Small Bowel Limb Lengths and Roux-en-Y Gastric Bypass: a Systematic Review.

Abstract:

:There is currently no consensus on the combined length of small bowel that should be bypassed as biliopancreatic or alimentary limb for optimum results with Roux-en-Y gastric bypass. A number of different limb lengths exist, and there is significant variation in practice amongst surgeons. Inevitably, this means that some patients have too much small bowel bypassed and end up with malnutrition and others end up with a less effective operation. Lack of standardisation poses further problems with interpretation and comparison of scientific literature. This systematic review concludes that a range of 100-200 cm for combined length of biliopancreatic or alimentary limb gives optimum results with Roux-en-Y gastric bypass in most patients.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Mahawar KK,Kumar P,Parmar C,Graham Y,Carr WR,Jennings N,Schroeder N,Balupuri S,Small PK

doi

10.1007/s11695-016-2050-2

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

660-71

issue

3

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-016-2050-2

journal_volume

26

pub_type

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