ArticleObesity surgery2011
Laparoscopic reconversion of Roux-en-Y gastric bypass to original anatomy: technique and preliminary outcomes.
Article in Obesity surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Heterogeneity in the Definition and Clinical Characteristics of Dumping Syndrome: a Review of the Literature.Obesity surgery · 2019Pooled it
- A Systematic Review and Meta-analysis of the Effect of Gastric Bypass Surgery on Plasma Lipid Levels.Obesity surgery · 2016Pooled it
- Endoluminal Revision (OverStitch (TM) , Apollo Endosurgery) of the Dilated Gastroenterostomy in Patients with Late Dumping Syndrome After Proximal Roux-en-Y Gastric Bypass.Obesity surgery · 2016Trial
- One-anastomosis gastric bypass reversal due to severe malnutrition and acute hepatic failure: a case report.Journal of surgical case reports · 2023Article
- Roux-en-Y Gastric Bypass Reversal: A Novel Technique With Functional Reversal - Case Series.Obesity surgery · 2020Article
- Reversing One-Anastomosis Gastric Bypass Surgery due to Severe and Refractory Hypoalbuminemia.World journal of surgery · 2020Article
- Roux-en-Y Gastric Bypass Reversal for Severe Malnutrition and Cirrhosis.Obesity surgery · 2019Article
- Medium-Term Outcomes after Reversal of Roux-en-Y Gastric Bypass.Obesity surgery · 2018Article
- Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative malnutrition.Langenbeck's archives of surgery · 2017Article
- One-Anastomosis Jejunal Interposition with Gastric Remnant Resection (Branco-Zorron Switch) for Severe Recurrent Hyperinsulinemic Hypoglycemia after Gastric Bypass for Morbid Obesity.Obesity surgery · 2017Article
- Indications and Operative Outcomes of Gastric Bypass Reversal.Obesity surgery · 2016Article
- Laparoscopic Conversion of Gastric Bypass Complication to Sleeve Gastrectomy: Technique and Early Results.Obesity surgery · 2016Article
- Management of Excessive Weight Loss Following Laparoscopic Roux-en-Y Gastric Bypass: Clinical Algorithm and Surgical Techniques.Obesity surgery · 2016Article
- [Dumping syndrome: Diagnostics and therapeutic options].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Review
- Successful laparoscopic reversal of gastric bypass in a patient with malnutrition.Annals of surgical treatment and research · 2014Article
- Outcomes of revisional procedures for insufficient weight loss or weight regain after Roux-en-Y gastric bypass.Obesity surgery · 2012Article
- Long-term results of laparoscopic Roux-en-Y Gastric bypass: evaluation after 9 years.Obesity surgery · 2012Article
- Advances in the etiology and management of hyperinsulinemic hypoglycemia after Roux-en-Y gastric bypass.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2011Review
- Gastric motility physiology and surgical intervention.The Surgical clinics of North America · 2011Review
- Laparoscopic conversion of Roux-en-Y gastric bypass to sleeve gastrectomy as first step of duodenal switch: technique and preliminary outcomes.Obesity surgery · 2011Article
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Authors and funding
3 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic Roux-en-Y gastric bypass (RYGB) is one of the most common bariatric procedures performed. Dumping syndrome, intolerance to RYGB-induced restriction, and weight loss issues are possible problems bariatric surgeons are confronted with. This study reports the feasibility, safety, and outcomes of laparoscopic reconversion of RYGB to original anatomy (OA) as treatment of these complications.
methodsBetween January 2005 and April 2008, eight patients benefited from laparoscopic reconversion of RYGB to OA. Reason was dumping syndrome without postprandial hypoglycemia (three), intolerance to RYGB-induced restriction (three), too much (one) and too little weight loss (one). Mean weight and body mass index (BMI) at RYGB were 104.7±19.3 kg and 38.7±6 kg/m(2), respectively. Four patients suffered of obesity co-morbidities. Mean time between RYGB and reconversion was 21±18.8 months. Mean weight, BMI, and % excess weight loss at reconversion was 66.8±21.7 kg, 20.1±7 kg/m(2), and 23.7±55%, respectively. The procedure involved dismantling both gastrojejunostomy and jejunojejunostomy, reanastomosing gastric pouch to gastric remnant, and proximal alimentary limb end to distal biliary limb end.
resultsMean operative time was 132.2±29.5 min. There were no conversions to open surgery and no early complications. Gastrogastrostomy was performed manually (four) and by linear stapler (four), and jejunojejunostomy by linear stapler (eight). Mean hospital stay was 7.7±3.5 days. After a mean follow-up of 18.3±9.2 months, two patients continued to further lose weight, two patients maintained the same weight, and four patients presented weight regain. Gastroesophageal reflux disease appeared in three patients.
conclusionsLaparoscopic reconversion of RYGB to OA is feasible and safe. Dumping syndrome and intolerance to RYGB-induced restriction are resolved. The anatomy remains one of the aspects besides nutritional and psychological factors in cases of reconversion for weight issues.
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