title: A new revisional surgery for severe protein-calorie malnutrition after Roux-en-Y gastric bypass: successful duodenojejunal reconstruction using jejunal interposition.
abstract: Roux-en-Y gastric bypass (RYGB) may result in nutritional deficiencies, mainly involving micronutrients, and occasionally protein-calorie malnutrition (PCM) because of the resulting anatomic and functional changes. Failure of conservative PCM treatment may be an indication for corrective surgery, where the technique may vary according to the surgical cause of the malnutrition. In this study, we present the results of the reconnection of the duodenum and the proximal jejunum to the alimentary tract for the treatment of severe PCM caused by malabsorption after RYGB.
authors.affiliation: Department of Surgery and Anatomy, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil. Electronic address: rceneviv@gmail.com.
authors.forename: Reginaldo
authors.initials: R
authors.lastname: Ceneviva
authors.affiliation: Department of Surgery and Anatomy, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Wilson
authors.initials: W
authors.lastname: Salgado Júnior
authors.affiliation: Department of Internal Medicine, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Júlio S
authors.initials: JS
authors.lastname: Marchini
mesh_terms: D000714:Anastomosis, Surgical; D004386:Duodenum / Q000601:surgery*; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D011502:Protein-Energy Malnutrition / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation
keywords: Gastric bypass; Jejunal interposition; Malabsorption; Malnutrition; Morbid obesity; Revisional surgery