AI Article Synopsis
- The study discusses a method for revising Roux-en-Y gastric bypass (RYGB) for patients who didn't achieve significant weight loss after their initial bariatric surgery.
- The technique involves extending the length of the Roux limb by creating a common channel and revising the gastric connection.
- Results showed that about 47.9% of excess weight was lost on average after one year in nearly half of the 54 patients who underwent this procedure.
Article Abstract
Objective: To present a technique of revisional RY gastric bypass in patients with unsatisfactory weight loss after primary gastric bariatric operations.
Methods: The Roux limb was lengthened by creating a 75-100 cm common channel below the enteroenterostomy with concomitant revision of the gastrojejunostomy.
Results: Fifty-four patients had this distal modification of RYGB including 47 patients who had primary gastric bypass and 7 patients who failed pure restrictive operations. Mean excess weight loss was 47.9% in patients followed for > or = 1 year.
Conclusions: This distal modification of RYGB resulted in satisfactory weight loss for nearly half of the 54 patients in this series.
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| http://dx.doi.org/10.1007/s00464-007-9542-z | DOI Listing |
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