Roux-en-Y Gastric Bypass: Procedure and Outcomes

作者: Seth Felder , Scott Cunneen

DOI: 10.1007/978-1-4939-2146-1_7

关键词:

摘要: Roux-en-Y gastric bypass (RNYGB), the most commonly performed bariatric (weight loss) operation in USA, involves two surgical alterations: restriction of volume and diversion ingested nutrients away from proximal small intestine. The strength RNYGB lies hybridization into one procedure. reduction food intake mediated by is accompanied dynamic changes nutrient transport along gastrointestinal tract. Thus, resultant hormonal profiles constitute first important roles RNYGB. Although physiological contributing to loss body weight improvements obesity-related comorbidities are incompletely understood, complexities neurohormonal precise mechanisms resulting durable associated continue be elucidated. Even though we learn progress understanding intricate interplay between alimentary tract axis, benefits clear well-documented with long-term follow-up results surgery demonstrating mortality morbidity significantly reduced.

参考文章(71)
Andrew A. Gumbs, Andrew J. Duffy, Robert L. Bell, Incidence and management of marginal ulceration after laparoscopic Roux-Y gastric bypass Surgery for Obesity and Related Diseases. ,vol. 2, pp. 460- 463 ,(2006) , 10.1016/J.SOARD.2006.04.233
Heena P Santry, Daniel L Gillen, Diane S Lauderdale, Trends in Bariatric Surgical Procedures JAMA. ,vol. 294, pp. 1909- 1917 ,(2005) , 10.1001/JAMA.294.15.1909
Arthur Belarmino Garrido Jr., Marçal Rossi, Sizenando Ernesto Lima Jr., Antonio Sérgio Brenner, Claudio Antonio Rufino Gomes Jr, Early marginal ulcer following Roux-en-Y gastric bypass under proton pump inhibitor treatment: prospective multicentric study Arquivos De Gastroenterologia. ,vol. 47, pp. 130- 134 ,(2010) , 10.1590/S0004-28032010000200003
D E Kelley, R Wing, C Buonocore, J Sturis, K Polonsky, M Fitzsimmons, Relative Effects of Calorie Restriction and Weight Loss in Noninsulin-Dependent Diabetes Mellitus* The Journal of Clinical Endocrinology and Metabolism. ,vol. 77, pp. 1287- 1293 ,(1993) , 10.1210/JCEM.77.5.8077323
Matthew L. Maciejewski, Edward H. Livingston, Leila C. Kahwati, William G. Henderson, Andrew L. Kavee, David E. Arterburn, Discontinuation of diabetes and lipid-lowering medications after bariatric surgery at Veterans Affairs medical centers Surgery for Obesity and Related Diseases. ,vol. 6, pp. 601- 607 ,(2010) , 10.1016/J.SOARD.2010.07.005
Numan Hamza, Muhammad Hasan Abbas, Ammar Darwish, Zainab Shafeek, John New, Basil J. Ammori, Predictors of remission of type 2 diabetes mellitus after laparoscopic gastric banding and bypass Surgery for Obesity and Related Diseases. ,vol. 7, pp. 691- 696 ,(2010) , 10.1016/J.SOARD.2010.03.292
Melinda A. Maggard, Lisa R. Shugarman, Marika Suttorp, Margaret Maglione, Harvey J. Sugerman, Edward H. Livingston, Ninh T. Nguyen, Zhaoping Li, Walter A. Mojica, Lara Hilton, Shannon Rhodes, Sally C. Morton, Paul G. Shekelle, Meta-Analysis: Surgical Treatment of Obesity Annals of Internal Medicine. ,vol. 142, pp. 547- 559 ,(2005) , 10.7326/0003-4819-142-7-200504050-00013
David E. Cummings, Joost Overduin, Michael H. Shannon, Karen E. Foster-Schubert, Hormonal mechanisms of weight loss and diabetes resolution after bariatric surgery. Surgery for Obesity and Related Diseases. ,vol. 1, pp. 358- 368 ,(2005) , 10.1016/J.SOARD.2005.03.208
Francesco Rubino, Michel Gagner, Paolo Gentileschi, Subhash Kini, Shoji Fukuyama, John Feng, Ed Diamond, The Early Effect of the Roux-en-Y Gastric Bypass on Hormones Involved in Body Weight Regulation and Glucose Metabolism Annals of Surgery. ,vol. 240, pp. 236- 242 ,(2004) , 10.1097/01.SLA.0000133117.12646.48
B. Laferrere, S. Heshka, K. Wang, Y. Khan, J. McGinty, J. Teixeira, A. B. Hart, B. Olivan, Incretin Levels and Effect Are Markedly Enhanced 1 Month After Roux-en-Y Gastric Bypass Surgery in Obese Patients With Type 2 Diabetes Diabetes Care. ,vol. 30, pp. 1709- 1716 ,(2007) , 10.2337/DC06-1549