Revision of Failed Gastric Bypass to Distal Roux-en-Y Gastric Bypass: A Review of 65 Cases |
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Authors: | Mal Fobi MD Hoil Lee MD Daniel Igwe Jr MD Elaine James MD Malgorzata Stanczyk MD Philomina Eyong MD PA Basil Felahy MD Julius Tambi BA |
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Institution: | Center for Surgical Treatment of Obesity, Hawaiian Gardens, CA 90716, USA. info@cstobesity.com |
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Abstract: | Background: No bariatric operation has been documented to effect adequate weight loss in all patients. Patients with inadequate
weight loss or significant weight regain with an anatomically intact short-limb gastric bypass, of which the Fobi pouch operation
(FPO) for obesity is a modification, are usually revised to a distal Roux-en-Y gastric bypass (DRYGBP) to enhance weight loss.
Method: A retrospective review of the charts of all patients who had a revision to a DRYGBP at our Center during an 8-year
period was carried out and the findings analyzed. Results: 65 patients who had the FPO had a revision to the DRYGBP.Most were
super obese patients who, even though they had lost significant weight, were still morbidly obese. Some were patients who
had not lost adequate weight or <40% excess weight, and a small number were patients who requested more weight loss even though
they had a BMI of < 35. 15 patients developed protein malnutrition requiring supplemental feeding. 6 required rerevision to
short-limb gastric bypass. Conclusion: Revision of short-limb gastric bypass to DRYGBP usually enhances weight loss but at
a cost of an increased incidence of protein malnutrition. |
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Keywords: | MORBID OBESITY BARIATRIC SURGERY GASTRIC BYPASS REVISIONAL SURGERY |
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