ArticleObesity surgery2025
Reversal of Roux-en-Y Gastric Bypass: A Multi-Centric Analysis of Indications, Techniques, and Surgical Outcomes.
Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Excluded-stomach Perforation after Roux-en-Y and One-anastomosis Gastric Bypass: A Systematic Review with Video-illustrated Case Report.Obesity surgery · 2026Pooled it
- The Nutritional Challenges Following Revisional Bariatric Surgery After Sleeve Gastrectomy: A Systematic Review and Meta Analysis.Obesity surgery · 2025Pooled it
- A multihit cascade of late complications after Roux-en-Y gastric bypass leading to refractory malnutrition: a case report.International journal of surgery case reports · 2026Article
- Anatomic Reversal of Gastric Bypass as a Last Resort for Refractory Complications: A Retrospective Case Series.Obesity surgery · 2026Article
- Outcomes Following Gastric Bypass Reversal for Refractory Complications: A UK Tertiary Centre Retrospective Case Series.Obesity surgery · 2026Article
- Kwashiorkor Mimicking Portal Hypertensive Ascites After Bariatric Surgery.ACG case reports journal · 2026Article
- When gastric bypass fails: revisiting anatomy with the Branco-Zorron switch for severe PHH: a case report.International journal of surgery case reports · 2026Article
- Endoscopic ultrasound-assisted double-lumen-apposing metal stent septotomy for permanent partial reversal of Roux-en-Y gastric bypass.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026Article
- Laparoscopic Reversal of Roux-en-Y Gastric Bypass for Isolated Refractory Postoperative Nausea: A Case Report.Cureus · 2026Article
- Nutritional Vulnerability in RYGB Unmasked by GLP-1 Therapy.ACG case reports journal · 2026Article
- Laparoscopic Reversal of Gastric Bypass: A Retrospective Review.Obesity surgery · 2025Article
- Reversal of Roux-en-Y gastric bypass due to malabsorption in a patient with reduced small bowel length.Journal of surgical case reports · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
47 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoux-en-Y gastric bypass may present long-term complications that require revisional surgery or even reversal to normal anatomy. Data on the indications, surgical technique, and outcomes of RYGB reversal remain scarce.
methodsWe identified 48 cases of RYGB reversals with complete 90-day follow-up within a multi-centric international retrospective database of elective secondary bariatric surgery. The operations were performed between 2010 and 2024 in high-volume referral centers in Europe and USA. Data were collected on body weight, associated diseases, and on surgical outcomes up to 1-year postoperatively.
resultsPatients were mainly female (81.3%) with a median age of 50 years (IQR 39-56). RYGB reversal was performed 7 years (median) after primary RYGB in patients with a BMI of 23.9 kg/m
conclusionAlthough RYGB is a theoretically reversible procedure, normal anatomy is re-established only in selected cases which are refractory to medical therapy and often also to revisional bariatric surgery. RYGB reversals entail high morbidity, while the extent of recurrent weight gain at 1-year post-reversal seems to allow patients to remain below the threshold of severe obesity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.