kg | |
cm |
Aceasta interventie combina 2 mecanisme prin care pacientul va slabi si isi va regla metabolismul: restrictia si malabsorbtia.
Intr-un prim pas al interventiei chirurgicale se deconecteaza de stomac o portiune gastrica cu un volum de circa 40 ml la care se anastomozeaza (se conecteza) o ansa de intestin subtire, in continuitate la aproximativ 150-200 cm de la nivelul duodenului, deci portiunea de intestin subtire scoasa din tranzit va masura 150-200 cm.
Alimentele vor strabate esofagul, mica punga gastrica formata anterior si vor intra in intestinul subtire cu 150-200 cm mai departe de duoden. Duodenul si primii 150-200 cm de intestin subtire sunt astfel bypass-ati din tranzitul alimentelor.
Astfel pacientii vor slabi prin mecanismul produs de restrictia gastrica (nu vor putea manca cantitati mari de alimente) si prin lipsa absorbtiei alimentelor igerate in primii 150-200 de cm de intestin subtire.
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