RESULTS
Advantages
The OAGB doesn’t have various limitations of the other operations and offers many features of an ideal bariatric operation (3, 4). The OAGB is a short, simple and low-risk operation. It has been shown in short- and long-term studies that OAGB results in excellent weight loss, good resolution of co-morbidities and high levels of patient satisfaction (17-21). In addition to the above advantages, it also offers the advantage of the ease of revision or reversal of the OAGB (6, 7, 22).
In fact, OAGB has the powerful potentials of both a restrictive and a malabsorptive bariatric procedure. It has both gastric and intestinal components. In addition, it causes hormonal changes that induce weight loss and resolution of comorbidities in morbid obese patients (7, 13, 14, 17, 18).
Technical Details
There are variations to this procedure, in particular “antireflux afferent limb” described by Garcia-Caballero and Carbajo of Spain (5). Different techniques used widely by the authors.
Regardless of general topics like patient position and port placement, creation of a long gastric pouch is …show more content…
After upward and medial omentum retraction, the Treitz ligament is localized and the small bowel is run about 200cm distal to it. Although longer limb can induce greater weight loss, but major complications like excess weight loss and malnutrition are more common in longer limb lengths (7), specially longer than 250cm (23). After performing a gastrotomy and enterotomy, gastrojejunostomy anastomosis is created with a 45mm stapler and the defect entrotomies will be closed by suturing or a stapler. Competency of the anastomosis can be assured by a leak test (3, 4, 7, 14,
Advantages
The OAGB doesn’t have various limitations of the other operations and offers many features of an ideal bariatric operation (3, 4). The OAGB is a short, simple and low-risk operation. It has been shown in short- and long-term studies that OAGB results in excellent weight loss, good resolution of co-morbidities and high levels of patient satisfaction (17-21). In addition to the above advantages, it also offers the advantage of the ease of revision or reversal of the OAGB (6, 7, 22).
In fact, OAGB has the powerful potentials of both a restrictive and a malabsorptive bariatric procedure. It has both gastric and intestinal components. In addition, it causes hormonal changes that induce weight loss and resolution of comorbidities in morbid obese patients (7, 13, 14, 17, 18).
Technical Details
There are variations to this procedure, in particular “antireflux afferent limb” described by Garcia-Caballero and Carbajo of Spain (5). Different techniques used widely by the authors.
Regardless of general topics like patient position and port placement, creation of a long gastric pouch is …show more content…
After upward and medial omentum retraction, the Treitz ligament is localized and the small bowel is run about 200cm distal to it. Although longer limb can induce greater weight loss, but major complications like excess weight loss and malnutrition are more common in longer limb lengths (7), specially longer than 250cm (23). After performing a gastrotomy and enterotomy, gastrojejunostomy anastomosis is created with a 45mm stapler and the defect entrotomies will be closed by suturing or a stapler. Competency of the anastomosis can be assured by a leak test (3, 4, 7, 14,