Plastic Aesthetic Weight Loss Surgery

A. The gastric bypass (Diagram No. 8):
This is the standard intervention in the USA. It includes:
– Preparation of a small gastric pouch by stapling
– Section jéjunale
– Anastomosis gastrointestinal jéjunale
– Anastomosis “at the foot of the loop”

B. The gastric bypass with cross-section gastric (Figure No. 9):
The cross-section avoids désagrafage by technical failure, but it remains possible and then leads a gastric fistula. This modality bypass is currently the most common, and in particular the only possible if this intervention is performed under coelioscopie.

Figure 8                                                                                Figure 9
  

C. The gastric bypass with additional restriction (Diagram No. 10):
This is the principle of the Fobi pouch, where a ring stricture is included on the proximal pocket, reinforcing the coercive effect on dietary intake. Fobi adds a probe, in order to keep permanent access to the stomach “défonctionnalisé.”

D. The gastric bypass Cove on Long (long limb gastric bypass) (diagram No. 11):
Here, the effect is clearly malabsorption, and the technique is similar to that described by Scopinaro in principle. Several American surgeons defend this principle in super-obese (body mass index greater than 50).

Figure 10                                                                           Figure 11
  

4. The gastric stimulation transparietal (Figure No. 12):

Last born bariatric interventions, this procedure is neither restrictive nor malabsorbtif, but in fact plays on satiety. The probe stimulation is connected to a pacemaker subcutaneous delivering pulses continues

 

                      Figure 12