American Society for Metabolic and Bariatric Surgery literature review on the effect of Roux-en-Y gastric bypass limb lengths on outcomes

Essa M Aleassa; Pavlos Papasavas; Toms Augustin; Zhamak Khorgami; Sue Benson-Davies; Saber Ghiassi; Jonathan Carter; Abdelrahman Nimeri; Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery

doi:10.1016/j.soard.2023.04.298

American Society for Metabolic and Bariatric Surgery literature review on the effect of Roux-en-Y gastric bypass limb lengths on outcomes

Surg Obes Relat Dis. 2023 Jul;19(7):755-762. doi: 10.1016/j.soard.2023.04.298. Epub 2023 Apr 11.

Authors

Essa M Aleassa¹, Pavlos Papasavas², Toms Augustin³, Zhamak Khorgami⁴, Sue Benson-Davies⁵, Saber Ghiassi⁶, Jonathan Carter⁷, Abdelrahman Nimeri⁸; Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery

Affiliations

¹ Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates. Electronic address: e.aleassa@gmail.com.
² Department of Surgery, Hartford Hospital, Hartford, Connecticut.
³ Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.
⁴ Department of Surgery, University of Oklahoma College of Community Medicine, Tulsa, Oklahoma.
⁵ Department of Surgery, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota.
⁶ Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
⁷ Department of Surgery, University of California, San Francisco, California.
⁸ Department of Surgery, Carolinas Medical Center, University of North Carolina, Charlotte, North Carolina.

PMID: 37268517
DOI: 10.1016/j.soard.2023.04.298

Abstract

This literature review is issued by the American Society for Metabolic and Bariatric Surgery regarding limb lengths in Roux-en-Y gastric bypass (RYGB) and their effect on metabolic and bariatric outcomes. Limbs in RYGB consist of the alimentary and biliopancreatic limbs and the common channel. Variation of limb lengths in primary RYGB and as a revisional option for weight recurrence after RYGB are described in this review.

Keywords: Alimentary limb; Biliopancreatic limb; Common channel; Distalization; Roux limb; Roux-en-Y gastric bypass; Total alimentary limb length; Weight loss.

Publication types

Review

MeSH terms

Gastric Bypass*
Humans
Obesity, Morbid* / surgery
Retrospective Studies
Treatment Outcome
United States
Weight Loss