Gastric bypass in the management of morbid obesity

Mohamed, Hytham; Rashad, Sayed Mohamed; Ali, Ayman Abdel Hafiz; Aamr, Mohamed Ahmed Mahmoud

doi:10.21608/asjs.2009.177132

Gastric bypass in the management of morbid obesity

Editorial

Authors

¹ M.B., B.CH

² Professor of General Surgery Faculty of Medicine - Ain Shams University

³ Assistant Professor of General Surgery Faculty of Medicine - Ain Shams University

⁴ Lecturer of General Surgery Faculty of Medicine - Ain Shams University

10.21608/asjs.2009.177132

Abstract

Total mesorectal excision with pelvic autonomic nerve preservation (TME-ANP) has been reported to be an optimal surgery for rectal cancer. It minimizes local recurrence and sexual and urinary dysfunction. There is a device (CaverMapÆ Device) that has the potential ability to enhance pelvic autonomic nerve identification and preservation during rectal surgery. Erectile dysfunction after rectal excision for rectal cancer is completely reversed or satisfactorily improved in 79 percent of patients after use of sildenafil. This means that these patients have an excellent chance of improvement in their erectile function with sildenafil.