Novel Technique of Distal Roux-en-Y Gastric Bypass for Insufficient Weight Loss After Primary Procedure: Personal Experience and Primary Results at 12 Months

Abstract

In our experience, our DRYGBP differentiated procedure seems to be effective at 12 months.

Types, Safety, and Efficacy of Limb Distalization for Inadequate Weight Loss After Roux-en-Y Gastric Bypass

“…Three studies performed routine operations concomitant to LD, including prophylactic cholecystectomy, 2 prophylactic appendectomy, 8 and therapeutic cholecystectomy for chronic cholecystitis 4 . Three studies used marking sutures to discriminate between the intestinal limbs 2,6,16 . Six studies reported measurement of the whole bowel length 5,16–18,20,21 .…”

“…Operative variations included the type of LD, method of bowel measurement, added restrictive maneuvers, and concomitant operations. Six studies reported measurement of the whole bowel length 5,16–18,20,21 . Total bowel measurement at the beginning of the procedure and the measurement of the 3 limbs (RL, biliopancreatic limb, CL) at the end of the procedure are essential to allow accurate reporting.…”

“…Six studies reported measurement of the whole bowel length. 5,[16][17][18]20,21 Total bowel measurement at the beginning of the procedure and the measurement of the 3 limbs (RL, biliopancreatic limb, CL) at the end of the procedure are essential to allow accurate reporting. Lastly, there is a variant threshold for revisional surgery for PEM between surgeons and patients due to the absence of guidelines and fear of weight regain.…”

“…4 Three studies used marking sutures to discriminate between the intestinal limbs. 2,6,16 Six studies reported measurement of the whole bowel length. 5,[16][17][18]20,21 Of them, 2 studies reported standardized measurement using a length of an instrument 6 or 25-cm tape.…”

“…2,6,16 Six studies reported measurement of the whole bowel length. 5,[16][17][18]20,21 Of them, 2 studies reported standardized measurement using a length of an instrument 6 or 25-cm tape. 2…”