Prof. Mario Musella (ITALY) and his team from AOU "Federico II", Naples, Italy, perform a One Anastomosis Gastric Bypass (OAGB)
Patient gained weight (40kg) after two consecutive pregnancies. She followed several diets but failed to achieve a significant weight loss.
Clinical Background
43-year-old female patient
BMI 43.3 Kg/m2
No previous bariatric surgery
No obesity-related comorbidities
History of Cesarean delivery
Technique Description
Procedure Steps:
Trocar placement
Creation of a long and narrow gastric pouch
Preparation of a tailored Bilio-Pancreatic limb according to patient BMI
Identification of a common limb at least 300 cm long
Linear stapled gastro-entero anastomosis
Closure of enterotomies with self-locking suture
Blue test
Learning Points:
Preparation of a long and narrow gastric pouch at least 12 cm long
Preparation of the anterior/posterior face of the stomach
Preparation of an adequate Bilio Pancreatic limb, neither too short (poor hypoabsorptive effect) nor too long (risk of protein malnutrition)
Clean closure of the anastomosis
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