Short or Long Biliopancreatic Limb Bypass as a Secondary Procedure After Failed Laparoscopic Sleeve Gastrectomy.
Marko KraljevićJulian SüsstrunkThomas KöstlerIoannis I LazaridisUrs ZinggTarik DelkoPublished in: Obesity surgery (2020)
In case of weight regain or insufficient weight loss after SG, revisional surgery with a long BPL should be considered. The OAGB provides effective additional weight loss, with low morbidity and malnutrition rates, respectively. Conversion to the malabsorptive long BPL RYGB with a total alimentary limb length below 400 cm should be avoided. Patients that suffer primarily from post-SG GERD or dysphagia should undergo conversion to PRYGB.
Keyphrases
- weight loss
- roux en y gastric bypass
- gastric bypass
- bariatric surgery
- minimally invasive
- end stage renal disease
- obese patients
- ejection fraction
- newly diagnosed
- chronic kidney disease
- peritoneal dialysis
- weight gain
- body mass index
- prognostic factors
- glycemic control
- physical activity
- adipose tissue
- metabolic syndrome
- patient reported outcomes
- coronary artery bypass
- atrial fibrillation
- coronary artery disease
- acute coronary syndrome
- body weight
- percutaneous coronary intervention