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

Obes Surg. 2019 Dec;29(12):4142-4143. doi: 10.1007/s11695-019-04158-y.

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.

Keywords: Denutrition; Reversal; Roux-en-Y gastric bypass; Surgical technique.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Anastomosis, Surgical / methods*
  • Avitaminosis / etiology
  • Avitaminosis / surgery
  • Female
  • Gastric Bypass / adverse effects*
  • Humans
  • Malnutrition / etiology
  • Malnutrition / surgery
  • Operative Time
  • Reoperation / methods*