Roux-en-Y jejunal loop and bile reflux

Abstract. Background: The current opinion is that the reflux of jejunal juice over the whole length of a long Roux-en-Y jejunal loop is very uncommon. We aimed to challenge this concept by monitoring the presence of bile in the organ proximal to a 60-cm loop during a 24-hour period with use of the Bilitec device, an optoelectronic instrument ...

Imaging in Bariatric Surgery: A Guide to Postsurgical …

The Roux-en-Y gastric bypass is a mixed procedure, taking advantage of both restrictive and malabsorptive components to induce weight loss. Varying the length of the Roux limb will increase or decrease the …

Imaging of Complications of Roux-en-Y Gastric Bypass …

In laparoscopic Roux-en-Y gastric bypass surgery, a 15-30 mL gastric pouch is created and is anastomosed end-to-side to a Roux limb (Fig. 1A,1B). To create the Roux limb, the surgeon transects the jejunum at approximately 30 cm from the ligament of Treitz. ... Imagerie précoce de la réduction gastrique type gastrectomie en gouttière. Journal ...

Reconstruction after gastrectomy: Which technique is best?

One study compared conventional Roux-en-Y reconstruction with the modified rho-shaped Roux-en-Y reconstruction, characterized by an additional anastomosis between the cul-de-sac and the descending limb of the Roux-en-Y [16]. No statistically significant difference in morbidity or nutritional status was found between the two groups.

Radiology of the Laparoscopic Roux-en-Y Gastric Bypass …

Obesity is an epidemic in the United States. The laparoscopic Roux-en-Y gastric bypass procedure is an effective surgical intervention that can produce dramatic weight loss in morbidly obese patients. Despite the inherent risks, the surgery is increasing in popularity. Radiology plays a crucial role in postoperative evaluation. Upper …

Roux-en-Y gastric bypass limb lengths—how to optimize …

Standard Roux-en-Y gastric bypass (RYGB) is still considered to be the standard surgical technique for the treatment of morbid obesity, although it is surpassed by sleeve gastrectomy (SG) in frequency worldwide.RYGB has been established as an effective surgical procedure for weight loss and remission of obesity-related co …

César Roux and His Original 1893 Paper | SpringerLink

The Roux-en-Y type of gastrointestinal anastomosis, originated by the Swiss surgeon César Roux, is a valuable technique used in drainage of the stomach, esophagus, and the pancreatico-biliary tree. It is now frequently used in reconstructing the GI tract after resections for a number of diseases, and known by the general public due to its …

Candy Cane Roux Syndrome: A Not So Sweet Complication Follow

An upper GI study demonstrated no evidence of leak or obstruction. A repeat EGD at our institution revealed a 2 cm hiatal hernia, LA Class A esophagitis, 7cm gastric pouch with patent gastrojejunostomy, and the tip of the Roux blind limb that extended approximately 8 cm proximal to the gastrojejunostomy ("candy-cane").

Afferent loop syndrome | Radiology Reference …

Afferent loop syndrome is an intermittent partial or complete mechanical obstruction of the afferent limb of a gastrojejunostomy. The syndrome classically refers to obstruction of the upstream limb of a side …

Gastric bypass (Roux-en-Y)

Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and …

Review of ERCP Techniques in Roux-en-Y Gastric Bypass …

Colonoscope and Enteroscope-Assisted ERCP. In 1988, Gostout and Bender first reported the use of a pediatric colonoscope in 3 patients to reach the papilla in Roux-en-Y anatomy [].Later, Elton et al. from 1994 to 1997 (n = 18) described their experience using a pediatric colonoscope and enteroscope for diagnostic and therapeutic …

Roux-en-Y Gastric Bypass Weight-Loss Surgery

Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. It's often done as a laparoscopic surgery, with small incisions in the abdomen. This surgery reduces the size of your upper stomach to a small pouch about the size of an egg. The surgeon does this by stapling off the upper ...

