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The most common operation for SMA syndrome, duodenojejunostomy, was first proposed in 1907 by Bloodgood. [7] Performed as either an open surgery or laparoscopically , duodenojejunostomy involves the creation of an anastomosis between the duodenum and the jejunum , [ 23 ] bypassing the compression caused by the AA and the SMA. [ 1 ]
The name is derived from the surgeon who first described it (César Roux) [1] and the stick-figure representation. Diagrammatically, the Roux-en-Y anastomosis looks a little like the letter Y.
The SADI-S is a single anastomosis bariatric surgery. It is different from the classic duodenal switch, the gastric bypass (RNY) or sleeve gastrectomy.It is a type of bariatric surgery carried out to lose weight and to mitigate various metabolic issues including type 2 diabetes, dislipidemia, metabolic syndrome, and polycystic ovary syndrome.
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The length of the small intestine can vary greatly, from as short as 3 metres (10 feet) to as long as 10.5 m (34 + 1 ⁄ 2 ft), also depending on the measuring technique used. [3] The typical length in a living person is 3–5 m (10– 16 + 1 ⁄ 2 ft). [4] [5] The length depends both on how tall the person is and how the length is measured. [3]
It affects about 25 million people in the US and nearly 1 million people diagnosed annually will need to be treated. Studies have shown that 58-72% of patients with symptomatic gallstones will have ongoing symptoms and complications. [11] With multiple stones present, the difficulty in clearance of the CBD can lead to biliary blockage.