ERCP in patients with Roux-en-Y anatomy

INTRODUCTION. Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y anatomy poses a major challenge to gastrointestinal endoscopists. In the era of the obesity epidemic, this situation is encountered with increasing frequency due to the popularity of Roux-en-Y gastric …

Types of Gastric Bypass | Stanford Health Care

Roux-en-Y is the most common type of gastric bypass surgery. The procedure involves stapling the stomach to create a small pouch that holds less food. We shape a portion of the small intestine into a "Y." Roux-en-Y is: Malabsorptive (limits food absorption) Restrictive (limits food intake) Highly successful for weight loss.

What Is a Choledochojejunostomy?

A choledochojejunostomy is a surgical procedure to make a connection (anastomosis) between the common bile duct and the jejunum, which is the middle portion of the small intestine. This technique is called the Roux-en-Y choledochojejunostomy. The procedure aims to bypass blockage in the common bile duct.

Hepaticojejunostomy: Purpose, Procedure, Benefits and Side …

End-to-End anastomosis: This is the most common type of hepaticojejunostomy. It involves connecting the end of the hepatic duct to the end of the jejunal loop. Side-to-Side anastomosis: This type of hepaticojejunostomy involves connecting one side of the hepatic duct to one side of the jejunal loop. Roux-en-Y …

Roux-en-Y Gastric Bypass (RYGB) | UI Health

Roux-en-Y Gastric Bypass (RYGB) — pronounced "roo-en-why" — is the most commonly performed weight-loss procedure in the United States. It has been in practice for more than 30 years and provides an excellent balance of weight loss and manageable side effects. The operation can be performed laparoscopically (small incisions to the abdomen ...

Phẫu thuật nối tắt dạ dày (Roux-en-Y)

Nối tắt dạ dày là phẫu thuật giảm cân bằng cách giảm kích thước dạ dày thành một túi nhỏ và gắn trực tiếp vào ruột non. Tìm hiểu thêm tại các bệnh viện Mount Elizabeth.

Rolux-En-Y Gastric Bypass Surgery: Purpose, Procedure, Riscks

Roux-en-Y gastric bypass surgery was once the most common weight loss surgeries, but it is far outpaced by the sleeve gastrectomy. Gastric bypass accounts for only 18% of weight loss surgeries.

Roux-en-Y Gastric Bypass

Roux-en-y gastric bypass is a restrictive-malabsorptive operation performed for weight loss in individuals with a BMI of 40 or greater, or in those BMI of 35 or greater with obesity-related …

Laparoscopic Gastric Bypass Revision | JOMI

Gastrogastric fistula is a rare complication following a roux-en-y gastric bypass procedure wherein there is a communication between the proximal gastric pouch and the distal gastric remnant. Patients typically present with nausea and vomiting, abdominal pain, intractable marginal ulcer, bleeding, reflux, poor weight loss, and weight regain.

Radiology of the Laparoscopic Roux-en-Y Gastric Bypass …

Obesity is an epidemic in the United States. The laparoscopic Roux-en-Y gastric bypass procedure is an effective surgical intervention that can produce dramatic weight loss in morbidly obese patients. Despite the inherent risks, the surgery is increasing in popularity. Radiology plays a crucial role in postoperative evaluation. Upper …

Laparoscopic enteropexy for intussusception at Roux-en-Y …

INTRODUCTION. Roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric procedure in the world, with 210,874 procedures performed annually [].Jejunojenual intussusception after RYGB is a rare but potentially serious complication, with possibility of ischemia and perforation if unrecognized.

Imaging of Complications of Roux-en-Y Gastric Bypass …

The laparoscopic approach to bariatric surgery has decreased recovery time and reduced the number of complications. In laparoscopic Roux-en-Y gastric bypass surgery, a 15-30 mL gastric pouch is created and is anastomosed end-to-side to a Roux limb (Fig. 1A,1B). To create the Roux limb, the surgeon transects the jejunum at approximately 30 cm ...

One-Stage EUS-Guided Gastrogastrostomy and ERCP in Roux-n-Y …

Abstract. EUS-guided gastrogastrostomy using lumen-apposing metal stents (LAMS) allows access to the papilla to perform ERCP for patients with Roux-en-Y gastric bypass (RYGB) anatomy and is termed EUS-directed transgastric ERCP). When gastrogastrostomy is used for other interventions it is referred to as EUS-directed …

Gastric bypass (Roux-en-Y)

Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and …

Hepaticojejunostomy: Background, Indications, Contraindications

Background. A hepaticojejunostomy is the surgical creation of a communication between the hepatic duct and the jejunum; a choledochojejunostomy is the surgical creation of a communication between the common bile duct (CBD) and the jejunum. Oskar Sprengel published the first report of a choledochoenterostomy in 1891. [ 1] He …

Laparoscopic Gastric Bypass Technique: Laparoscopic Roux-en-Y Gastric

In a large study (N = 42,345) that included a substantial population of older adults, Yu et al found that Roux-en-Y GBP (n = 29,624) was associated with a 73% increased risk of nonvertebral (eg, hip, wrist, and pelvis) fracture after the procedure as compared with adjustable gastric banding (n = 12,721). [] The difference in postoperative …

