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Obesity Surgery
Published in: Obesity Surgery 12/2019

01-12-2019 | Sleeve Gastrectomy | Multimedia Article

An Alternative Technique of Reversal of Roux-en-Y Gastric Bypass: the Small Bowel Limb Transposition

Authors: Imed Ben Amor, Radwan Kassir, Niccolo Petrucciani, Abdullah Almunifi, Tarek Debs, Jean Gugenheim

Published in: Obesity Surgery | Issue 12/2019

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Abstract

Roux-en-Y gastric bypass (RYGB) is recently the second most frequent operation worldwide and is only preceded by sleeve gastrectomy. We present an alternative technique of reversal of RYGB. There is no need to dissect or resect the gastrojejunal anastomosis. This dissection might be difficult as the gastrojejunal anastomosis might be adherent to the residual stomach. The 2 anastomoses performed are technically easy and done on healthy non-inflammatory tissue.
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Literature
1.
Debs T, Petrucciani N, Kassir R, et al. Trends of bariatric surgery in France during the last 10 years: analysis of 267,466 procedures from 2005–2014. Surg Obes Relat Dis. 2016;12:1602–9.CrossRef
2.
Duvoisin C, Favre L, Allemann P, et al. Roux-en-Y gastric bypass: ten-year results in a cohort of 658 patients. Ann Surg. 2017;
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Shoar S, Nguyen T, Ona MA, et al. Roux-en-Y gastric bypass reversal: a systematic review. Surg Obes Relat Dis. 2016;12(7):1366–72.CrossRef
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Himpens J, Dapri G, Cadière GB. Laparoscopic conversion of the gastric bypass into a normal anatomy. Obes Surg. 2006;16(7):908–12.CrossRef
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Moon RC, Frommelt A, Teixeira AF, et al. Indications and outcomes of reversal of Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2015;11(4):821–6.CrossRef
Metadata
Title
An Alternative Technique of Reversal of Roux-en-Y Gastric Bypass: the Small Bowel Limb Transposition
Authors
Imed Ben Amor
Radwan Kassir
Niccolo Petrucciani
Abdullah Almunifi
Tarek Debs
Jean Gugenheim
Publication date
01-12-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 12/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04158-y

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