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العنوان
Assesment of the value of gastropexy after sleeve gastrectomy /
الناشر
Esraa Mortada Abdelmoneim Ali Okasha ,
المؤلف
Esraa Mortada Abdelmoneim Ali Okasha
هيئة الاعداد
باحث / Esraa Mortada Abdelmoneim Ali Okasha
مشرف / Ali Hassan Elshehry
مشرف / Ibrahim Galal Khalifa
مشرف / Tarek Osama Hegazy
تاريخ النشر
2019
عدد الصفحات
96 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
27/7/2019
مكان الإجازة
جامعة القاهرة - كلية الطب - General surgery
الفهرس
Only 14 pages are availabe for public view

from 110

from 110

Abstract

Obesity is a major public health problem that has many complications and co morbidities. Due to rapid growth of numbers of LSG, new complications are sure to rise, The stomach is normally positioned and fixed by gastro hepatic, gastro splenic and gastro colic ligaments. The stomach with no fixation along the entire greater curvature, which may predispose to volvulus. Gastric volvulus occurs primarily when the stomach suffers torsion on itself due to laxity or elongation of these attachments or due to fixation at a specific point such as adhesions, diaphragmatic and hiatus hernias or tumors. Gastric volvulus may be mesenteroaxial (torsion of stomach along its short axis), and mixed (mesenteroaxial and organoaxial). Method: A prospective study of 40 patients, the patients were randomly divided into two groups by a closed envelope method. In which group A underwent lap sleeve gastrectomy, while group B underwent laparoscopic sleeve gastrectomy with sleeve attached to pancreatic fascia. Then assessment of the intra operative twisting of the staple line, Bleeding and time consumed