By Henry Buchwald MD PhD
Buchwald's Atlas of Metabolic & Bariatric Surgical thoughts and systems, via prime authority Henry Buchwald, MD, PhD, is the 1st pictorial atlas that demonstrates today’s complete variety of open and laparoscopic bariatric systems, in addition to concurrent surgical procedures akin to hernia fix and tubal ligation. thousands of high quality photos and illustrations assist you to in attaining the easiest results and deal with any issues that could come up. You’ll locate insurance of such scorching new techniques as laparoscopic electrode placement, substitute open electrode placement, laparoscopic vagal pacing, and substitute open vagal pacing. At www.expertconsult.com you could reference the total textual content and illustrations from any computing device or cellular device.
- See find out how to practice today’s complete variety of open and laparoscopic innovations, in addition to concurrent surgical procedures comparable to hernia fix and tubal ligation, via viewing countless numbers of step by step pictures and illustrations.
- Master scorching new methods akin to laparoscopic electrode placement, replacement open electrode placement, laparoscopic vagal pacing, and replacement open vagal pacing.
- Obtain the simplest effects and stay away from issues with professional tips and proposals from Dr. Henry Buchwald, who has chaired or presided over the Surgical Council of the yank university of food, the critical Surgical organization, the yank Society for Bariatric surgical procedure, and different prime organizations.
- Reference the whole textual content and illustrations from any desktop or cellular machine at www.expertconsult.com.
Master every kind of bariatric surgical procedures, in addition to concurrent and revisional surgical procedures with step by step visible guidance.
Read or Download Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures PDF
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Extra info for Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures
Closure of Peterson's defect is optional. s Gastrojejunostomy being hand sewn. ◆ Figure 3-35: Completed biliopancreatic diversion with a nonrestrictive, large gastric pouch, a measured channel, and a measured alimentary limb. A subtotal distal gastrectomy has been performed, the duodenal stump has been carefully closed, and bowel continuity has been restored by gastrojejunostomy and jejunoileostomy, with closure of mesenteric defects. ◆ Chapter 3 • Biliopancreatic Diversion 53 Figure 3-33 Figure 3-34 Stomach pouch Alimentary limb Biliopancreatic limb Jejunoileostomy Common channel Figure 3-35 Chapter 44 Biliopancreatic Diversion/ Duodenal Switch More than a decade after the advent of the biliopancreatic diversion, the procedure was modified to the biliopancreatic diversion/duodenal switch, or just the duodenal switch, in Canada and the United States.
Various formulas of fixed lengths or percentages have been proposed. We measure the small intestine from the marking suture delineating the upper end of the common channel to the ligament of Treitz and divide this length, whatever it is, in half. 5-mm staples (blue load). The jejunal mesentery is divided for a distance of 4 to 6 cm to allow for mobility of the cut ends. This mesenteric division can be performed with the linear stapler, cautery, knife or scissor, or powered tissue divider, with ligation of vessels if necessary.
3. Buchwald H, Kellogg TA, Leslie DB, et al: Duodenal switch operative mortality and morbidity are not impacted by BMI, Ann Surg 248:541–548, 2008. 4. Kim WW, Gagner M, Kini S, et al: Laparoscopic vs. open biliopancreatic diversion with duodenal switch: a comparative study, J Gastrointest Surg 7:552–557, 2003. 55 56 Section II • Primarily Malabsorptive Procedures Open technique Figure 4-1: A midline incision from the xiphoid to above the umbilicus is the usual abdominal entry site. Some surgeons use a marking pen to indicate the path of incision.
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