Remnant Gastrectomy and Gastric Bypass: A Systematic Review of Indications and Outcomes of Resectional Gastric Bypass.

Anastomotic Gastro-Jejunal Ulcer Following One Anastomosis Gastric Bypass (OAGB): Laparoscopic Conversion to Resectional Roux-en-Y Gastric Bypass (R-RYGB)

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most frequently performed bariatric procedures worldwide. Although rare, there are some reports concerning the risk of developing cancerous lesions in the excluded remnant stomach. We report the case of a patient who was proposed for a REDO surgery due to persistent complaints of heartburn after performing a sleeve gastrectomy. The pathology report had shown the presence of intestinal metaplasia on the sleeve’s operative specimen, therefore we have performed a modification to the classic LRYGB technique – a laparoscopic gastric bypass with subtotal gastrectomy. This technical change precludes leaving a segment of excluded stomach, which would become inaccessible for endoscopic evaluation. Although several factors seem to render a decreased risk of malignancy involving the excluded segment, there are reported cases of cancer development in the gastric remnant. These malignancies are generally associated with delayed diagnosis and poor prognosis, since initial symptoms are often nonspecific, and the study of the excluded stomach is challenging. In this case, the post-operative period was uneventful and the patient had full resolution of her heartburn symptoms. There were also no differences concerning the metabolic effects of surgery during the follow-up period.

https://www.bmi-journal.com/articulos/download/941/es?sXBMRHib3HwyHgn0xK8999o3wZle3ZUE

Laparoscopic Gastric Bypass with Subtotal Gastrectomy: A Technical Modification in a Patient with Intestinal Metaplasia of the Gastric Mucosa

“Candy Cane” Syndrome: a Rare Complication After Roux-en-Y Gastric Bypass — Case Report

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Anastomotic Gastro-Jejunal Ulcer Following One Anastomosis Gastric Bypass (OAGB): Laparoscopic Conversion to Resectional Roux-en-Y Gastric Bypass (R-RYGB)

Laparoscopic Gastric Bypass with Subtotal Gastrectomy: A Technical Modification in a Patient with Intestinal Metaplasia of the Gastric Mucosa

“Candy Cane” Syndrome: a Rare Complication After Roux-en-Y Gastric Bypass — Case Report