title: A Simple Technique for Jejunojejunal Revision in Laparoscopic Roux-en-Y Gastric Bypass.
abstract: BACKGROUND
  The lengths of the bypassed segments in the initial laparoscopic roux-en-Y gastric bypass (LRYGB) are usually a matter of the individual surgeon's routine. The literature is inconclusive about the association between the Roux limbs' length and weight-loss or malabsorption (Stefanidis et al. Obes Surg. 21(1):119-24, 2011); (Rawlins et al. Surg Obes Relat Dis. 7(1):45-9, 2011). However, jejunojejunal anastomosis (JJ) "redo" and Roux limb length revision could be considered for patients with a very short Roux limb and weight loss failure or for short common channel and malabsorption. Complications of JJ may also require revision.
  
  
  METHODS
  In over 1000 LRYGBs since 2001, eight patients required JJ revision for failure to lose enough weight (n = 6), malabsorption (n = 1), and stricture (n = 1). Instead of completely taking down the JJ, a simple technique was evolved to keep the enteric limb continuity. In a following step, the biliopancreatic limbs have been transected from the JJ and reconnected proximal (for malabsorption) or distal (for weight loss failure).
  
  
  RESULTS
  In this video, a step-by-step the laparoscopic technique for JJ revision and relocating the biliopancreatic limb is presented. Procedure takes 40-60 min to perform using four trocars and the hospital stay was 1-2 nights. No complications occurred during the procedures or postoperative period.
  
  
  CONCLUSIONS
  Laparoscopic revision of JJ is feasible and safe and should be part of surgeons' options on the long-term management of patients post LRYGB.
authors.affiliation: Department of Surgery, Herzliya Medical Center, Herzliya, Israel. hadarspivak@gmail.com.
authors.forename: Hadar
authors.initials: H
authors.lastname: Spivak
mesh_terms: D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D012086:Reoperation / Q000379:methods
keywords: Gastric bypass; Jejunojejunostomy; Laparoscopic roux-en-Y gastric bypass; Revisional procedure