Conversion of Roux-en-Y gastric bypass (RYGB) to single anastomosis duodenal switch can be a complicated and time-consuming operation for surgeons.
The purpose of this article is to present our technique of single-step laparoscopic conversion of RYGB to single anastomosis duodenal switch bilio-pancreatic diversion and vertical sleeve gastrectomy, creating a 250-cm common channel.
Material and Methods
A laparoscopic technique was utilized in the conversion.
After the gastrojejunostomy is completely separated from the gastric remnant, a sleeve gastrectomy was created followed by duodeno-ileal anastomosis.
Conversion of RYGB to single anastomosis duodenal switch can be a complicated operation, requiring a two-stage approach in most cases. With the adoption of the described technique, it can be easier to be achieved in a single-stage.
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Conflict of Interest
The authors declare that they have no conflict of interest.
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Jawad, M.A., Nelson, L., Moon, R.C. et al. Techniques of Single-Stage Laparoscopic Conversion of Roux-en-Y Gastric Bypass to Single Anastomosis Bilio-pancreatic Diversion with Duodenal Switch. OBES SURG 27, 1109–1111 (2017) doi:10.1007/s11695-017-2578-9
- Single anastomosis duodenal switch
- Roux-en-Y gastric bypass
- Weight regain