Small Bowel Limb Lengths and Roux-en-Y Gastric Bypass: a Systematic Review

被引：117

作者：

Mahawar, Kamal K. ^{[1
]}

Kumar, Parveen ^{[2
]}

Parmar, Chetan ^{[1
]}

Graham, Yitka ^{[1
,3
]}

Carr, William R. J. ^{[1
]}

Jennings, Neil ^{[1
]}

Schroeder, Norbert ^{[1
]}

Balupuri, Shlok ^{[1
]}

Small, Peter K. ^{[1
]}

机构：

[1] Sunderland Royal Hosp, Bariatr Unit, Sunderland SR4 7TP, Tyne & Wear, England

[2] Sir Charles Gairdner Hosp, Dept Gen Surg, Nedlands, WA 6009, Australia

[3] Univ Sunderland, Dept Pharm Hlth & Well Being, Sunderland SR1 3SD, Tyne & Wear, England

来源：

OBESITY SURGERY | 2016年 / 26卷 / 03期

关键词：

Bariatric surgery; Gastric bypass; Small bowel limb length; Biliopancreatic limb; Alimentary limb; Roux limb; Roux-en-Y gastric bypass; Small bowel length; Obesity; WEIGHT-LOSS OUTCOMES; MORBID-OBESITY; SUPER OBESITY; COMMON LIMB; LONG; PREDICTORS; STANDARD; SURGERY; IMPACT;

D O I：

10.1007/s11695-016-2050-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：660 / 671

页数：12

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