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Re: Dr. Elariny on BPD vs DS plus pylorus and related surgicaltechniques

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" Lap-DS surgery. 1) stapled duodeno-ileal

>anastamosis; 2) devascularizing the pylorus to get the duodenal stump

>disected. If you devascularize the pylorus, and totally detatch it from its

>surrounding structures, then you are asking alot to expect it to continue to

>function. Another thing is the extent of gastrectomy performed adjacent to

>the pylorus and adjacent to the esophagus. "

Does anyone who has had a Mt. Sinai surgery know their approach to these

issues?

Thanks,

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