Simplified Gastric Bypass, "Surgery of gold" for Weight Loss
Gastric Bypass is considered by the American Society of Metabolic and Bariatric Surgeons (ASMBS) and the American National Institute of Health as the Golden surgery to obtain weight loss. Moreover, according to the Gastric Bypass IFSO (International Federation for the Surgery of Obesity) and ASMBS it is also considered the more complex laparoscopic surgical procedure. Not to be confused and should be differentiated from Simple Mini Gastric Bypass where not only does not match the size of the gastric pouch, but also prevents intestinal anastomosis do with the result that there is no real deviation from the pancreatic and bile fluids, which which has shown a high rate of failure to obtain weight loss. Despite this, there are still doctors who practice at present and patients are unaware of this difference.
Technique called "Bypass Traditional" also has difference with the Simplified Bypass because the first is done behind the colon (large intestine) leaving 3 possible sites for the development of acute internal hernia (up to 10%) and in exchange the Simplified Bypass, are always in front of the colon by avoiding this complication.
The laparoscopic technique that interests us was developed by Dr. Almino Ramos in Sao Paulo, Brazil about 10 years ago and I call it Simplified Laparoscopic Gastric Bypass, consisting of simplifying and standardizing the surgical steps Traditional Gastric Bypass in a way that could be made more easily by bariatric surgeons with a shorter operating time (average 75 min.) and more efficiently (thousands of patients are operated with this technique in the world today).
Gastropathy (the gastric pouch) with the intestinal bypass can be performed either by the use of the laparoscope or through conventional open surgery. This technique requires the stomach stapling and division (forming the new camera gastroplasty or gastric or stomach pouch) reducing gastric capacity by 90% (20-30cc) and an intestinal bypass 1.5 to 2 m (the small intestine are ranging in length from 4 to 7 m long) at the end of the gastroplasty procedure communicates with the diverted bowel (gastro-jejunostomy) making a stapling and for food to pass by the new anatomy.
Technique called "Bypass Traditional" also has difference with the Simplified Bypass because the first is done behind the colon (large intestine) leaving 3 possible sites for the development of acute internal hernia (up to 10%) and in exchange the Simplified Bypass, are always in front of the colon by avoiding this complication.
The laparoscopic technique that interests us was developed by Dr. Almino Ramos in Sao Paulo, Brazil about 10 years ago and I call it Simplified Laparoscopic Gastric Bypass, consisting of simplifying and standardizing the surgical steps Traditional Gastric Bypass in a way that could be made more easily by bariatric surgeons with a shorter operating time (average 75 min.) and more efficiently (thousands of patients are operated with this technique in the world today).
Gastropathy (the gastric pouch) with the intestinal bypass can be performed either by the use of the laparoscope or through conventional open surgery. This technique requires the stomach stapling and division (forming the new camera gastroplasty or gastric or stomach pouch) reducing gastric capacity by 90% (20-30cc) and an intestinal bypass 1.5 to 2 m (the small intestine are ranging in length from 4 to 7 m long) at the end of the gastroplasty procedure communicates with the diverted bowel (gastro-jejunostomy) making a stapling and for food to pass by the new anatomy.
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