垂直带状胃腹腔镜术一吻合胃旁路手术

                               
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Vertical banded gastroplasty (VBG), also known as stomach stapling, is a restrictive operation for weight control. Both a band and staples are used to create a small stomach pouch. In the bottom of the pouch is an approximate one-centimeter hole through which the pouch contents can flow into the remainder of the stomach and thence onto the remainder of the gastrointestinal tract.

Stomach stapling is a restrictive technique for managing obesity. The pouch limits the amount of food a patient can eat at one time and slows passage of the food. Stomach stapling is more effective when combined with a malabsorptive technique, in which part of the digestive tract is bypassed, reducing the absorption of calories and nutrients. Combined restrictive and malabsorptive techniques are called gastric bypass techniques, of which Roux-en-Y gastric bypass surgery (RGB) is the most common. In this technique, staples are used to form a pouch that is connected to the small intestine, bypassing the lower stomach, the duodenum, and the first portion of the jejunum.

This type of weight loss surgery is losing favor as more doctors begin using the adjustable gastric band. The newer adjustable band does not require cutting into the stomach and does not use any staple lines, thus making it a much safer alternative.

You can watch the laparoscopic revision of VBG to one anastomosis gastric bypass (OAGB). This is the first case in Turkey.

Vertikal banded gastroplasti günümüzde terkedilmiş, kısıtlayıcı obezite cerrahisi yöntemlerinden biridir. Bu videoda 15 yıl önce VBG ameliyatı geçirmiş olmasına rağmen halen morbid obez olan ve banda bağlı darlık yüzünden ciddi beslenme güçlüğü yaşayan bir vakanın endoskopik görüntülerini izleyebilirsiniz. 12 yaşında açık VBG operasyonu geçirmiş olan bu vakaya, 27 yaşında laparoskopik revizyon uygulanarak mini gastrik bypass ameliyatına çevrilmiştir.