Ahmad Yousry on surgical technique
From Precise Counting of Total Bowel Length - Ahmed Yousry · · IFSO
“A step of paramount importance is measuring bowel limb length in bypass procedures; it is a subject of controversy.”
On , Ahmad Yousry, CEO & Co-Founder at Rabbit, spoke about surgical technique during Precise Counting of Total Bowel Length - Ahmed Yousry on IFSO.
About Ahmad Yousry
Ahmad Yousry, CEO and Co-Founder at Rabbit, presented a surgical technique for measuring total bowel length during bariatric procedures. In a presentation titled "Precise Counting of Total Bowel Length," Yousry described bowel limb length in bypass procedures as "a subject of controversy." He stated that in one anastomosis gastric bypass, most surgeons use a biliopancreatic limb of 200 cm, but noted that some patients may experience inadequate weight loss or weight regain. Yousry also said that in CDS, the elementary limb is 300 cm, but that shorter limbs may result in serious malnutrition. Yousry advocated for counting total bowel lengths in all cases of one anastomosis gastric bypass, Roux-en-Y gastric bypass, and SS. He described using two soft bowel graspers marked at 5 cm and 10 cm, counting the full stretched bowel hand to hand. Yousry detailed his marking technique, using one clip proximal and two clips distal at 150 cm, and one clip proximal with a stitch distal at 200 cm, noting the stitch is "always not too tight." He explained that after reaching 200 cm, the surgeon moves to the left side of the patient and changes port positions. Yousry concluded that counting total bowel length in all bypass procedures "helps make the right decision that achieves best weight loss and avoids malnutrition."