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Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and Revision Cases

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A Correction to this article was published on 25 October 2019

A Correction to this article was published on 17 July 2019

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Abstract

Background

One of the most important complications of the one anastomosis gastric bypass (OAGB) is enterobilio acid reflux (EBAR). We report the concept of the long pouch Roux-en-Y gastric bypass (LPRYGB) meaning a Roux-en-Y with a long pouch and a 100-cm alimentary limb to avoid EBAR, with a long biliopancreatic limb to increase metabolic effects.

Methods

A total of 300 LPRYGB cases in a 4-year period, with a 90% follow-up rate, were analysed. Anthropometric, technical feasibility, morbidity, weight loss and comorbidity outcomes were analysed.

Results

The percentage total weight loss (%TWL) was 30.5% at 4 years of follow-up (32.3% in primary and 28.3% in revisions). Six intra-operative (2%) and 28 postoperative complications (9.3%) were seen. Out of this 28 complications, 11 (3.6%) were late complications. Reoperations were performed in 15 patients (5.0%). Clinically relevant EBAR was present in 3 cases only (1%) 4 years after the operation.

Conclusions

The LPRYGB combines the main advantages of the OAGB (light restriction and moderate malabsorption) with the anti-reflux effect from the Roux-en-Y diversion.

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Change history

  • 17 July 2019

    References 37–44 are not cited in the article and should be deleted.

  • 25 October 2019

    João Pereira, Leonor Manaças, and Nuno Borges, listed as coauthors in the original article, acknowledge that they did not participate as authors of the work and should be deleted from the author list.

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Authors and Affiliations

  1. Clínica de Santo António, Metabolic Patient Multidisciplinary Centre, Reboleira, Lisbon, Portugal

    Rui Ribeiro & João Ribeiro

  2. Department of Surgery, Haaglanden Medical Center, Lijnbaan 32, P.O. Box 432, 2501 CK, The Hague, The Netherlands

    Sjaak Pouwels

  3. Whittington Hospital, London, UK

    Chetan Parmar

  4. Obesity and Endocrine Diseases Unit, Department of Surgery, Centro Hospitalar de Lisboa Central, Lisbon, Portugal

    João Pereira, Leonor Manaças, Anabela Guerra, Nuno Borges & Octávio Viveiros

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  1. Rui Ribeiro
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Correspondence to Sjaak Pouwels.

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Ribeiro, R., Pouwels, S., Parmar, C. et al. Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and Revision Cases. OBES SURG 29, 3665–3671 (2019). https://doi.org/10.1007/s11695-019-04051-8

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