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Proximal (Classic) Gastric Bypass

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Bariatric Surgery

Abstract

The intention of this procedure is a restriction of the size of the stomach by cutting it proximally and the creation of malabsorption by dividing the small intestine into an alimentary (Roux limb) and a biliopancreatic segment (Fig. 3.1). Both goals (restriction and malabsorption) are reached in one operation; it is therefore referred to as “combined procedure.

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References

Surgical Technique

  1. Mason EE, Ito C (1967) Gastric bypass in obesity. Surg Clin North Am 47:1845–1852

    Google Scholar 

  2. Santry HP, Gillen DL, Lauderdale DS (2005) Trends in bariatric surgical procedures. JAMA 294(15):1909–1917

    Article  PubMed  CAS  Google Scholar 

  3. Demaria EJ, Jamal MK (2005) Surgical options for obesity. Gastroenterol Clin North Am 34(1):127–142

    Article  PubMed  Google Scholar 

  4. Andrew CG, Hanna W, Look D et al (2006) Early results after laparoscopic roux-en-Y gastric bypass: Effect of the learning curve. Can J Surg 49(6):417–421

    PubMed  Google Scholar 

  5. Nguyen NT, Goldman C, Rosenquist CJ et al (2001) Laparo­scopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg 234(3):279–289

    Article  PubMed  CAS  Google Scholar 

  6. Wittgrove AC, Clark GW, Tremblay LJ (1994) Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg 4:353–357

    Article  PubMed  Google Scholar 

  7. dela Torre RA, Scott JS (1999) Laparoscopic Roux-en-Y gastric bypass: a totally intra-abdominal approach: technique and preliminary report. Obes Surg 9:492–498

    Article  CAS  Google Scholar 

  8. Schauer PR, Ikramuddin S, Gourash W et al (2000) Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg 232:515–529

    Article  PubMed  CAS  Google Scholar 

  9. Higa KD, Boone KB, Ho T et al (2000) Laparoscopic ­Roux-en-Y gastric bypass for morbid obesity: technique and ­preliminary results of our first 400 patients. Arch Surg 9:1029–1033

    Article  Google Scholar 

  10. Choban PS, Flancbaum L (2002) The effect of Roux limb lengths on outcome after Roux-en-Y gastric bypass: a ­prospective, randomized clinical trial. Obes Surg 12(4):540–545

    Article  PubMed  Google Scholar 

  11. Champion JK, Williams M (2003) Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg 13(4):596–600

    Article  PubMed  Google Scholar 

  12. Higa KD, Ho T, Boone KB (2003) Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention. Obes Surg 13(3):350–354

    Article  PubMed  Google Scholar 

  13. Wittgrove AC, Clark GW, Schubert KR (1996) Laparoscopic gastric bypass, Roux-en-Y: technique and results in 75 patients with 3–30 month follow-up. Obes Surg 6:500–504

    Article  PubMed  Google Scholar 

  14. Higa K, Ho T, Boone K (2003) Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention. Obes Surg 13:350–354

    Article  PubMed  Google Scholar 

Surgical Technique

  1. Wittgrove AC, Clark GW, Tremblay LJ (1994) Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg 4:353–357

    Article  PubMed  Google Scholar 

  2. Nguyen NT, Goldman C, Rosenquist CJ, Arango A, Cole CJ, Lee SJ, Wolfe BM (2001) Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg 234(3):279–289; discussion 289–291

    Article  PubMed  CAS  Google Scholar 

  3. Iannelli A, Sejor E, Mouremble O, Nataf S, Gugenheim J (2006) Leak of the bypassed stomach after laparoscopic gastric bypass, presenting as abdominal wall cellulites. Obes Surg 16:924–927

    Article  PubMed  Google Scholar 

  4. Iannelli A, Facchiano E, Gugenheim J (2006) Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg 16:1265–1271

    Article  PubMed  Google Scholar 

  5. Iannelli A, Piche T, Novellas S, Gugenheim J (2006) Small bowel diverticulitis of Roux-en-Y loop: a rare complication of laparoscopic Roux-en-Y gastric bypass. Obes Surg; 16 (9):1249–1251

