Gastric bypass with weight regain – Biliary limb distalization plus endoscopic transjejunal A.P.C. pouch therapy in one step: Case report

Borjas, Guillermo; Marruffo, Mario; Sánchez, Néstor; Sánchez-Urdaneta, Adriana Beatriz; González, Maria Posada; Ramos, Eduardo; Maldonado, Andres

doi:10.1016/j.ijscr.2020.09.168

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2022

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“…In our experience, we did another case the last year, which prove the feasibility in the use of laparoscopic BP limb distalization and endoscopic transjejunal APC pouch therapy in a revisional surgery for RYGB, obtaining good results in %EWL in a patient with 49.7% of weight regain, no transoperative complication was reported [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Hybrid revisional surgery: biliary limb distalization plus endoscopic transoral outlet reduction (eTOR)

Borjas,

Sánchez,

Urdaneta

et al. 2022

Journal of Surgical Case Reports

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Roux-en-Y gastric bypass (RYGB) is one of the best procedures for the treatment of obesity and associated comorbidities. However, the percent of revisional procedures after a gastric bypass by weight regain has been increased, therefore several surgical options are available for the treatment of weight regain. In this case report, we combined a biliary limb distalization with endoscopic transoral outlet reduction (eTOR). The purpose of this case report is to expose the viability to perform combined procedures such as the distalization of the biliopancreatic limb plus eTOR increasing malabsorptive and restrictive components that would represent a secure and efficient weight loss in our patient. We could demonstrate the technical feasibility of the combination of both procedures to increase the restrictive and malabsorptive components at the same time with a low-risk range.

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Section: Discussionmentioning

confidence: 99%