Roux-en-Y gastric bypass as a salvage solution for severe and refractory gastroparesis in malnourished patients

Diagnosis and Management of Gastroparesis

“…Our patient was referred for Roux-en-Y gastric bypass as the next step in her treatment. Significant improvements in vomiting and abdominal pain have been documented 1 year after the procedure (15).…”

Systematic review on sleeve gastrectomy or Roux-en-Y gastric bypass surgery for refractory gastroparesis

“…1). Finally, 19 studies were included in this systematic review, including a total of 222 patients with gastroparesis, of whom 147 patients received Roux-en-Y gastric bypass surgery, reported in 12 studies [17][18][19][20][21][25][26][27][28][29]34,35]; 39 patients underwent sleeve gastrectomy, reported in 5 studies [13,15,16,23,36]; and 36 patients underwent subtotal or near-total gastrectomy, reported in 2 studies [24,37] (Table 1). Eighteen studies were full-text articles, and 1 study was a conference abstract [36].…”

“…Seven studies were case reports [13,15,18,19,25,36,37], and 12 studies were retrospective observational studies [16,17,20,21,23,24,[26][27][28][29]34,35]. Based on NIH quality assessment, 4 studies had good quality, and the other 15 studies were of fair quality (Table 2).…”

“…In 1 study, BMI increased by 19%; another study reported an increase in weight of 10 kg but did not report total weight preoperatively or postoperatively (Table 3). In one study, BMI changes were mentioned separately for patients with obesity with refractory gastroparesis (decrease in BMI by 24%) and malnourished patients with refractory gastroparesis (increase in BMI by 4.5%) [35].…”

“…The predominant symptoms included nausea and vomiting. Nausea was reported as the main symptom in 10 of 19 included studies [16,17,24,[26][27][28][29][35][36][37], and the presence ranged between 31% of patients included in the study [24] and up to 100% of study patients [29]. Vomiting as the main symptom was reported in between 36% of patients [27] and up to 100% of patients [25] and was reported as the predominant symptom in 14 of 19 studies [16][17][18][19][20][21][25][26][27][28][29][35][36][37].…”