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Surg Endosc. 2007 Nov;21(11):1924-6. Epub 2007 Sep 3.

Adding malabsorption for weight loss failure after gastric bypass.

Author information

1
Department of Surgery, University of Pittsburgh Medical School, Pittsburgh, PA, USA. rbrolin@njbariatricspc.com

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.

PMID:
17768659
DOI:
10.1007/s00464-007-9542-z
[Indexed for MEDLINE]

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