Adding malabsorption for weight loss failure after gastric bypass

Surg Endosc. 2007 Nov;21(11):1924-6. doi: 10.1007/s00464-007-9542-z. Epub 2007 Sep 3.


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.

Publication types

  • Case Reports

MeSH terms

  • Follow-Up Studies
  • Gastric Bypass / methods*
  • Humans
  • Intestinal Absorption
  • Male
  • Middle Aged
  • Obesity, Morbid / physiopathology
  • Obesity, Morbid / surgery*
  • Reoperation / methods
  • Treatment Outcome
  • Weight Loss