    Google Scholar 

  6. Iannelli A, Addeo P, Dahman M, Senni Buratti M, Ben Amor I, Piche T, Gugenheim J (2007) Laparoscopic conversion of vertical banded gastroplasty with an antireflux wrap into Roux en Y gastric bypass. Obes Surg 17:901–904

    Article  PubMed  Google Scholar 

  7. Iannelli A, Senni Buratti M, Novellas S, Dahman M, Ben Amor I, Facchiano E, Addeo P, Gugenheim J (2007) Internal hernia as a complication of laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg 17:1283–1286

    Article  PubMed  Google Scholar 

  8. Iannelli A, Amato D, Addeo P, Senni Buratti M, Damhan M, Ben Amor I, Sejor E, Facchiano E, Gugenheim J (2008) Laparoscopic conversion of vertical banded gastroplasty (Mason MacLean) into Roux en Y gastric bypass. Obes Surg 18:43–46

    Article  PubMed  Google Scholar 

  9. Nguyen NT, Longoria M, Gelfand DV, Sabio A, Wilson SE (2005) Staged laparoscopic Roux-en-Y: a novel two-stage bariatric operation as an alternative in the super-obese with massively enlarged liver. Obes Surg 15(7):1077–1081

    Article  PubMed  Google Scholar 

  10. Iannelli A, Dainese R, Piche T, Facchiano E, Gugenheim J (2008) Laparoscopic Sleeve gastrectomy for morbid obesity. World J Gastroenterol 14:821–827

    Article  PubMed  Google Scholar 

Surgical Technique

  1. Schwartz ML, Drew RL, Andersen JN (2003) Induction of pneumoperitoneum in morbidly obese patients. Obes Surg 13(4):601–604

    Article  PubMed  Google Scholar 

  2. Madan AK, Harper JL, Tichansky DS (2007) Techniques of laparoscopic gastric bypass: on-line survey of American Society for Bariatric Surgery practicing surgeons. Surg Obes Relat Dis 4(2):166–172

    Article  PubMed  Google Scholar 

  3. Nishie A, Brown B, Barloon T, Kuehn D, Samuel I (2007) Comparison of size of proximal gastric pouch and short-term weight loss following routine upper gastrointestinal contrast study after laparoscopic Roux-en-Y gastric bypass. Obes Surg 17(9):1183–1188

    Article  PubMed  Google Scholar 

  4. Roberts K, Duffy A, Kaufman J, Burrell M, Dziura J, Bell R (2007) Size matters: gastric pouch size correlates with weight loss after laparoscopic Roux-en-Y gastric bypass. Surg Endosc 21(8):1397–1402. Epub 2007 Mar 1

    Article  PubMed  CAS  Google Scholar 

  5. Madan AK, Tichansky DS, Phillips JC (2007) Does pouch size matter? Obes Surg 17(3):317–320

    Article  PubMed  Google Scholar 

  6. Williams MD, Champion JK (2004) Linear technique of laparoscopic Roux-en-Y gastric bypass. Surg Technol Int 13:101–105. Review.

    PubMed  Google Scholar 

  7. Sugerman HJ (2001) Bariatric surgery for severe obesity. J Assoc Acad Minor Phys 12(3):129–136. Review.

    PubMed  CAS  Google Scholar 

  8. Flanagan L (1996) Measurement of functional pouch ­volume following the gastric bypass procedure. Obes Surg 6(1):38–43

    Article  PubMed  Google Scholar 

  9. Flickinger EG, Sinar DR, Swanson M (1987) Gastric bypass. Gastroenterol Clin North Am. 16(2):283–292

    PubMed  CAS  Google Scholar 

  10. Andersen T, Pedersen BH (1984) Pouch volume, stoma diameter, and clinical outcome after gastroplasty for morbid obesity. A prospective study. Scand J Gastroenterol 19(5):643–649

