Influence of Jejunoileal and Common Limb Length on Weight Loss Following Roux-en-Y Gastric Bypass
Background Capella surgery is one of the technical variations of Roux-en-Y gastric bypass. The method includes the preparation of an alimentary (Roux) limb with a standardized length (110 cm) in order to induce deficiencies in the absorption of macronutrients and thereby contribute to weight loss. T...
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| Veröffentlicht in: | Obesity surgery 2008-11, Vol.18 (11), p.1364-1368 |
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| creator | Savassi-Rocha, Alexandre Lages Diniz, Marco Túlio Costa Savassi-Rocha, Paulo Roberto Ferreira, Jander Toledo Rodrigues de Almeida Sanches, Soraya Diniz, Maria de Fátima Haueisen Sander Gomes de Barros, Henrique Fonseca, Inara Kellen |
| description | Background
Capella surgery is one of the technical variations of Roux-en-Y gastric bypass. The method includes the preparation of an alimentary (Roux) limb with a standardized length (110 cm) in order to induce deficiencies in the absorption of macronutrients and thereby contribute to weight loss. The recognized variation in jejunoileal length in humans (approximately 4 to 9 m) is not considered, although this range correlates with the wide variation in the length of the common limb.
Methods
In order to assess the influence of variations in jejunoileal and common limb lengths on weight loss, intra-operative measurements were made of these segments on 100 patients undergoing Capella surgery. Patients were followed for a period of 1 year. Statistical analysis included subdivisions of the population by gender and body mass index.
Results
Average jejunoileal length was 671.4 ± 115.7 cm (434–990 cm). Average common limb length was 505.3 ± 113.3 cm (268–829 cm). No correlation was detected between jejunoileal length and weight loss at 6 months or 1 year following surgery. A weak negative correlation was detected between weight loss and common limb length at 1 year following surgery in male and super-obese patients.
Conclusions
Jejunoileal and common limb length vary widely in gastric bypass patients. To make modifications in the alimentary and/or biliopancreatic limb length, surgeons must consider the variability of the jejunoileal and common limb length. |
| doi_str_mv | 10.1007/s11695-008-9475-1 |
| format | Article |
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Capella surgery is one of the technical variations of Roux-en-Y gastric bypass. The method includes the preparation of an alimentary (Roux) limb with a standardized length (110 cm) in order to induce deficiencies in the absorption of macronutrients and thereby contribute to weight loss. The recognized variation in jejunoileal length in humans (approximately 4 to 9 m) is not considered, although this range correlates with the wide variation in the length of the common limb.
Methods
In order to assess the influence of variations in jejunoileal and common limb lengths on weight loss, intra-operative measurements were made of these segments on 100 patients undergoing Capella surgery. Patients were followed for a period of 1 year. Statistical analysis included subdivisions of the population by gender and body mass index.
Results
Average jejunoileal length was 671.4 ± 115.7 cm (434–990 cm). Average common limb length was 505.3 ± 113.3 cm (268–829 cm). No correlation was detected between jejunoileal length and weight loss at 6 months or 1 year following surgery. A weak negative correlation was detected between weight loss and common limb length at 1 year following surgery in male and super-obese patients.
