Long Narrow Pouch Roux-en-Y Gastric Bypass (LN-RYGB) for Recurrent Weight Gain After Sleeve Gastrectomy
Purpose Sleeve gastrectomy (SG) is the most performed metabolic and bariatric surgery (MBS). However, with the increase of SG in different regions, recurrent weight gain after SG is challenging for bariatric surgeons. We introduce a modified operation with a long, narrow pouch in RYGB (LN-RYGB) for...
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Veröffentlicht in: | Obesity surgery 2024-09, Vol.34 (9), p.3509-3512 |
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creator | Hu, Songhao Wang, Cunchuan Dong, Zhiyong Yang, Wah |
description | Purpose
Sleeve gastrectomy (SG) is the most performed metabolic and bariatric surgery (MBS). However, with the increase of SG in different regions, recurrent weight gain after SG is challenging for bariatric surgeons. We introduce a modified operation with a long, narrow pouch in RYGB (LN-RYGB) for weight regain after SG which enhanced the restrictive function in RYGB.
Methods and Results
The LN-RYGB has a longer and narrow gastric pouch for 10 cm. The length of small Roux and biliopancreatic are the same as RYGB. As a revisional surgery, the post-1 year excess weight loss percentage (%EWL) was 63.1% and total weight loss percentage (%TWL) was 29.1% in 5 cases.
Conclusion
LN-RYGB is an optional treatment for recurrent weight gain after SG; a randomized control trial is needed to verify the long-term effect of LN-RYGB.
Graphical Abstract |
doi_str_mv | 10.1007/s11695-024-07412-0 |
format | Article |
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Sleeve gastrectomy (SG) is the most performed metabolic and bariatric surgery (MBS). However, with the increase of SG in different regions, recurrent weight gain after SG is challenging for bariatric surgeons. We introduce a modified operation with a long, narrow pouch in RYGB (LN-RYGB) for weight regain after SG which enhanced the restrictive function in RYGB.
Methods and Results
The LN-RYGB has a longer and narrow gastric pouch for 10 cm. The length of small Roux and biliopancreatic are the same as RYGB. As a revisional surgery, the post-1 year excess weight loss percentage (%EWL) was 63.1% and total weight loss percentage (%TWL) was 29.1% in 5 cases.
Conclusion
LN-RYGB is an optional treatment for recurrent weight gain after SG; a randomized control trial is needed to verify the long-term effect of LN-RYGB.
Graphical Abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>ISSN: 1708-0428</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-024-07412-0</identifier><identifier>PMID: 39042311</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Brief Communication ; Collaboration ; Gastrointestinal surgery ; Laparoscopy ; Medicine ; Medicine & Public Health ; Metabolism ; Obesity ; Patients ; Surgeons ; Surgery ; Systematic review ; Weight control</subject><ispartof>Obesity surgery, 2024-09, Vol.34 (9), p.3509-3512</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024</rights><rights>2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-44e1e2dce045b29b1440c0a8605dd5c69295e27a8ef7ab32d58a449abe73fb7d3</cites><orcidid>0000-0003-2341-3310</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-024-07412-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-024-07412-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39042311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hu, Songhao</creatorcontrib><creatorcontrib>Wang, Cunchuan</creatorcontrib><creatorcontrib>Dong, Zhiyong</creatorcontrib><creatorcontrib>Yang, Wah</creatorcontrib><creatorcontrib>Chinese Obesity, Metabolic Surgery Collaborative</creatorcontrib><creatorcontrib>on behalf of Chinese Obesity, Metabolic Surgery Collaborative</creatorcontrib><title>Long Narrow Pouch Roux-en-Y Gastric Bypass (LN-RYGB) for Recurrent Weight Gain After Sleeve Gastrectomy</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Purpose
Sleeve gastrectomy (SG) is the most performed metabolic and bariatric surgery (MBS). However, with the increase of SG in different regions, recurrent weight gain after SG is challenging for bariatric surgeons. We introduce a modified operation with a long, narrow pouch in RYGB (LN-RYGB) for weight regain after SG which enhanced the restrictive function in RYGB.
Methods and Results
The LN-RYGB has a longer and narrow gastric pouch for 10 cm. The length of small Roux and biliopancreatic are the same as RYGB. As a revisional surgery, the post-1 year excess weight loss percentage (%EWL) was 63.1% and total weight loss percentage (%TWL) was 29.1% in 5 cases.
Conclusion
LN-RYGB is an optional treatment for recurrent weight gain after SG; a randomized control trial is needed to verify the long-term effect of LN-RYGB.
