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Case Reports
, 21 (11), 1924-6

Adding Malabsorption for Weight Loss Failure After Gastric Bypass

Case Reports

Adding Malabsorption for Weight Loss Failure After Gastric Bypass

Robert E Brolin et al. Surg Endosc.


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 > or = 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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