Conclusions
Jejunoileal and common limb length vary widely in gastric bypass patients. To make modifications in the alimentary and/or biliopancreatic limb length, surgeons must consider the variability of the jejunoileal and common limb length.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-008-9475-1</identifier><identifier>PMID: 18459021</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adult ; Body Mass Index ; Female ; Gastric Bypass - methods ; Gastrointestinal surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity ; Obesity, Morbid - surgery ; Prospective Studies ; Research Article ; Surgery ; Surgical techniques ; Treatment Outcome ; Weight control ; Weight Loss</subject><ispartof>Obesity surgery, 2008-11, Vol.18 (11), p.1364-1368</ispartof><rights>Springer Science + Business Media, LLC 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-1e9896f6b8a902e93ec5327342f6621430bf83332be1ba105b7ec2ab9f4a7b613</citedby><cites>FETCH-LOGICAL-c402t-1e9896f6b8a902e93ec5327342f6621430bf83332be1ba105b7ec2ab9f4a7b613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-008-9475-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-008-9475-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18459021$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Savassi-Rocha, Alexandre Lages</creatorcontrib><creatorcontrib>Diniz, Marco Túlio Costa</creatorcontrib><creatorcontrib>Savassi-Rocha, Paulo Roberto</creatorcontrib><creatorcontrib>Ferreira, Jander Toledo</creatorcontrib><creatorcontrib>Rodrigues de Almeida Sanches, Soraya</creatorcontrib><creatorcontrib>Diniz, Maria de Fátima Haueisen Sander</creatorcontrib><creatorcontrib>Gomes de Barros, Henrique</creatorcontrib><creatorcontrib>Fonseca, Inara Kellen</creatorcontrib><title>Influence of Jejunoileal and Common Limb Length on Weight Loss Following Roux-en-Y Gastric Bypass</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Capella surgery is one of the technical variations of Roux-en-Y gastric bypass. The method includes the preparation of an alimentary (Roux) limb with a standardized length (110 cm) in order to induce deficiencies in the absorption of macronutrients and thereby contribute to weight loss. The recognized variation in jejunoileal length in humans (approximately 4 to 9 m) is not considered, although this range correlates with the wide variation in the length of the common limb.
Methods
In order to assess the influence of variations in jejunoileal and common limb lengths on weight loss, intra-operative measurements were made of these segments on 100 patients undergoing Capella surgery. Patients were followed for a period of 1 year. Statistical analysis included subdivisions of the population by gender and body mass index.
Results
Average jejunoileal length was 671.4 ± 115.7 cm (434–990 cm). Average common limb length was 505.3 ± 113.3 cm (268–829 cm). No correlation was detected between jejunoileal length and weight loss at 6 months or 1 year following surgery. A weak negative correlation was detected between weight loss and common limb length at 1 year following surgery in male and super-obese patients.
Conclusions
Jejunoileal and common limb length vary widely in gastric bypass patients. To make modifications in the alimentary and/or biliopancreatic limb length, surgeons must consider the variability of the jejunoileal and common limb length.</description><subject>Adult</subject><subject>Body Mass Index</subject><subject>Female</subject><subject>Gastric Bypass - methods</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Prospective Studies</subject><subject>Research Article</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kVtL7DAUhYMc0fHyA3yRcB4OvkRzadPk0TPoqBQEUcSnkNTdsUObjE2L-u_NMAOCoE9hkW-vfVkIHTF6yigtziJjUueEUkV0VuSEbaEJK5KiGVd_0IRqSYnSXOyivRgXlHImOd9Bu0xluU5qguy1r9sRfAU41PgGFqMPTQu2xdY_42nouuBx2XQOl-DnwwtO8hGa-cuAyxAjvgxtG94aP8d3YXwn4MkTntk49E2F_38sbYwHaLu2bYTDzbuPHi4v7qdXpLydXU_PS1JllA-EgVZa1tIpmyYDLaDKBS9ExmspOcsEdbUSQnAHzFlGc1dAxa3TdWYLJ5nYR__Wvss-vI4QB9M1sYK2tR7CGI3UMi-4KBJ48ivIVILSpVSW0L_f0EUYe5_WMJwnRmtFE8TWUNWni_RQm2XfdLb_MIyaVU5mnZNJOZlVTmY17PHGeHQdPH9VbIJJAF8DMX35OfRfnX92_QS5gJuJ</recordid><startdate>20081101</startdate><enddate>20081101</enddate><creator>Savassi-Rocha, Alexandre Lages</creator><creator>Diniz, Marco Túlio Costa</creator><creator>Savassi-Rocha, Paulo