Graphical Abstract</description><subject>Brief Communication</subject><subject>Collaboration</subject><subject>Gastrointestinal surgery</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolism</subject><subject>Obesity</subject><subject>Patients</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>Weight control</subject><issn>0960-8923</issn><issn>1708-0428</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kU9v1DAQxS1URJfCF-gBWeqlHAzjP3HiY1uVLdKqoIWq6slynMk21W68tZPCfntMU6jEgdMc5vfejN4j5JDDBw5Qfkyca1MwEIpBqbhg8ILMeAkVAyWqPTIDo4FVRsh98jqlOwDBtRCvyL40mZCcz8hqEfoVvXQxhh_0axj9LV2G8SfDnt3QuUtD7Dw93W1dSvR4ccmWN_PT97QNkS7RjzFiP9Br7Fa3Q6a7np60A0b6bY34gJMe_RA2uzfkZevWCd8-zQNy9en8-9kFW3yZfz47WTAvCj0wpZCjaDyCKmphaq4UeHCVhqJpCq-NMAWK0lXYlq6Woikqp5RxNZayrctGHpDjyXcbw_2IabCbLnlcr12PYUxWQiV1JXJcGT36B70LY-zzd5kyZU6q0DpTYqJ8DClFbO02dhsXd5aD_V2DnWqwuQb7WIOFLHr3ZD3WG2z-Sv7kngE5ASmv-hXG59v_sf0FBQeQvQ</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Hu, Songhao</creator><creator>Wang, Cunchuan</creator><creator>Dong, Zhiyong</creator><creator>Yang, Wah</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2341-3310</orcidid></search><sort><creationdate>20240901</creationdate><title>Long Narrow Pouch Roux-en-Y Gastric Bypass (LN-RYGB) for Recurrent Weight Gain After Sleeve Gastrectomy</title><author>Hu, Songhao ; Wang, Cunchuan ; Dong, Zhiyong ; Yang, Wah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-44e1e2dce045b29b1440c0a8605dd5c69295e27a8ef7ab32d58a449abe73fb7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Brief Communication</topic><topic>Collaboration</topic><topic>Gastrointestinal surgery</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolism</topic><topic>Obesity</topic><topic>Patients</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Systematic review</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hu, Songhao</creatorcontrib><creatorcontrib>Wang, Cunchuan</creatorcontrib><creatorcontrib>Dong, Zhiyong</creatorcontrib><creatorcontrib>Yang, Wah</creatorcontrib><creatorcontrib>Chinese Obesity, Metabolic Surgery Collaborative</creatorcontrib><creatorcontrib>on behalf of Chinese Obesity, Metabolic Surgery Collaborative</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hu, Songhao</au><au>Wang, Cunchuan</au><au>Dong, Zhiyong</au><au>Yang, Wah</au><aucorp>Chinese Obesity, Metabolic Surgery Collaborative</aucorp><aucorp>on behalf of Chinese Obesity, Metabolic Surgery Collaborative</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long Narrow Pouch Roux-en-Y Gastric Bypass (LN-RYGB) for Recurrent Weight Gain After Sleeve Gastrectomy</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>34</volume><issue>9</issue><spage>3509</spage><epage>3512</epage><pages>3509-3512</pages><issn>0960-8923</issn><issn>1708-0428</issn><eissn>1708-0428</eissn><abstract>Purpose
Sleeve gastrectomy (SG) is the most performed metabolic and bariatric surgery (MBS). However, with the increase of SG in different regions, recurrent weight gain after SG is challenging for bariatric surgeons. We introduce a modified operation with a long, narrow pouch in RYGB (LN-RYGB) for weight regain after SG which enhanced the restrictive function in RYGB.
Methods and Results
The LN-RYGB has a longer and narrow gastric pouch for 10 cm. The length of small Roux and biliopancreatic are the same as RYGB. As a revisional surgery, the post-1 year excess weight loss percentage (%EWL) was 63.1% and total weight loss percentage (%TWL) was 29.1% in 5 cases.
Conclusion
LN-RYGB is an optional treatment for recurrent weight gain after SG; a randomized control trial is needed to verify the long-term effect of LN-RYGB.
Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>39042311</pmid><doi>10.1007/s11695-024-07412-0</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-2341-3310</orcidid></addata></record> |
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subjects | Brief Communication Collaboration Gastrointestinal surgery Laparoscopy Medicine Medicine & Public Health Metabolism Obesity Patients Surgeons Surgery Systematic review Weight control |
title | Long Narrow Pouch Roux-en-Y Gastric Bypass (LN-RYGB) for Recurrent Weight Gain After Sleeve Gastrectomy |
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