    PubMed  CAS  Google Scholar 

  11. Horowitz M, Cook DJ, Collins PJ, Harding PE, Hooper MJ, Walsh JF, Shearman DJ (1982) Measurement of gastric emptying after gastric bypass surgery using radionuclides. Br J Surg 69(11):655–657

    Article  PubMed  CAS  Google Scholar 

  12. Miller KA, Pump A (2007) Use of bioabsorbable staple reinforcement material in gastric bypass: a prospective randomized clinical trial. Surg Obes Relat Dis 3(4):417–421; discussion 422. Epub 2007 Jun 12

    Article  PubMed  Google Scholar 

  13. Nguyen NT, Longoria M, Chalifoux S, Wilson SE (2005) Bioabsorbable staple line reinforcement for laparoscopic gastrointestinal surgery. Surg Technol Int 14:107–111

    PubMed  Google Scholar 

  14. Consten EC, Gagner M, Pomp A, Inabnet WB (2004) Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane. Obes Surg 14(10):1360–1366

    Article  PubMed  Google Scholar 

  15. Inabnet WB, Quinn T, Gagner M, Urban M, Pomp A (2005). Laparoscopic Roux-en-Y gastric bypass in patients with BMI <50: a prospective randomized trial comparing short and long limb lengths. Obes Surg 15(1):51–57.

    Article  PubMed  Google Scholar 

  16. Leifsson BG, Gislason HG (2005) Laparoscopic Roux-en-Y gastric bypass with 2-metre long biliopancreatic limb for morbid obesity: technique and experience with the first 150 patients. Obes Surg. 15(1):35–42

    Article  PubMed  Google Scholar 

  17. Skroubis G, Sakellaropoulos G, Pouggouras K, Mead N, Nikiforidis G, Kalfarentzos F (2002) Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and after biliopancreatic diversion with Roux-en-Y gastric bypass. Obes Surg 12(4):551–558

    Article  PubMed  Google Scholar 

  18. Murr MM, Balsiger BM, Kennedy FP, Mai JL, Sarr MG (1999) Malabsorptive procedures for severe obesity: comparison of pancreaticobiliary bypass and very very long limb Roux-en-Y gastric bypass. J Gastrointest Surg 3(6):607–612

    Article  PubMed  CAS  Google Scholar 

  19. Brolin RE, Kenler HA, Gorman JH, Cody RP (1992) Long-limb gastric bypass in the superobese. A prospective randomized study. Ann Surg 215(4):387–395

    Article  PubMed  CAS  Google Scholar 

  20. Patel C, Van Dam J, Curet M, Morton JM, Banerjee S (2008) Use of flexible endoscopic scissors to cut obstructing suture material in gastric bypass patients. Obes Surg 18(3):336–339

    Article  PubMed  Google Scholar 

  21. Frezza EE, Herbert H, Ford R (2007) Wachtel MS.Endoscopic suture removal at gastrojejunal anastomosis after Roux-en-Y gastric bypass to prevent marginal ulceration. Surg Obes Relat Dis 3(6):619–622

    Article  PubMed  Google Scholar 

  22. Sacks BC, Mattar SG, Qureshi FG, Eid GM, Collins JL, Barinas-Mitchell EJ, Schauer PR, Ramanathan RC (2006) Incidence of marginal ulcers and the use of absorbable ­anastomotic sutures in laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2(1):11–16

    Article  PubMed  Google Scholar 

  23. Sekhar N, Torquati A, Lutfi R, Richards WO (2006) Endoscopic evaluation of the gastrojejunostomy in laparoscopic gastric bypass. A series of 340 patients without postoperative leak. Surg Endosc 20(2):199–201. Epub 2005 Dec 5

    Article  PubMed  CAS  Google Scholar 

  24. Lee WJ, Wang W, Lee YC, Huang MT, Ser KH, Chen JC (2008) Laparoscopic mini-gastric bypass: experience with tailored bypass limb according to body weight. Obes Surg 18(3):294–299

