title: Adding malabsorption for weight loss failure after gastric bypass.
abstract: OBJECTIVE
  To present a technique of revisional RY gastric bypass in patients with unsatisfactory weight loss after primary gastric bariatric operations.
  
  
  METHODS
  The Roux limb was lengthened by creating a 75-100 cm common channel below the enteroenterostomy with concomitant revision of the gastrojejunostomy.
  
  
  RESULTS
  Fifty-four patients had this distal modification of RYGB including 47 patients who had primary gastric bypass and 7 patients who failed pure restrictive operations. Mean excess weight loss was 47.9% in patients followed for > or = 1 year.
  
  
  CONCLUSIONS
  This distal modification of RYGB resulted in satisfactory weight loss for nearly half of the 54 patients in this series.
authors.affiliation: Department of Surgery, University of Pittsburgh Medical School, Pittsburgh, PA, USA. rbrolin@njbariatricspc.com
authors.forename: Robert E
authors.initials: RE
authors.lastname: Brolin
authors.forename: Ronald P
authors.initials: RP
authors.lastname: Cody
mesh_terms: D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007408:Intestinal Absorption; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000503:physiopathology / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D016896:Treatment Outcome; D015431:Weight Loss