Virtual gastroduodenoscopy: a new look at the bypassed stomach and duodenum after laparoscopic Roux-en-Y gastric bypass for morbid obesity.
作者： Gianfranco Silecchia , Carlo Catalano , Paolo Gentileschi , Ugo Elmore , Angelo Restuccia
DOI: 10.1381/096089202321144568
关键词: Surgery 、 Gastric pouch 、 Morbid obesity 、 Stomach 、 Duodenum 、 Gastrostomy tube 、 Medicine 、 Gastric bypass 、 Percutaneous 、 Roux-en-Y anastomosis
摘要: Background: After open or laparoscopic Roux-en-Y gastric bypass (RYGBP) for morbid obesity, the bypassed stomach and duodenum are not readily available radiological endoscopic evaluation. Furthermore, little is known about long-term physiologic histologic changes that occur in GI segments following these procedures. Many alternative techniques have been described to access distal pouch after RYGBP. Apart from percutaneous gastrografin® studies, all require insertion of a gastrostomy tube stomach. Methods: new diagnostic method by virtual CT gastroscopy (VG) was used 5 morbidly obese patients who underwent RYGBP (LRYGBP). Results: All tolerated procedure well, which appears safe suitable an outpatient setting.The images offered excellent intraluminal view duodenum. Conclusions: VG holds promise as choice follow-up LRYGB patients, having potential detect inflammatory cancer excluded early.
core.ac.uk
springer.com
chirurgiametabolica.it 参考文章(33)
Joseph Milo Meland, Radiographic Examination of the Obese Patient Springer, New York, NY. pp. 149- 164 ,(1984) , 10.1007/978-1-4613-8245-4_11
Owensby M, Printen Kj, Vagal innervation of the bypassed stomach following gastric bypass. Surgery. ,vol. 84, pp. 455- ,(1978)
J Colquitt, A Clegg, M Sidhu, P Royle, Surgery for morbid obesity Cochrane Database of Systematic Reviews. ,vol. 19, ,(2005) , 10.1002/14651858.CD003641
Edward E Mason, Shenghui Tang, Kathleen E Renquist, Dwight T Barnes, Joseph J Cullen, Cornelius Doherty, James W Maher, National Bariatric Surgery Registry (NBSR) Contributors, A Decade of Change in Obesity Surgery Obesity Surgery. ,vol. 7, pp. 189- 197 ,(1997) , 10.1381/096089297765555719
E. Schrumpf, K. E. Giercksky, K. Nygaard, O. Fausa, Gastrin Secretion before and after Gastric Bypass Surgery for Morbid Obesity Scandinavian Journal of Gastroenterology. ,vol. 16, pp. 721- 725 ,(1981) , 10.3109/00365528109180995
Philip R. Schauer, Sayeed Ikramuddin, William Gourash, Ramesh Ramanathan, James Luketich, Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity Annals of Surgery. ,vol. 232, pp. 515- 529 ,(2000) , 10.1097/00000658-200010000-00007
R Kuczmarski, K Flegal, S Campbell, C Johnson, Increasing Prevalence of Overweight Among US Adults JAMA. ,vol. 272, pp. 205- 211 ,(1994) , 10.1001/JAMA.1994.03520030047027
Elisha P. Barmeir, Harvey Solomon, Ilan Charuzi, Menachem Hirsch, Radiologic assessment of the distal stomach and duodenum after gastric bypass: percutaneous CT-guided transcatheter technique. Abdominal Imaging. ,vol. 9, pp. 203- 205 ,(1984) , 10.1007/BF01887835
Alan C. Wittgrove, G. Wesley Clark, Laparoscopic gastric bypass, Roux-en-Y- 500 patients: technique and results, with 3-60 month follow-up. Obesity Surgery. ,vol. 10, pp. 233- 239 ,(2000) , 10.1381/096089200321643511
A.P. Zingas, K.A. Amin, R.D. Loredo, G.A. Kling, Computed tomographic evaluation of the excluded stomach in gastric bypass. Journal of Computed Tomography. ,vol. 8, pp. 231- 236 ,(1984) , 10.1016/0149-936X(84)90067-5