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/m; 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.
Mahfouz, M., Zakaria, M., & Lasheen, M. (2019). Gastrojejunal sleeve as a revisional surgery for a failed Roux-en-Y gastric bypass. The Egyptian Journal of Surgery, 38(3), -. doi: 10.4103/ejs.ejs_71_19
MLA
Mohamed Mahfouz; Mahmoud Zakaria; Mohamed Lasheen. "Gastrojejunal sleeve as a revisional surgery for a failed Roux-en-Y gastric bypass", The Egyptian Journal of Surgery, 38, 3, 2019, -. doi: 10.4103/ejs.ejs_71_19
HARVARD
Mahfouz, M., Zakaria, M., Lasheen, M. (2019). 'Gastrojejunal sleeve as a revisional surgery for a failed Roux-en-Y gastric bypass', The Egyptian Journal of Surgery, 38(3), pp. -. doi: 10.4103/ejs.ejs_71_19
VANCOUVER
Mahfouz, M., Zakaria, M., Lasheen, M. Gastrojejunal sleeve as a revisional surgery for a failed Roux-en-Y gastric bypass. The Egyptian Journal of Surgery, 2019; 38(3): -. doi: 10.4103/ejs.ejs_71_19
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