Addressing recurrent weight gain after Roux-en-Y gastric bypass: efficacy of a dual surgical approach-short-term results of a single-center cohort study.

• Tác giả: Diego Camacho, Jenny Choi, Arturo Estrada, Erin Moran-Atkin, Xavier Pereira, Jorge Humberto Rodriguez Quintero, Ya Zhou
• Ngôn ngữ: eng
• Thông tin xuất bản: United States : Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery , 2025
• Bộ sưu tập: NCBI
• ID: 708866

Tóm tắt

 BACKGROUND: There is no gold standard for recurrent weight gain following Roux-en-Y gastric bypass (RYGB). Combining jejuno-jejunostomy distalization type 1 (JJD1) and sleeve resection of the gastrojejunostomy and gastric pouch (GJ-P) may be a potential approach for these patients. OBJECTIVES: To describe 1-year perioperative and nutritional outcomes of patients who underwent JJD1 with sleeve resection of the GJ-P. SETTING: High-volume academic bariatric center of excellence. METHODS: Patients with recurrent weight gain after RYGB who underwent JJD1 with sleeve resection of the GJ-P from 2020 to 2022 were included and studied for 1 year postoperatively. During the procedure, we aimed for a total alimentary limb length (TALL) of 350-500 cm, a new common channel (CC) of 200-350 cm, and a gastrojejunostomy <
 2 cm in diameter. RESULTS: A total of 61 patients underwent this combined revisional procedure. The median preoperative body mass index (BMI) was 42.59 kg/m CONCLUSIONS: The combination of JJD1 and sleeve resection of the GJ-P for RYGB revision was safe and effective, with substantial improvement in weight loss at 1 year.