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Obesity Surgery

, Volume 11, Issue 2, pp 190–195 | Cite as

Revision of Failed Gastric Bypass to Distal Roux-en-Y Gastric Bypass: A Review of 65 Cases

  • Mal Fobi
  • Hoil Lee
  • Daniel IgweJr
  • Elaine James
  • Malgorzata Stanczyk
  • Philomina Eyong
  • Basil Felahy
  • Julius Tambi
Article

Background: No bariatric operation has been documented to effect adequate weight loss in all patients. Patients with inadequate weight loss or significant weight regain with an anatomically intact short-limb gastric bypass, of which the Fobi pouch operation (FPO) for obesity is a modification, are usually revised to a distal Roux-en-Y gastric bypass (DRYGBP) to enhance weight loss. Method: A retrospective review of the charts of all patients who had a revision to a DRYGBP at our Center during an 8-year period was carried out and the findings analyzed. Results: 65 patients who had the FPO had a revision to the DRYGBP.Most were super obese patients who, even though they had lost significant weight, were still morbidly obese. Some were patients who had not lost adequate weight or <40% excess weight, and a small number were patients who requested more weight loss even though they had a BMI of < 35. 15 patients developed protein malnutrition requiring supplemental feeding. 6 required rerevision to short-limb gastric bypass. Conclusion: Revision of short-limb gastric bypass to DRYGBP usually enhances weight loss but at a cost of an increased incidence of protein malnutrition.

MORBID OBESITY BARIATRIC SURGERY GASTRIC BYPASS REVISIONAL SURGERY 

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Copyright information

© Springer 2001

Authors and Affiliations

  • Mal Fobi
    • Hoil Lee
      • Daniel IgweJr
        • Elaine James
          • Malgorzata Stanczyk
            • Philomina Eyong
              • Basil Felahy
                • Julius Tambi

                  There are no affiliations available

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