AI Article Synopsis
- Roux-en-Y gastric bypass (RYGB) with a 150-cm or longer Roux limb leads to more significant weight loss in superobese patients (BMI >50 kg/m2) compared to shorter procedures.
- In contrast, patients with a BMI <50 kg/m2 do not experience additional weight loss benefits from longer Roux limb procedures.
- Modest increases in the Roux limb length (150 cm to 200 cm) do not significantly raise the risk of nutritional issues and the article also covers related metabolic effects and CPT coding.
Article Abstract
Roux-en-Y gastric bypass (RYGB) that is performed with at least a 150-cm Roux limb results in significantly greater weight loss than shorter (<100-cm) Roux limb procedures in superobese patients(BMI >50 kg/m2). Conversely, longer Roux limb procedures do not provide greater weight loss in less obese (BMI <50 kg/m2)patients. Modest elongation of the Roux limb-in the range of 150 cm to 200 cm-does not result in more frequent nutritional sequelae compared with shorter Roux limb procedures. This article discusses the current status of long limb Roux-en-Y gastric bypass in the context of weight loss, metabolic sequelae and CPT coding.
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| http://dx.doi.org/10.1016/j.suc.2005.03.003 | DOI Listing |
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