Ante-hepatic gastrojejunostomy - 22/08/11
Abstract |
Surgical treatment of morbid obesity continues to increase in popularity. The evolution of laparoscopic techniques has in part fueled that popularity. A common obstacle in achieving exposure of the angle of His during a laparoscopic Roux-en-Y gastric bypass is a massively enlarged liver. Exposure of the angle of His is key to successfully creating the gastric pouch and completing the gastrojejunostomy. Several well-described techniques exist to achieve this exposure but suffer from potential draw backs such as bleeding and the need to insert additional trocars. We describe a technique that allows safe, excellent exposure of the gastroesophageal junction during laparoscopic Roux-en-Y gastric bypass.
Le texte complet de cet article est disponible en PDF.Keywords : Bariatric, Laparoscopy, Laparoscopic Roux-en-Y, Gastric bypass, Gastroesophageal junction
Plan
Vol 195 - N° 5
P. 708-710 - mai 2008 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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