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Adding malabsorption for weight loss failure after gastric bypass

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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 ≥1 year.

Conclusions

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

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Pittsburgh Medical School, Pittsburgh, PA, USA

    Robert E. Brolin

  2. Bariatric Surgery, University Medical Center at Princeton, Princeton, NJ, USA

    Robert E. Brolin

  3. School of Public Health, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Piscataway, NJ, USA

    Ronald P. Cody

  4. New Jersey Bariatrics, P.C. 4250 US Highway 1 North, Suite 1, Monmouth Junction, NJ, 08882, USA

    Robert E. Brolin

Authors
  1. Robert E. Brolin
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  2. Ronald P. Cody
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Corresponding author

Correspondence to Robert E. Brolin.

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Brolin, R.E., Cody, R.P. Adding malabsorption for weight loss failure after gastric bypass. Surg Endosc 21, 1924–1926 (2007). https://doi.org/10.1007/s00464-007-9542-z

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  • DOI: https://doi.org/10.1007/s00464-007-9542-z

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