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The SAGES MASTERS program presents the 10 seminal articles for Roux-en-Y gastric bypass

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Abstract

Background

One of the eight clinical pathways of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Masters Program is bariatric surgery which includes three anchoring procedures. For each anchoring procedure sentinel articles have been identified to enhance participant surgeon lifelong learning. Roux-en-Y gastric bypass (RYGB) is one of the 3 anchoring procedures for the Bariatric Pathway. In this article we present the top 10 seminal articles regarding the RYGB which surgeons should be familiar with.

Methods

The literature was systematically searched to identify the most cited papers on RYGB. The SAGES Metabolic and Bariatric Surgery committee reviewed the most cited article list and using expert consensus selected the seminal articles that every bariatric surgeon should read. These articles were reviewed in detail by committee members and are presented here.

Results

The top 10 most cited sentinel papers on RYGB focus on operative safety, outcomes, surgical technique, and physiologic changes after the procedure. A summary of each paper is presented here, including expert appraisal and commentary.

Conclusion

The seminal articles presented here have supported the widespread acceptance and use of the RYGB by bolstering the understanding of its mechanism of action and by demonstrating its safety and excellent patient outcomes. All bariatric surgeons should be familiar with these 10 landmark articles.

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Abbreviations

ACTH:

Adrenocorticotropic hormone

BMI:

Body mass index

BOLD:

Bariatric outcomes longitudinal database

BPD/DS:

Biliopancreatic diversion with duodenal switch

GIP:

Gastric inhibitory polypeptide

GLP-1:

Glucagon-like peptide-1

IGF-1:

Insulin-like growth factor 1

MBSAQIP:

Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program

RYGB:

Roux-en-Y gastric bypass

SAGES:

Society of American Gastrointestinal and Endoscopic Surgeons

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Acknowledgements

Wendy Mills, MPH (Saint Paul, MN, USA) provided professional medical editing for this article. Rebecca C. Dirks, MD (Indianapolis, IN, USA) provided additional review and editing.

Funding

No funding was used.

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Authors and Affiliations

  1. Diplomate of ABOM, Weight Loss and Wellness Center, Livingston, NJ, 07039, USA

    Saniea F. Majid

  2. Department of Surgery, Oregon Health & Science University, Portland, OR, USA

    Farah A. Husain

  3. Department of Surgery, Baylor College of Medicine, Houston, TX, USA

    Yong Choi

  4. Northeast Georgia Physicians Group Surgical Associates, Northeast Georgia Medical Center, Braselton, GA, USA

    Sujata Gill

  5. Department of Surgery, University of Virginia Health System, Charlottesville, VA, USA

    Bruce Schirmer

  6. Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Cleveland, OH, USA

    Matthew Kroh

  7. Department of Surgery, New York University Langone Health, New York, NY, USA

    Marina Kurian

Authors
  1. Saniea F. Majid
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  2. Farah A. Husain
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  3. Yong Choi
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  4. Sujata Gill
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  5. Bruce Schirmer
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  6. Matthew Kroh
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  7. Marina Kurian
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Correspondence to Saniea F. Majid.

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Disclosures

Drs. Majid, Husain, and Gill have no conflict of interest or financial ties to disclose. Dr. Choi is proctor for the LINX device for Ethicon. Dr. Schirmer is on the consulting board for Allurion Inc.

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Majid, S.F., Husain, F.A., Choi, Y. et al. The SAGES MASTERS program presents the 10 seminal articles for Roux-en-Y gastric bypass. Surg Endosc 36, 6–15 (2022). https://doi.org/10.1007/s00464-021-08861-9

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  • DOI: https://doi.org/10.1007/s00464-021-08861-9

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