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Obesity Surgery

, Volume 1, Issue 3, pp 311–313 | Cite as

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

  • James A Sapala
  • M Andrew Sapala
  • Andres D Resto Soto
  • John F Quertermus
Article

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.

Bile gastritis gastric bypass modified biliopancreatic diversion morbid obesity Roux-en-Y 

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Copyright information

© Springer 1991

Authors and Affiliations

  • James A Sapala
    • M Andrew Sapala
      • Andres D Resto Soto
        • John F Quertermus

          There are no affiliations available

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