Distalization of Standard Roux-en-Y Gastric Bypass: Indications, Technique, and Long-Term Results.

Introduction: Weight loss failure or weight regain after primary Roux-en-Y gastric bypass (RYGB) is a challenge for bariatric surgeons. Failure to achieve a body mass index (BMI) <35 kg/m after RYGB occurs in up to 40.0%.