    Article  PubMed  Google Scholar 

  25. Ciovica R, Takata M, Vittinghoff E, Lin F, Posselt AM, Rabl C, Stein HJ, Campos GM (2008) The impact of roux limb length on weight loss after gastric bypass. Obes Surg 18(1):5–10. Epub 2007 Dec 7

    Article  PubMed  Google Scholar 

  26. Christou NV, Look D, Maclean LD (2006) Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg 44(5):734–740

    Article  Google Scholar 

  27. Nelson WK, Fatima J, Houghton SG, Thompson GB, Kendrick ML, Mai JL, Kennel KA, Sarr MG (2006) The malabsorptive very, very long limb Roux-en-Y gastric bypass for super obesity: results in 257 patients. Surgery. 140(4):517–522, discussion 522–533. Epub 2006 Sep 1

    Article  PubMed  Google Scholar 

  28. Lee S, Sahagian KG, Schriver JP (2006) Relationship between varying Roux limb lengths and weight loss in gastric bypass. Curr Surg 63(4):259–263

    Article  PubMed  Google Scholar 

  29. Brolin RE, Kenler HA, Gorman JH, Cody RP (1992) Long-limb gastric bypass in the superobese. A prospective randomized study. Ann Surg 215(4):387–395

    Article  PubMed  CAS  Google Scholar 

  30. Frantzides CT, Zeni TM, Madan AK, Zografakis JG, Moore RE, Laguna L (2006) Laparoscopic Roux-en-Y Gastric bypass utilizing the triple stapling technique. JSLS 10(2):176–179

    PubMed  Google Scholar 

  31. Steele KE, Prokopowicz GP, Magnuson T, Lidor A, Schweitzer M (2008) Laparoscopic antecolic Roux-En-Y gastric bypass with closure of internal defects leads to fewer internal hernias than the retrocolic approach. Surg Endosc 22(9):2056–2061

    Article  PubMed  CAS  Google Scholar 

  32. Higa K, Boone K, Arteaga González I, López-Tomassetti Fernández E (2007) Mesenteric closure in laparoscopic gastric bypass: surgical technique and literature review. Cir Esp 82(2):77–88. Review. Spanish

    Article  PubMed  Google Scholar 

  33. Iannelli A, Facchiano E, Gugenheim J (2006) Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg 16(10):1265–12671

    Article  PubMed  Google Scholar 

  34. Cho M, Pinto D, Carrodeguas L, Lascano C, Soto F, Whipple O, Simpfendorfer C, Gonzalvo JP, Zundel N, Szomstein S, Rosenthal RJ (2006) Frequency and management of internal hernias after laparoscopic antecolic antegastric Roux-en-Y gastric bypass without division of the small bowel mesentery or closure of mesenteric defects: review of 1400 consecutive cases. Surg Obes Relat Dis 2(2):87–91

    Article  PubMed  Google Scholar 

  35. Silecchia G, Boru CE, Mouiel J, Rossi M, Anselmino M, Tacchino RM, Foco M, Gaspari AL, Gentileschi P, Morino M, Toppino M, Basso N (2006) Clinical evaluation of fibrin glue in the prevention of anastomotic leak and internal hernia after laparoscopic gastric bypass: preliminary results of a prospective, randomized multicenter trial. Obes Surg 16(2):125–131

    Article  PubMed  CAS  Google Scholar 

  36. Buchwald H, Avidor Y, Braunwald E et al (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292(14):1724–1737

    Article  PubMed  CAS  Google Scholar 

  37. Buchwald H, Estok R, Fahrbach K et al (2007) Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery 142(4):621–632; discussion 632–635

    Article  PubMed  Google Scholar 

  38. Khaitan L, Van Sickle K, Gonzalez R et al (2005) Laparoscopic revision of bariatric procedures: is it feasible? Am Surg 71(1):6–10; discussion 10–12

    PubMed  Google Scholar 

  39. Christou NV, Look D, Maclean LD (2006) Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg 244(5):734–740

    Article  PubMed  Google Scholar 

  40. Schwartz RW, Strodel WE, Simpson WS, Griffen WO, Jr (1988). Gastric bypass revision: lessons learned from 920 cases. Surgery 104(4):806–812