Techniques of biliary reconstruction following bile duct …

The mucosa-to-mucosa anastomosis using a Roux-en-Y jejunal limb has proved to be safe and feasible even in the reconstruction of multiple subsegmental ducts, with postoperative bile leakage frequency rates of 2.4–5.6% [2–4]. Choledochoduodenostomy or hepaticoduodenostomy are accepted alternative …

Candy cane syndrome presenting with refractory

INTRODUCTION. The Roux-en-Y gastric bypass (RYGB) is a common bariatric procedure used to induce and maintain weight loss in patients with severe obesity and those with obesity complicated by serious, weight-related comorbidities [].Candy cane syndrome (CCS) is a rare complication of this procedure, which occurs when the blind …

Approaches to ERCP in Patients With Roux-en-Y Gastric …

The majority of published success rates for balloon-assisted ERCP are relatively high; however, the results come from select centers that provide advanced endoscopy. This approach is technically difficult, and we found that the published rates of technical success range from 60% to with an average of 70%.

Roux-en-Y gastric bypass surgery

A Roux-en-Y gastric bypass is one of the most common bariatric surgeries, used to treat morbid obesity.. In this laparoscopic operation, the stomach is stapled or divided to form a small pouch (typically <30 mL in volume), which is anastomosed to the Roux limb (also known as the efferent or alimentary limb) made of jejunum of varying …

Imaging of Bariatric Surgery: Normal Anatomy and …

In contrast, a jejunal Roux limb may be visualized in the left upper quadrant when a sleeve gastrectomy is performed as the restrictive component in conjunction with a Roux-en-Y gastric bypass. Abundant …

Esophagojejunostomy

One lumen of the esophagojejunostomy is a blind end, whereas the other is the jejunal Roux limb (Fig. 31.16 ). A short distance distal is a side-to-side or end-to-side jejunojejunostomy to receive pancreatic and biliary contents. Similar to Roux-en-Y gastrectomy, the peroral endoscope must enter the proximal jejunum before arriving at …

ROUX-EN-Y GASTRIC BYPASS: LIMB LENGTH AND …

Background. Roux-en-Y gastric bypass is a surgical technique widely used in the treatment of obesity. It is unclear, however, if the length of the biliopancreatic and …

Enteroenterostomy: Background, Indications, Contraindications

Enteroenterostomy is an anastomosis between one part of the small bowel and another part of the small bowel (jejunum or ileum). It is used to restore bowel continuity after resection of a segment of the bowel or after creation of a Roux-en-Y loop of jejunum or as a part of a Braun loop of jejunum.

Ulcer Disease in the Excluded Segments after Roux-en-Y …

Ulcer disease in excluded segments after Roux-Y gastric bypass (RYGB) is rare but can evolve into a life-threatening situation. The excluded segments exhibit a different behavior from that of non-altered anatomy; perforated ulcers do not result in pneumoperitoneum or free fluid, and therefore must be met with a low threshold for …

Phẫu thuật nối tắt dạ dày (Roux-En-Y)

Nối tắt dạ dày còn gọi là Nối tắt dạ dày Roux-en-Y (RYGB) – đọc là "rô-en-oai". Đây là một loại phẫu thuật giảm cân để giảm kích thước dạ dày thành một chiếc túi nhỏ bằng cách kẹp một phần dạ dày. Túi nhỏ này được nối trực tiếp với ruột non, bỏ qua phần ...

Roux-en-Y gastric bypass surgery

Afferent Loop Syndrome

The operations most commonly associated with afferent loop obstruction are Billroth II and Roux-en-Y GJ (distal gastrectomy or gastric bypass), and Roux-en-Y esophagojejunostomy (total gastrectomy). 52 The incidence of significant afferent loop obstruction after these procedures is low (0.3% to 1.0%) and is similar after open and laparoscopic ...