Roberto</creator><creator>Ferreira, Jander Toledo</creator><creator>Rodrigues de Almeida Sanches, Soraya</creator><creator>Diniz, Maria de Fátima Haueisen Sander</creator><creator>Gomes de Barros, Henrique</creator><creator>Fonseca, Inara Kellen</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>20081101</creationdate><title>Influence of Jejunoileal and Common Limb Length on Weight Loss Following Roux-en-Y Gastric Bypass</title><author>Savassi-Rocha, Alexandre Lages ; Diniz, Marco Túlio Costa ; Savassi-Rocha, Paulo Roberto ; Ferreira, Jander Toledo ; Rodrigues de Almeida Sanches, Soraya ; Diniz, Maria de Fátima Haueisen Sander ; Gomes de Barros, Henrique ; Fonseca, Inara Kellen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-1e9896f6b8a902e93ec5327342f6621430bf83332be1ba105b7ec2ab9f4a7b613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Body Mass Index</topic><topic>Female</topic><topic>Gastric Bypass - methods</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Prospective Studies</topic><topic>Research Article</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Savassi-Rocha, Alexandre Lages</creatorcontrib><creatorcontrib>Diniz, Marco Túlio Costa</creatorcontrib><creatorcontrib>Savassi-Rocha, Paulo Roberto</creatorcontrib><creatorcontrib>Ferreira, Jander Toledo</creatorcontrib><creatorcontrib>Rodrigues de Almeida Sanches, Soraya</creatorcontrib><creatorcontrib>Diniz, Maria de Fátima Haueisen Sander</creatorcontrib><creatorcontrib>Gomes de Barros, Henrique</creatorcontrib><creatorcontrib>Fonseca, Inara Kellen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Savassi-Rocha, Alexandre Lages</au><au>Diniz, Marco Túlio Costa</au><au>Savassi-Rocha, Paulo Roberto</au><au>Ferreira, Jander Toledo</au><au>Rodrigues de Almeida Sanches, Soraya</au><au>Diniz, Maria de Fátima Haueisen Sander</au><au>Gomes de Barros, Henrique</au><au>Fonseca, Inara Kellen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Jejunoileal and Common Limb Length on Weight Loss Following Roux-en-Y Gastric Bypass</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2008-11-01</date><risdate>2008</risdate><volume>18</volume><issue>11</issue><spage>1364</spage><epage>1368</epage><pages>1364-1368</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Capella surgery is one of the technical variations of Roux-en-Y gastric bypass. The method includes the preparation of an alimentary (Roux) limb with a standardized length (110 cm) in order to induce deficiencies in the absorption of macronutrients and thereby contribute to weight loss. The recognized variation in jejunoileal length in humans (approximately 4 to 9 m) is not considered, although this range correlates with the wide variation in the length of the common limb.
Methods
In order to assess the influence of variations in jejunoileal and common limb lengths on weight loss, intra-operative measurements were made of these segments on 100 patients undergoing Capella surgery. Patients were followed for a period of 1 year. Statistical analysis included subdivisions of the population by gender and body mass index.
Results
Average jejunoileal length was 671.4 ± 115.7 cm (434–990 cm). Average common limb length was 505.3 ± 113.3 cm (268–829 cm). No correlation was detected between jejunoileal length and weight loss at 6 months or 1 year following surgery. A weak negative correlation was detected between weight loss and common limb length at 1 year following surgery in male and super-obese patients.
Conclusions
Jejunoileal and common limb length vary widely in gastric bypass patients. To make modifications in the alimentary and/or biliopancreatic limb length, surgeons must consider the variability of the jejunoileal and common limb length.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18459021</pmid><doi>10.1007/s11695-008-9475-1</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Body Mass Index Female Gastric Bypass - methods Gastrointestinal surgery Humans Male Medicine Medicine & Public Health Middle Aged Obesity Obesity, Morbid - surgery Prospective Studies Research Article Surgery Surgical techniques Treatment Outcome Weight control Weight Loss |
| title | Influence of Jejunoileal and Common Limb Length on Weight Loss Following Roux-en-Y Gastric Bypass |
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