Conversion of Roux-en-Y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridge
Surgical conversion of Roux-en-Y gastric bypass (RYGB) to one anastomosis duodenal switch with sleeve gastrectomy (SADI-S), can be effective, when there is obesity recidivism, but surgically challenging. This case report video aims to detail the technical modifications that simplifies this conversio...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | MethodsX |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2215016122003454 |
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| author | Victor Ramos Mussa Dib Carlos Augusto Scussel Madalosso Gabriela Trentin Scortegagna Rui Ribeiro |
| author_facet | Victor Ramos Mussa Dib Carlos Augusto Scussel Madalosso Gabriela Trentin Scortegagna Rui Ribeiro |
| author_sort | Victor Ramos Mussa Dib |
| collection | DOAJ |
| description | Surgical conversion of Roux-en-Y gastric bypass (RYGB) to one anastomosis duodenal switch with sleeve gastrectomy (SADI-S), can be effective, when there is obesity recidivism, but surgically challenging. This case report video aims to detail the technical modifications that simplifies this conversion, in one stage. This video article demonstrates the conversion of RYGB to SADI-S using a jejunal bridge to facilitating the gastro-gastric reconnection. Surgical conversion was done laparoscopically, firstly removing the fundus, gastric body and the proximal part of the antrum. The gastrojejunal (GJ) anastomosis from the previous RYGB was preserved and the jejunal alimentary limb that follows was transected, 8cm distal to the GJ anastomosis, and anastomosed, at this level, with the antrum. The remaining alimentary limb was removed, until the jejuno-jejuno anastomosis, from the previous RYGB. The interposition of a segment of jejunal alimentary limb between the gastric bypass pouch and the antrum, has shown to be safe and feasible in RYGB conversion to SADI-S, without complications. Not reconnecting the remnant jejunal alimentary limb to the intestinal transit, but removing it, makes the procedure shorter and safer. |
| first_indexed | 2024-03-13T03:33:04Z |
| format | Article |
| id | doaj.art-10418e031416407b957036875affde6b |
| institution | Directory Open Access Journal |
| issn | 2215-0161 |
| language | English |
| last_indexed | 2024-03-13T03:33:04Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | MethodsX |
| spelling | doaj.art-10418e031416407b957036875affde6b2023-06-24T05:16:51ZengElsevierMethodsX2215-01612023-01-0110101971Conversion of Roux-en-Y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridgeVictor Ramos Mussa Dib0Carlos Augusto Scussel Madalosso1Gabriela Trentin Scortegagna2Rui Ribeiro3Victor Dib Institute, 1444 Álvaro Botelho Maia Ave, 69020-210, Manaus, AM, Brazil; Corresponding author.Gastrobese Clinic, 1953 Uruguai St., 8th floor, 99010-111, Passo Fundo, RS, BrazilHospital Lusíadas Amadora, 8 Hospitais Civis de Lisboa Ave, 2724-002, Amadora, Lisbon, PortugalHospital Lusíadas Amadora, 8 Hospitais Civis de Lisboa Ave, 2724-002, Amadora, Lisbon, PortugalSurgical conversion of Roux-en-Y gastric bypass (RYGB) to one anastomosis duodenal switch with sleeve gastrectomy (SADI-S), can be effective, when there is obesity recidivism, but surgically challenging. This case report video aims to detail the technical modifications that simplifies this conversion, in one stage. This video article demonstrates the conversion of RYGB to SADI-S using a jejunal bridge to facilitating the gastro-gastric reconnection. Surgical conversion was done laparoscopically, firstly removing the fundus, gastric body and the proximal part of the antrum. The gastrojejunal (GJ) anastomosis from the previous RYGB was preserved and the jejunal alimentary limb that follows was transected, 8cm distal to the GJ anastomosis, and anastomosed, at this level, with the antrum. The remaining alimentary limb was removed, until the jejuno-jejuno anastomosis, from the previous RYGB. The interposition of a segment of jejunal alimentary limb between the gastric bypass pouch and the antrum, has shown to be safe and feasible in RYGB conversion to SADI-S, without complications. Not reconnecting the remnant jejunal alimentary limb to the intestinal transit, but removing it, makes the procedure shorter and safer.http://www.sciencedirect.com/science/article/pii/S2215016122003454Conversion of RYGB to SADIs with Gastrogastric Jejunal Bridge |
| spellingShingle | Victor Ramos Mussa Dib Carlos Augusto Scussel Madalosso Gabriela Trentin Scortegagna Rui Ribeiro Conversion of Roux-en-Y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridge MethodsX Conversion of RYGB to SADIs with Gastrogastric Jejunal Bridge |
| title | Conversion of Roux-en-Y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridge |
| title_full | Conversion of Roux-en-Y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridge |
| title_fullStr | Conversion of Roux-en-Y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridge |
| title_full_unstemmed | Conversion of Roux-en-Y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridge |
| title_short | Conversion of Roux-en-Y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridge |
| title_sort | conversion of roux en y gastric bypass to single anastomosis duodenal ileal bypass with sleeve gastrectomy with gastrogastric jejunal bridge |
| topic | Conversion of RYGB to SADIs with Gastrogastric Jejunal Bridge |
| url | http://www.sciencedirect.com/science/article/pii/S2215016122003454 |
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