By Henry Buchwald MD PhD
Buchwald's Atlas of Metabolic & Bariatric Surgical suggestions and techniques, by means of major authority Henry Buchwald, MD, PhD, is the 1st pictorial atlas that demonstrates today’s complete variety of open and laparoscopic bariatric techniques, in addition to concurrent surgical procedures comparable to hernia fix and tubal ligation. hundreds and hundreds of high quality photos and illustrations allow you to in achieving the easiest results and deal with any issues that could come up. You’ll locate insurance of such sizzling new ways as laparoscopic electrode placement, substitute open electrode placement, laparoscopic vagal pacing, and replacement open vagal pacing. At www.expertconsult.com you could reference the total textual content and illustrations from any desktop or cellular device.
- See how you can practice today’s complete variety of open and laparoscopic suggestions, in addition to concurrent surgical procedures corresponding to hernia fix and tubal ligation, via viewing hundreds and hundreds of step by step pictures and illustrations.
- Master sizzling new approaches reminiscent of laparoscopic electrode placement, replacement open electrode placement, laparoscopic vagal pacing, and replacement open vagal pacing.
- Obtain the simplest effects and keep away from problems with specialist assistance and suggestions from Dr. Henry Buchwald, who has chaired or presided over the Surgical Council of the yankee university of nutrients, the primary Surgical organization, the yankee Society for Bariatric surgical procedure, and different major organizations.
- Reference the entire textual content and illustrations from any laptop or cellular equipment 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: Expert Consult - Online and Print, 1e PDF
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Additional resources for Buchwald’s Atlas of Metabolic & Bariatric Surgical Techniques and Procedures: Expert Consult - Online and Print, 1e
118:141–147, 1969. Sherman CH, May AG, Nye W: Clinical and metabolic studies following bowel bypassing for obesity, Ann NY Acad Sci 131:614–622, 1965. Lewis LA, Turnbull RB, Page LH: “Short-circuiting” of the small intestine, JAMA 182:77–79, 1962. Deitel M: Jejunocolic and jejunoileal bypass: an historical perspective. In Deitel M, editor: Surgery for the morbidly obese patient, Philadelphia, 1998, Lea & Febiger, pp 81–89. Lewis LA, Turnbull RB, Page LH: Effects of jejunocolic shunt on obesity, serum lipoproteins, lipids, and electrolytes, Arch Intern Med 117:4–16, 1966.
The subtotal gastrectomy specimen is removed from the field. s The stomach is divided obliquely below the origin of the left gastric artery. ◆ Figure 3-18: The alimentary Roux limb is brought up to the stomach, antecolic or retrocolic, and the gastrojejunostomy is performed. This maneuver can be performed in a manner similar to the jejunoileostomy described in Figures 3-9 to 3-13, using the linear stapler and oversewing the anterior and posterior staple lines with interrupted, 5/0, nonabsorbable sutures taken in the Lembert fashion.
Some surgeons prefer a running closure. Alternatively, a hand-sewn, single- or double-layer gastrojejunostomy can be performed. The size of the gastric pouch can be as large as 500 mL; the gastrojejunostomy orifice diameter is greater than 2 cm and is therefore not restrictive. If the alimentary Roux limb is brought up retrocolic, it is important to close the mesocolon around, and to, the jejunal limb. Closure of Peterson's defect is optional. s Hand-sewn anastomosis alternative. ◆ Chapter 3 • Biliopancreatic Diversion 39 Figure 3-17 Figure 3-18 40 Section II • Primarily Malabsorptive Procedures ◆ Figure 3-19: Completed biliopancreatic diversion with a nonrestrictive, large gastric pouch, a measured common channel, and a measured alimentary Roux limb.