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A Technique for Converting the Roux-en-Y Gastric Bypass to a Modified Biliopancreatic Diversion

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Our group has performed the Roux-en-Y gastric bypass (RYGB) in 1450 patients since 1983: 805 patients had primary operations, and 645 were converted from previous gastroplasty procedures, i.e. horizontal gastroplasty, vertical banded gastroplasty, and gastrogastrostomy. Within the last 2 years, 38 patients who failed the RYGB were converted to a modified biliopancreatic diversion (BPD) using a technique that did not require dismantling a major portion of the original gastric exclusion. A 24-month follow-up has demonstrated a significant and sustained weight loss in all patients. In addition, the modified BPD completely eliminated the problem of reflux bile gastritis in those patients with a short Roux-en-Y jejunal limb.

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Authors and Affiliations

  1. Departments of Bariatric Surgery and Gastroenterology, Thorn Hospital, Hudson, MI 49247, USA

    James A Sapala MD, FACS

  2. Departments of Bariatric Surgery and Gastroenterology, Thorn Hospital, Hudson, MI 49247, USA

    M Andrew Sapala MD, FACS

  3. Departments of Bariatric Surgery and Gastroenterology, Thorn Hospital, Hudson, MI 49247, USA

    Andres D Resto Soto MD, FACS

  4. Departments of Bariatric Surgery and Gastroenterology, Thorn Hospital, Hudson, MI 49247, USA

    John F Quertermus MD

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  1. James A Sapala MD, FACS
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  2. M Andrew Sapala MD, FACS
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  3. Andres D Resto Soto MD, FACS
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  4. John F Quertermus MD
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Sapala, J.A., Sapala, M.A., Resto Soto, A.D. et al. A Technique for Converting the Roux-en-Y Gastric Bypass to a Modified Biliopancreatic Diversion. OBES SURG 1, 311–313 (1991). https://doi.org/10.1381/096089291765561079

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  • DOI: https://doi.org/10.1381/096089291765561079

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