The 15-cm Roux Limb: a Technical Misadventure

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Despite effectively treating obesity and its comorbidities, only a fraction of the growing obese population is evaluated for bariatric surgery. Aside from barriers including resources and social support, patients report personal experience with friends and relatives suffering poor outcomes after bariatric surgery. Rates of mortality, leaks, and strictures have decreased over the past 20 years, but few instances of gross surgeon error have been reported in the literature. Our objective is to report and demonstrate the revision of a critically shortened Roux limb in a patient with chronic nausea and dysphagia found to have a 15-cm Roux limb and briefly discuss its implications.


We performed a successful laparoscopic revision of this patient’s previous Roux-en-Y gastric bypass, with creation of a 125-cm Roux limb.


Total operative time was 87 min, there were no major intraoperative complications, and the post-operative course was unremarkable. At one-month follow-up, the patient reported complete resolution of all prior symptoms. At three-month follow-up, BMI decreased from 37 prior to revision to 31.


Reducing complications and improving quality of care will support the necessary growth of bariatric surgery. Standards set forth by accreditation bodies such as the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) assist in this endeavor, and technical errors, though difficult to evaluate, should be monitored.


Revision Roux Accreditation Standards Technical 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent has been obtained from the patient involved in this abstract.

Supplementary material

11695_2018_3188_MOESM1_ESM.mp4 (79.5 mb)
Video S1 (MP4 81359 kb)

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Riverside Methodist HospitalColumbusUSA

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