Gastric bypass: Historical evolution and technical development of a time-honored bariatric procedure

Eduardo Bastos, D. Pajecki
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Abstract

Gastric bypass (GB) was originally described over 50 years ago as an alternative to jejunoileal bypass in the surgical approach to morbid obesity. Since then, several technical improvements and modifications have been proposed over time to simplify technical execution, enhance outcomes, and minimize the risk of complications and/or adverse effects. After half a century of robust and sustained results, the technical drawing of the GB still undergoes improvements, mainly to ensure even more safety for obese patients and encompass modern concepts of metabolic surgery. This review aims to outline the main technical changes proposed for GB from its original description to the current times.
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胃旁路:历史演变和技术发展的一个历史悠久的减肥程序
胃旁路(GB)最初是在50多年前被描述为一种替代空肠回肠旁路的手术方法,用于治疗病态肥胖。从那时起,随着时间的推移,提出了一些技术改进和修改,以简化技术执行,提高结果,并最大限度地减少并发症和/或不良反应的风险。经过半个世纪的稳健和持续的成果,GB的技术图纸仍在不断改进,主要是为了确保肥胖患者更加安全,并包含现代代谢手术的概念。本综述旨在概述从原始描述到当前时代对GB提出的主要技术变化。
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