length (SBL) is a common procedure in gastrointestinal surgery. When required, repeated SBL measurements can be done during surgery. Our aim was to evaluate whether these repeated measurements differ in SBL results.MethodsSmall bowel length was measured during laparotomy in 28 patients between ligament of Treitz and caecum, using a standard measure, two times in each patient consecutively by two different surgeons from the anti-mesenteric border of the bowel.ResultsThe median age was 33 (19–67) including 18 male. There were 16 healthy donors for living related liver transplantations. Second measurements, performed immediately after the first measurements, significantly shortened the measured SBLs in the same patients (580 ± 103 vs. 485 ± 78 cm, p < 0.001).ConclusionsDuring surgery, repeated length measurements caused contractions in the small bowel and this resulted to a significant decrease in the SBL. This should be keep in mind to prevent mismeasurements.

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The influence of the percentage of the common limb in weight loss and nutritional alterations after laparoscopic gastric bypass

Cited by 37 publications

References 16 publications

Should Roux-en-Y gastric bypass biliopancreatic limb length be tailored to achieve improved diabetes outcomes?

Should Roux-en-Y gastric bypass biliopancreatic limb length be tailored to achieve improved diabetes outcomes?

Repeated stretched or non-stretched small bowel length measurements in healthy individuals

Influence of repeated measurements on small bowel length

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