Weight loss and malnutrition after conversion of the primary Roux-en-Y gastric bypass to distal gastric bypass in patients with morbid obesity

Long-Term Results at 10 Years of Pouch Resizing for Roux-en-Y Gastric Bypass Failure

“…Finding the “perfect length” reaching the exact balance that leads to an increased loss of weight without the risk of proteic malnutrition is a risky strategy as the latter is a complex clinical situation associated with a high mortality [ 21 ]. Considering this specific subject, what is reported in a recent case series by van der Burgh et al [ 22 ] is very suggestive. Forty-seven patients with insufficient weight results after a RYGB with a 100–150 cm alimentary limb and a 75 cm biliopancreatic limb underwent distalization of the entero-entero anastomosis to produce a 100 cm common channel.…”

The role of total alimentary limb length in Roux-en-Y gastric bypass: a systematic review

“…Subsequently, 6 studies investigated the effect of a 100-to 150-cm CC and 400-cm TALL. These studies report significant issues with hypoalbuminemia in 13.6% to 29.4% of patients, and 3.4% to 43.7% of patients required limb lengthening [12,13,[17][18][19][20]. Shin et al and Ghiassi et al studied RYGB with ,200-cm CC and ,300-cm TALL and reported 13.6% and 63.6% of patients, respectively, required limb lengthening [21,22].…”

Severe malnutrition after single anastomosis sleeve jejunal bypass (SASJ) surgery due to a rare surgical complication: Report of the case

“…Post-operative malnutrition may occur after malabsorptive surgeries such as bypass, biliary pancreatic shunt and is due to the restriction and change in absorption. Types of malnutrition after bariatric surgery include protein-energy malnutrition and deficiencies of micronutrients, such as iron, folate, and vitamin B12 [10] .…”