Management of Biliopancreatic Limb Bleeding after Roux-en-Y Gastric

Abstract. The Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinal bleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and duodenal bulb. There is no consensus regarding the management of this …

Total Laparoscopic Uncut Roux-en-Y for Radical …

Background The traditional Billroth II and Roux-en-Y anastomosis after laparoscopic distal gastrectomy for gastric cancer are associated with bile reflux gastritis and roux stasis syndrome, …

Radiology of the Laparoscopic Roux-en-Y Gastric …

The laparoscopic Roux-en-Y gastric bypass procedure is an effective surgical intervention that can produce dramatic weight loss in morbidly obese patients. Despite the inherent risks, the surgery is …

Roux-en-Y gastric bypass surgery

A Roux-en-Y gastric bypass is one of the most common bariatric surgeries, used to treat morbid obesity.. In this laparoscopic operation, the stomach is stapled or divided to form a small pouch …

"Candy cane syndrome:" an underappreciated cause of …

"Candy cane" syndrome (a blind afferent Roux limb at the gastrojejunostomy) has been implicated as a cause of abdominal pain, nausea, and emesis after Roux-n-Y gastric bypass ... Bariatric surgery with Roux-en-Y gastric bypass (RYGB) has been one of the most commonly performed procedures for weight loss. Although effective, some …

Roux limb | Radiology Reference Article

This leaves two components of small bowel: The end of the distal component is dragged up and connected (anastomosed) to the remnant stomach (or esophagus in the case of total gastrectomy). This is the Roux limb. It accepts incoming …

Rolux-En-Y Gastric Bypass Surgery: Purpose, Procedure, Riscks

Roux-en-Y gastric bypass surgery was once the most common weight loss surgeries, but it is far outpaced by the sleeve gastrectomy. Gastric bypass accounts for only 18% of weight loss surgeries.

Imaging of postoperative internal hernias • APPLIED …

However, when possible, administering a small volume of oral contrast material immediately prior to the CT can facilitate identification of the roux limb. 5,10 In addition to an opacified roux limb, multiplanar reconstructions are invaluable for understanding the patient's postoperative anatomy, showing the anterior course of the …

Biliopancreatic Endoscopy in Altered Anatomy

The use of a forward-viewing colonoscope and the duodenoscope in long limb Roux-en-Y gastrojejunostomy patients to perform ERCP was later reported by Wright et al. with a 67% of ERCP ... Another way to get direct access to the excluded GI area with the scope is performing LA-ERCP, which was first described about 20 years-ago by …

Laparoscopic Roux-en-Y Gastric Bypass: Complications

Several significant and potentially catastrophic complications can occur after a laparoscopic Roux-en-Y gastric bypass (RYGB). Early complications include anastomotic leaks and hemorrhage, followed by internal herniation with possible small bowel ischemia, fistulation, ulceration, and nutritional and metabolic complications. Other complications ...

Roux limb | Radiology Reference Article | Radiopaedia

A Roux limb may be formed in multiple different gastrointestinal surgeries, including. bariatric surgery, e.g. Roux-en-Y gastric bypass; biliopancreatic diversion; partial gastrectomy; total gastrectomy; partial pancreaticoduodenectomy (Whipple procedure) In these procedures, the small bowel is divided at some point. This leaves two components ...

Imaging in Bariatric Surgery: A Guide to Postsurgical …

Fig. 2 —Contrast-enhanced CT image in 38-year-old woman after Roux-en-Y gastric bypass shows normal postoperative anatomy: gastric pouch (gp), proximal Roux limb containing air (r), gastric suture line (black arrow), gastrojejunal anastomosis suture line (white arrow), gastric remnant containing fluid (gr), and small blind afferent limb ...

Laparoscopic Reversal of Roux-en-Y Gastric Bypass: …

The anatomical changes with Roux-en-Y gastric bypass (RYGB) allows the food bolus to promptly reach the small bowel after passing through the gastrojejunostomy, and the excluded stomach and duodenum have no contact with the food bolus. ... absorption of micronutrients and minerals 2 and post-prandial levels of a variety of gastrointestinal (GI ...