Advertisement

Gastric Bypass pp 205-213 | Cite as

Laparoscopic Gastric Bypass: Tricks and Tips

  • Fábio Almeida
  • Juliana Moura
  • Antonio AlvesJr.
Chapter
  • 41 Downloads

Abstract

Laparoscopic gastric bypass is currently one of the most frequently used operations for metabolic and bariatric surgery. To assure the safety of the procedure, adequate training and the use of specific materials for better performance are imperative. This chapter presents the technical aspects of the operation and ways to facilitate its implementation. Several factors, such as appropriate surgical preparation, anesthesia, patient positioning, surgical team, appropriate materials, trocar positioning, and standardization of the surgical steps, are critical to the safety of the surgery. Types of anastomoses, loop access, anastomosis size, and technical details are also included in facilitating this procedure to be as safe as possible.

Keywords

Gastric bypass Obesity surgery Laparoscopic surgery Obesity Safe surgery 

References

  1. 1.
    Czeczko LE, Cruz MA, Klostermann FC, Czeczko NG, Nassif PAN, Czeczko AEA. Correlação entre a endoscopia digestive alta pre e pos-operatoria em pacientes submetidos ao bypass gastrojejunal em y-Roux. ABCD Arq Bras Cir Dig. 2016;29(1):33–7.CrossRefGoogle Scholar
  2. 2.
    Ahmed AR, Rickards G, Husain S, et al. Tendências na incidência de hérnia interna após laparoscópica Roux-en-Y bypass gástrico. Obes Surg. 2007;17(12):1563–6.CrossRefGoogle Scholar
  3. 3.
    Capella RF, Iannace VA, Capella JF. Obstrução interstinal após a cirurgia de bypass gástrico aberta e laparoscópica para a obesidade mórbida. J Am Coll Surg. 2006;203(3):328–35.CrossRefGoogle Scholar
  4. 4.
    Schneider C, Cobb W, Scott J, Carbonell A, Myers K, Bour E. Rápida perda de excesso de peso após bypass gástrico laparoscópico leva ao aumento do risco de hérnia interna. Surg Endosc. 2011;25(5):1594–8.  https://doi.org/10.1007/s00464-010-1444-9. Epub 12 de novembro de 2010.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Wittgrove AC, Facs MD, Clark GW. Laparoscopic gastric bypass, Roux en-Y: 500 patients. Technique and results, with 3–60 month follow-up. Obes Surg. 2000;10:233–9.CrossRefGoogle Scholar
  6. 6.
    Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4:353–7.CrossRefGoogle Scholar
  7. 7.
    Hamad MD, Giselle G. Operating room setup and instrumentation. In: Inabnet WB, Demaria EJ, Ikramuddin S, editors. Laparoscopic bariatric surgery. Philadephia: Lippincott Williams & Wilkins; 2005. p. 55–60.Google Scholar
  8. 8.
    Miller K. Adjustable gastric banding in the treatment of obesity. In: Weiner RA, editor. Collection on laparoscopic in bariatrics: Moby Dick; 2009. p. 8–19.Google Scholar
  9. 9.
    Wittgrove A. Laparoscopic gastric bypass: circular stapler technique. In: Pitombo C, Jones KB, Higa KD, Paeja JC (e), editors. Obesity surgery: principles and practice. Albany: McGraw-Hill; 2008. p. 189–93.Google Scholar
  10. 10.
    Higa KD, Higa JE. Laparoscopic gastric bypass: hand sewn. In: Pitombo C, Jone KB, Higa KD, Paeja JC, editors. Obesity surgery: principles and practice. Albany: McGraw-Hill; 2008. p. 189–93.Google Scholar
  11. 11.
    Fobi MA. Vertical banded gastroplasty vs. gastric bypass: ten years follow-up. Obes Surg. 1993;3:369.CrossRefGoogle Scholar
  12. 12.
    Capella JF, Capella RF. The weight reduction operation of choice: vertical banded gastroplasty or gastric bypass. Am J Surg. 1996;171:74.CrossRefGoogle Scholar
  13. 13.
    Capella RF, Capella JF, Mandac H. Vertical banded gastroplasty. Gastric bypass: preliminary report. Obes Surg. 1991;1:389–95.CrossRefGoogle Scholar
  14. 14.
    Capella JF, Capella RF. An assessment of vertical banded gastroplasty Roux-en-Y gastric bypass for the treatment of morbid obesity. Am J Surg. 2002;183:117–23.CrossRefGoogle Scholar
  15. 15.
    World Health Organization [homepage na internet]. Obesity and overweight. Fact sheet no. 311, Updated January 2015. Disponível em: http://www.who.int/mediacentre/factsheets/fs311/en/.
  16. 16.
    World Health Organization (WHO) World health statistics 2012. Geneva, 2012. [acessado em 2 de setembro de 2016]. Disponível em: http://apps.who.int/iris/bitstream/10665/44844/1/9789241564441_.
  17. 17.
    Consenso Bariátrico. Sociedade Brasileira de Cirurgia Bariátrica e Metabólica. 2008:8–14. [acessado em 04 de setembro de 2016]. Disponível em: http://www.sbcbm.org.br/membros_consenso_bariatrico.php.
  18. 18.
    Westling A, Gustavsson S. Laparoscopic vs. open Roux-en-Y gastric bypass: a prospective, randomized trial. Obes Surg. 2001;11(3):284–92.CrossRefGoogle Scholar
  19. 19.
    Costa TMRL, Paganoto M, Radominski RB, Borba VZC. Impacto da deficiência nutricional na massa óssea após cirurgia bariátrica. Arq Bras Cir Dig. 2016;29(1):38–42.CrossRefGoogle Scholar
  20. 20.
    Sampaio-Neto J, Branco-Filho AJ, Nassif LS, Nassif AT, Mais FDJ, Ximenez DR. Proposta de cirurgia revisional para o tratamento de hipoglicemia hiperinsulinêmica não insulinomaapós by-pass gástrico. ABCD Arq Bras Cir Dig. 2015;28(4):278–81.CrossRefGoogle Scholar
  21. 21.
    Ramos RJ, Mottin CC, Alves LB, Benzano D, Padoin AV. Effect of size of intestinal diversion in obese patients with metabolic syndrome submitted to gastric bypass. ABCD Arq Bras Cir Dig. 2016;29(suppl 1):15–9.CrossRefGoogle Scholar
  22. 22.
    Stoll A, Rosin L, Dias MF, Marquiotti B, Gugelmin G, Stoll GF. Early postoperative complications in Roux-en-Y gastric bypass. ABCD Arq Bras Cir Dig. 2016;29(suppl 1):72–4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Fábio Almeida
    • 1
  • Juliana Moura
    • 1
  • Antonio AlvesJr.
    • 1
  1. 1.SIGO – Serviço Integrado de Gastroenterologia e Obesidade and Unit of Bariatric Surgery of University Hospital of Universidade Federal de SergipeAracajuBrazil

Personalised recommendations