    PubMed  CAS  Google Scholar 

  41. Brethauer SA, Nfonsam V, Sherman V et al (2006) Endoscopy and upper gastrointestinal contrast studies are complementary in evaluation of weight regain after bariatric surgery. Surg Obes Relat Dis 2(6):643–648; discussion 649–650

    Article  PubMed  Google Scholar 

  42. Sekhar N, Torquati A, Lutfi R, Richards WO (2006) Endoscopic evaluation of the gastrojejunostomy in laparoscopic gastric bypass. A series of 340 patients without postoperative leak. Surg Endosc 20(2):199–201

    Article  PubMed  CAS  Google Scholar 

Surgical Technique

  1. García-Caballero M, Carbajo M (2004) One anastomosis gastric bypass: a simple, safe and efficient surgical procedure for treating morbid obesity. Nutr Hosp 19:372–375

    PubMed  Google Scholar 

  2. García-Caballero M (2005) Surgery to modify nutritional behaviour. Nutr Hosp 20:2–4

    PubMed  Google Scholar 

  3. Carbajo M, García-Caballero M, Toledano M, Osorio D, García-Lanza C, Carmona JA (2005) One-anastomosis gastric bypass by laparoscopy: results of the first 209 patients. Obes Surg 15:398–404

    Article  PubMed  Google Scholar 

  4. Garcia-Caballero M, Carbajo M, Martinez-Moreno JM, Sarria M, Osorio D, Carmona JA (2005) Drain erosion and gastro-jejunal fistula after one-anastomosis gastric bypass: endoscopic occlusion by fibrin sealant. Obes Surg 15:719–722

    Article  PubMed  Google Scholar 

  5. García-Caballero M, Ortiz J (2007) One-anastomosis gastric bypass by laparoscopy (BAGUA) with robotic assistance: experience in 600 patients. Obes Surg 17:1046

    Google Scholar 

  6. Lee WJ, Wang W, Lee YC, Huang MT, Ser KH, Chen JC (2008) Laparoscopic mini-gastric bypass: experience with tailored bypass limb according to body weight. Obes Surg 18:294–299

    Article  PubMed  Google Scholar 

  7. Lee WJ, Yu PJ, Wang W, Chen TC, Wei PL, Huang MT (2005) Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Ann Surg 242:20–28

    Article  PubMed  Google Scholar 

  8. García-Caballero M, Fernández JL, Ruiz J, Muñoz M, Núñez de Castro I (1996) Middle term intestinal adaptation after massive distal small bowel resection in oral feeding dogs. Nutr Hosp 11:265–273

    PubMed  Google Scholar 

  9. Suter M, Giusti V, Heraief E, Zysset F, Calmes JM (2003) Laparoscopic Roux-en-Y gastric bypass: initial 2-year experience. Surg Endosc 17:603–609

    Article  PubMed  CAS  Google Scholar 

  10. Papasavas PK, Caushaj PF, McCormick JT, Quinlin RF, Hayetian FD, Maurer J, Kelly JJ, Gagne DJ (2003) Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc 17:610–614

    Article  PubMed  CAS  Google Scholar 

Further Reading 3Proximal (Classic) Gastric Bypass

  • Ballesta C, Berindoague R, Cabrera M, Palau M, Gonzales M (2008) Management of anastomotic leaks after laparoscopic Roux-en-Y gastric bypass. Obes Surg 18:623–630

    Article  PubMed  Google Scholar 

  • Chin PL, Ali M, Francis K, LePort PC (2009) Adjustable gastric band placed around gastric pouch as revision ­operation for failed gastric bypass. Surg Obes Relat Dis 5(1):38–42

    Article  PubMed  Google Scholar 

  • Decker GA, DiBaise JK, Leighton JA, Swain JM, Crowell MD (2007) Nausea, bloating and abdominal pain in the Rouy-en-Y gastric bypass patient: more questions than answers. Obes Surg 17:1529–1533

