Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Reach Us
+44-330-822-4832
GET THE APP
Laparoscopic Wedge Resection Of Gastrojejunostomy For Weight Recidivism After Gastric Bypass | 66418
ISSN: 2165-7904
Journal of Obesity & Weight Loss Therapy
Open Access
Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.
Background & Aim: Weight recidivism after Roux-en-Y gastric bypass (RYGB) is a common problem. Often, this weight loss failure
or regain may be due to a wide gastrojejunostomy (GJ). We evaluated the feasibility and safety of a novel approach of laparoscopic
wedge resection of gastrojejunostomy (LWGJ) for a wide stoma after RYGB associated with weight recidivism.
Methods: This is a single-center retrospective study of a prospectively-collected database. We analyzed outcomes of patients with
weight recidivism after RYGB and a documented wide GJ (>2 cm) on imaging, who underwent LWGJ between 11/2013-05/2016.
Results: Nine patients underwent LWGJ for dilated stomas. All patients were female with a mean±SD age of 53±7 years. Mean interval
between RYGB and LWGJ was 9±3 years. All cases were performed laparoscopically with no conversions. Mean operative time and
hospital stay were 86±9 minutes and 1.2±0.4 days, respectively. The median (IQR) follow-up time was 14 (12-18) months. During
follow-up, there were no deaths, postoperative complications or unplanned readmissions or reoperations. The mean and median
(IQR) BMI before RYGB and LWGJ were 55.4±8.1 kg/m2 and 56.1 (47.9-61.7) and 43.4±8.6 kg/m2 and 42.1 (38.3-47.1), respectively.
One year after LWGJ, mean and median (IQR) BMI significantly decreased to 34.9±7.3 kg/m2 and 33.3 (31.7-35.0) corresponding to
a mean %EWL of 64.6±19.9 (P<0.05).
Conclusion: LWGJ is safe and can lead to further weight loss in patients experiencing weight recidivism after RYGB with a wide
GJ (>2 cm). Long-term follow-up is needed to determine the efficacy and durability of LWGJ and compare its outcomes with other
endoscopic/surgical approaches for weight recidivism after RYGB with a documented wide GJ.