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Adding malabsorption for weight loss failure after gastric bypass
Authors:Robert E. Brolin  Ronald P. Cody
Affiliation:(1) Department of Surgery, University of Pittsburgh Medical School, Pittsburgh, PA, USA;(2) Bariatric Surgery, University Medical Center at Princeton, Princeton, NJ, USA;(3) School of Public Health, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Piscataway, NJ, USA;(4) New Jersey Bariatrics, P.C. 4250 US Highway 1 North, Suite 1, Monmouth Junction, NJ 08882, USA
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 ≥1 year. Conclusions This distal modification of RYGB resulted in satisfactory weight loss for nearly half of the 54 patients in this series.
Keywords:Bariatric  Obesity  Gastric bypass
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