루-엔-Y 십이지장공장문합술, Roux-en-Y gastrojejunostomy : …

Roux-en-Y gastrojejunostomy는 Billroth II와 동일한 상황에서 사용할 수 있지만 십이지장 또는 공장의 연속성을 유지하지는 않습니다. Roux-en-Y gastrojejunostomy는 잔존하는 위를 공장의 isoperistaltic roux limb과 문합합니다. Proximal jejunum은 …

Imaging following bariatric surgery: roux-en-Y gastric …

Clayton RD, Carucci LR. Imaging following bariatric surgery: roux-en-Y gastric bypass, laparoscopic adjustable gastric banding and sleeve gastrectomy. Br J Radiol 2018; 91: 20180031. https:// doi. org/ 10. 1259/bjr.20180031 The role of imaging in obesiTy special feaTure: review arTicle imaging following bariatric surgery: roux-en-y gastric

The Hepaticojejunostomy Technique with Intra-Anastomotic …

The Roux-en-Y jejunal limb is then prepared by transecting the jejunum around 20–30 cm distal from the Treitz ligament. The stapler-line of the Roux-limb is reinforced with interrupted PDS 4-0 sutures and then brought in a retrocolic (anteduodenal, in the cases where the duodenum is present) fashion, right of the middle colic vessels, to …

Gastrojejunostomy: Procedure Details & Recovery

Gastrojejunostomy: Background, Indications, …

For patients with morbid obesity, a Roux-en-Y gastrojejunostomy (gastric bypass) may be performed, which serves as a restrictive procedure with some …

Gastrojejunostomy

The procedure where a gastric remnant is anastomosed to a loop of the jejunum and an additional jejunojejunostomy is created …

Internal EUS-Directed Transgastric ERCP (EDGE): Game Over

As the prevalence of obesity in the United States exceeds 30%, the number of bariatric procedures being performed, including Roux-en-Y gastric bypass (RYGB), is steadily increasing.1 Therefore, gastroenterologists will inevitably be required to manage pancreaticobiliary diseases in more patients with altered anatomy. Various techniques …

Review of ERCP Techniques in Roux-en-Y Gastric Bypass

Purpose of Review Hepatobiliary complications are common in Roux-en-Y gastric bypass (RYGB) patients. Despite development of multiple surgical and endoscopic access techniques over the years, ERCP using standard duodenoscope remains challenging in these patients due to the altered anatomy. Recent Findings Limited …

Roux-en-Y Hepaticojejunostomy

Roux-en-Y Hepaticojejunostomy. Roux-en-Y hepaticojejunostomy technique is a commonly performed during biliary reconstruction. The roux limb will be created by dividing the jejunum about 15-20 cm downstream from the Ligament of Trietz. A distance of 40 cm will be measured distal to the efferent cut end and the afferent limb will be anastomosed ...

What Is a Hepaticojejunostomy?

The hepatic duct is the tubular channel that carries bile from the liver to the small intestine to aid digestion. A hepaticojejunostomy is a surgical procedure to make a connection (anastomosis) between the hepatic duct …

Gastric bypass (Roux-en-Y)

Comprehensive, holistic care. In addition to your gastric bypass, you may receive treatment from other Mayo Clinic specialists, including nutrition therapy, behavior modification and pharmacotherapy. For out-of-state patients, Mayo Clinic offers efficient, condensed scheduling. Mayo Clinic will work with providers in your area to meet your …

Marginal Ulcers after Roux-en-Y Gastric Bypass: Pain for the …

20. Goitein D. Late perforation of the jejuno-jejunal anastomosis after laparoscopic roux-en-Y gastric bypass. Obes Surg. 2005;13(6):880–882. 21. Tucker ON, Beglaibter N, Rosenthal RJ. Compression anastomosis for Roux-en-Y gastric bypass: observations in a large animal model. Surg Obes Relat Dis. 2008;4:115–121.

Roux-en-Y Gastric Bypass Weight-Loss Surgery

Weight-loss surgery is also called bariatric surgery. It's often done as a laparoscopic surgery, with small incisions in the abdomen. This surgery reduces the size of your upper stomach to a small pouch about the size of an egg. The surgeon does this by stapling off the upper section of the stomach. This reduces the amount of food you can eat.

Roux-en-Y Gastric Bypass (RYGB) Basics

The Roux-en-Y Gastric Bypass (RYGB) surgery is the most common bariatric surgery performed in the United States, and has been performed for well over 20 years. This procedure may be done either through an open approach (large incision) or the more common laparoscopic approach. Since no part of the stomach is removed using …

위아전절제술 후 Roux-en-Y 위공장 재건술식과 Uncut Roux …

a Roux-en-Y gastrojejunostomy. The aim of this study was to compare the occurrence rate of Roux stasis syndrome with the passing of time in a conventional Roux-en-Y gas-trojejunostomy and in an uncut Roux-en-Y gastrojejunos-tomy. Materials and Methods: 50 patients (31 men and 19 wo-men) had a conventional Roux-en-Y reconstruction and 53

Jejunojejunostomy Intussusception After Roux-en-Y Gastric By

Jejunojejunostomy (J-J) intussusception is a rare complication that occurs in 0.4% of patient after Roux-en-Y gastric bypass (RYGB). Although reduction or resection with revision of the area of intussusception appears to be effective, in less acute patients, the best treatment options are controversial.