Gastric Bypass with Long Alimentary Limb or Long Pancreato-Biliary Limb—Long-Term Results on Weight Loss, Resolution of Co-morbidities and Metabolic Parameters

Obesity Surgery

Volumn 24, Issue 10, 2014, Pages 1595-1602

  Nergaard, Bent Johnny ^b,c   Leifsson, Björn Geir ^a,b,c   Hedenbro, Jan ^b,c   Gislason, Hjörtur ^a,b,c  

^a LANDSPITALI UNIVERSITY HOSPITAL   (Iceland)

^b Department of Otorhinolaryngology   (Norway)

^c Aleris Obesity Skane   (Sweden)

Author keywords

Bariatric surgery; Gastric bypass; Measured limbs; RYGBP; Weight loss

Indexed keywords

ADOLESCENT; ADULT; ADVERSE EFFECTS; AGED; BODY MASS; COMORBIDITY; CONTROLLED STUDY; DIET SUPPLEMENTATION; FEMALE; HUMAN; MALE; MIDDLE AGED; OBESITY, MORBID; PATHOPHYSIOLOGY; POSTOPERATIVE CARE; PROCEDURES; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; STOMACH BYPASS; TREATMENT OUTCOME; WEIGHT REDUCTION; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; BODY MASS INDEX; COMORBIDITY; DIETARY SUPPLEMENTS; FEMALE; GASTRIC BYPASS; HUMANS; MALE; MIDDLE AGED; OBESITY, MORBID; POSTOPERATIVE CARE; PROSPECTIVE STUDIES; TREATMENT OUTCOME; WEIGHT LOSS; YOUNG ADULT;

EID: 84937563777     PISSN: 09608923     EISSN: 17080428     Source Type: Journal    
DOI: 10.1007/s11695-014-1245-7     Document Type: Article

References (25)

1. Mason EE, Ito C. Gastric bypass. Ann Surg. 1969;170:329–39.
2. Brolin RE, Kenler HA, Gorman JH. Long-limb gastric bypass in the super obese. A prospective randomized study. Ann Surg. 1992;215:387–95.
3. Choban PS, Flancbaum L. The effect of Roux limb lengths on outcome after Roux-en-Y gastric bypass: a prospective, randomized clinical trial. Obes Surg. 2002;12:540–5.
4. Inabnet WB, Quinn T, Gagner M, et al. Laparoscopic Roux-en-Y gastric bypass in patients with BMI < 50: a prospective randomized trial comparing short and long limb lengths. Obes Surg. 2005;15:51–7.
5. Pinheiro JS, Schiavon CA, Pereira PB. Long-long limb Roux-en-Y gastric bypass is more efficacious in treatment of type 2 diabetes and lipid disorders in super-obese patients. Surg Obes Relat Dis. 2008;4:521–7.
6. Freeman JB, Kotlarewsky M, Phoenix C. Weight loss after extended gastric bypass. Obes Surg. 1997;7:337–44.
7. Brolin RE, LaMarca LB, Kelner HA, et al. Malabsorptive gastric bypass in patients with superobesity. J Gastrointest Surgery. 2002;6:195–205.
8. Feng JJ, Gagner M, Pomp A, et al. Effect of standard vs extended Roux limb length on weight loss outcomes after laparoscopic Roux-en-Y gastric bypass. SurgEndosc. 2003;17:1055–60.
9. Christou NV, Look D, MacLean LD. Weight gain after short- and long-limb gastric bypass followed for longer than 10 years. Ann Surg. 2006;244:734–40.
10. Ciovica R, Takata M, Vittinghoff E, et al. The impact of roux limb lengths and weight loss after gastric bypass. Obes Surg. 2008;18:5–10.
11. Scopinario N, Gianetta E, Civalleri D, et al. Bilio-pancreatic bypass for obesity: initial experience in man. Br J Surg. 1979;66(9):618–20.
12. Sugerman HJ, Kellum JM, DeMaria EJ. Convertion of proximal to distal bypass for failed gastric bypass for superobesity. J Gastrointest Surg. 1997;1:517–26.
13. Brolin RE, Cody RP. Adding malabsorption for weight loss failure after gastric bypass. SurgEndosc. 2007;21:1924–6.
14. Nelson WK, Fatima J, Houghton SG, et al. The malabsorptive very, very long limb Roux-en-Y gastric bypass for super obesity: results in 257 patients. Surgery. 2006;140:517–23.
15. McConnell DB, O’Rourke RW, Deveney CW. Common channel length predicts outcomes of biliopancreaticdivertion alone and with the duodenal switch surgery. Am J Surg. 2005;189:536–40.
16. Dimitrios S, Kuwada TS, Gersin KS. The importance of the length of the limbs for gastric bypass patients—an evidence-based review. ObesSurg. 2011;21:119–24.
17. Leifsson BG, Gislason HG. Laparoscopic Roux-en-Y gastric bypass with 2-metre long biliopancreatic limb for morbid obesity: Technique and experience with the first 150 patients. ObesSurg. 2005;15(1):35–42.
18. Dimenäs E, Glise H, Hallerbäck B, et al. Well-being and gastrointestinal symptoms among patients referred to endoscopi owing to suspected duodenal ulcer. Scand J Gastroenterol. 1995;30:1046–52.
19. Svedlund J, Sjödin I, Dotevall G. GSRS—A clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer disease. Dig Dis Sci. 1988;33:129–34.
20. Svedlund J, Sullivan M, Liedman B, et al. Long term consequences of gastrectomy for patients quality of life: the impact of reconstructive techniques. Am J Gastroenterol. 1999;94:438–45.
21. Wiklund I, Carlsson J, Vakil N. Gastroesophageal reflux symptoms and well-being in a random sample of the general population of a Swedish community. Am J Gastroenterol. 2006;101:18–28.
22. Jacobsen HJ, Bergland A, Raeder J, Gislason HG. High-volume bariatric surgery in a single centre: Safety, quality, cost-efficacy and teaching aspects in 2,000 consecutive cases. ObesSurg. 2012;22:158–66.
23. Scopinaro N, Gianetta E, Adami GF, et al. Biliopancreatic diversion for obesity at eighteen years. Surgery. 1996;119:261–8.
24. Lee WJ, Wang W, Lee YC, et al. Laparoscopic mini gastric bypass: experience with tailored bypass limb according to body weight. ObesSurg. 2008;3:294–9.
25. Lee WJ, Yu PJ, Wang W, et al. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity. Ann Surg. 2005;242:20–8.