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Year : 2019  |  Volume : 38  |  Issue : 3  |  Page : 563-569

Gastrojejunal sleeve as a revisional surgery for a failed Roux-en-Y gastric bypass

Department of General Surgery, Ain-Shams University, Cairo, Egypt

Correspondence Address:
MD, MRCS Mahmoud Zakaria
Department of General Surgery, Ain-Shams University, Cairo, 11822
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejs.ejs_71_19

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Background Roux-en-Y gastric bypass (RYGBP) is one of the best solutions for morbid obesity, but secondary weight regain is seen in about 15–25% of cases. In this prospective study, we assessed the short-term success of gastrojejunal sleeve along with jejunojejunostomy distalization as a revisional procedure in cases of failed RYGBP. Patients and methods This study included 13 cases of failed RYGBP done at least 3 years earlier; all were assessed using three-dimensional virtual gastrography. All patients were followed up for 2 years. Results Mean BMI decreased from 44.2±6.04 to 30.7±4.06 kg/m2; mean excess weight loss was 28.1±23%; and comorbidities improved in 62.5% of cases. Mean operative time was 204±33 min, while the mean postoperative hospital stay was 3 days. No mortalities, conversions, or major complications were observed among the patients included in this study. Conclusion Gastrojejunal sleeve with jejunojejunal distalization is a safe, feasible, and effective revisional procedure for a failed RYGBP.

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