Paired Editorial - Long biliopancreatic and short alimentary limb results in more weight loss in revisional RYGB surgery. Outcomes of the randomized controlled ELEGANCE REDO trial.

Laparoscopic Roux-En-Y Gastric Bypass (RYGB) is a standardised metabolic and bariatric procedure. However, there is not consensus yet on the optimal lengths of the three bowel limbs to induce maximum weight loss. [1,2]. The RYGB, as revisional surgery, can be technically challenging but skilled surgeons can perform it with acceptable perioperative morbidity as one stage procedure (band removal and RYGB). Making longer LBP, a fairly easy and secure adjustment of the standard technique, could enhance the results of the revisional procedure.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research