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 Surgjournal_title
Obesity surgeryauthors
Mahawar KK,Kumar P,Parmar C,Graham Y,Carr WR,Jennings N,Schroeder N,Balupuri S,Small PKdoi
10.1007/s11695-016-2050-2subject
Has Abstractpub_date
2016-03-01 00:00:00pages
660-71issue
3eissn
0960-8923issn
1708-0428pii
10.1007/s11695-016-2050-2journal_volume
26pub_type
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