    Article  PubMed  Google Scholar 

  • Fleser PS, Villalba M (2003) Afferent limb volvulus and perforation of the bypassed stomach as a complication of Roux-en-Y gastric bypass. Obes Surg 13(3):453–446

    Article  PubMed  Google Scholar 

  • Goitein D, Papasavas PK, Gagne DJ, Caushaj PF (2005) Late perforation of the jejuno-jejunal anastomosis after ­laparoscopic Roux-en-Y gastric bypass. Obes Surg 15(6):880–882

    Google Scholar 

  • Pitt T, Brethauer S, Sherman V, Udomsawaengsup S, Metz M, Chikunguwo S, Chand B. Schauer P (2008) Diagnostic laparoscopy for chronic abdominal pain after gastric bypass. Surg Obes Relat Dis 4(3):394–398

    Article  PubMed  Google Scholar 

  • Kellogg TA, Bantle JP, Leslie DB, Redmond JB, Slusarek B, Swan T, Buchwald H, Ikramuddin S (2008) Postgastric bypass hyperinsulinemic hypoglycaemia syndrome: characterization and response to a modified diet. Postgastric bypass hyperinsulinemic hypoglycaemia syndrome: characterization and response to a modified diet. Surg Obes Relat Dis 4(4):492–499

    Article  PubMed  Google Scholar 

  • Koppman, JS, Gandsas A (2008) Small bowel obstruction after laparoscopic Roux-en-Ygastric bypass: a review of 9,527 patients. J Am Coll Surg 206(3):571–584

    Article  PubMed  Google Scholar 

  • Korenkov M, Goh P, Yucel N, Troidl H (2003) Laparoscopic gastric bypass for morbid obesity with linear gastroenterostomy. Obes Surg 13(3):360–363

    Google Scholar 

  • Madan AK, Kuykendall SJ 4th, Ternovits CA, Tichansky DS (2005) Mallory-Weiss tear after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 1(5):500–502

    Article  PubMed  Google Scholar 

  • Marshall SJ, Srivastava A, Gupta SK, Rossi TR, DeBord JR (2003) Roux-en-Y gastric bypass leak complications. Arch Surg 138:520–524

    Article  PubMed  Google Scholar 

  • Nguen T. Ninh, De Maria Eric J, Ikramuddin S, Hutter M (2008) Anastomotic leaks after laparoscopic gatsric bypass. In: The sages manual. A practical guide to bariatric surgery, Springer, New York, pp 193–197

    Google Scholar 

  • Rundall BK, Denlinger CE, Parrino GP, Foley EF, Jones DR (2005) Laparoscopic gastric bypass complicated by gastric pouch necrosis: considerations in gastroesophageal reconstruction. J Gastrointest Surg 9(7):938–940

    Article  PubMed  Google Scholar 

  • Service GJ, Thompson GB, Service FJ, Andrews JC, Collazo-Clavell ML, Lloyd RV (2005) Hyperinsulinemic hypoglycemia with nesidioblastosis after gastric bypass surgery. N Engl J Med 353:249–254

    Article  PubMed  CAS  Google Scholar 

  • Tucker ON, Szomstein S, Rosenthal RJ (2007) Surgical management of gastro-gastric fistula after divided laparoscopic Roux-en-Y gastric bypass for morbid obesity. J Gastrointest Surg 11(12):1673–1679

    Article  PubMed  CAS  Google Scholar 

  • Yu J, Turner MA, Cho S-R, Fulcher AS, DeMaria EJ, Kellum JM, Sugerman HJ (2004) Normal anatomy and complications after gastric bypass surgery: helical CT findings. Radiology 231:753–760

    Article  PubMed  Google Scholar 

  • Zerey M, Sigmon LB, Kuwada TS, Heniford BT, Sing RF (2008) Bleeding duodenal ulcer after Roux-en-Y gastric bypass surgery. JAOA 108:25–27

    PubMed  Google Scholar 

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Korenkov, M. et al. (2012). Proximal (Classic) Gastric Bypass. In: Korenkov, M. (eds) Bariatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16245-9_3

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