Techniques of Single-Stage Laparoscopic Conversion of Roux-en-Y Gastric Bypass to Single Anastomosis Bilio-pancreatic Diversion with Duodenal Switch

Feb 18, 2017Obesity surgery

One-step laparoscopic methods to change gastric bypass surgery to a single-connection bile and pancreas diversion with duodenal switch

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Abstract

A 250-cm common channel is created during the single-step laparoscopic conversion of Roux-en-Y gastric bypass to single anastomosis duodenal switch.

  • Converting Roux-en-Y gastric bypass to single anastomosis duodenal switch is typically a complex operation.
  • The new technique allows this conversion to be performed in a single stage rather than the usual two-stage approach.
  • The process involves completely separating the gastrojejunostomy from the gastric remnant before performing a sleeve gastrectomy.
  • Following the sleeve gastrectomy, a duodeno-ileal connection is established.

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