Surgical Endoscopy

, Volume 21, Issue 11, pp 1924–1926 | Cite as

Adding malabsorption for weight loss failure after gastric bypass

  • Robert E. Brolin
  • Ronald P. Cody



To present a technique of revisional RY gastric bypass in patients with unsatisfactory weight loss after primary gastric bariatric operations.


The Roux limb was lengthened by creating a 75–100 cm common channel below the enteroenterostomy with concomitant revision of the gastrojejunostomy.


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.


This distal modification of RYGB resulted in satisfactory weight loss for nearly half of the 54 patients in this series.


Bariatric Obesity Gastric bypass 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Pittsburgh Medical SchoolPittsburghUSA
  2. 2.Bariatric SurgeryUniversity Medical Center at PrincetonPrincetonUSA
  3. 3.School of Public HealthRobert Wood Johnson Medical School, University of Medicine and Dentistry of New JerseyPiscatawayUSA
  4. 4.New Jersey BariatricsMonmouth JunctionUSA

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