Diverted gastric bypass as a safe and effective revision operation

Abstract

Introduction. The development of bariatric and metabolic surgery has led to the emergence of a category of patients who, for various reasons, require repeated surgical interventions.

The aim of the study was to analyze the results of the use of diversionary gastroschunt as a revision surgical intervention in patients with repeated weight gain and/or persistent biliary reflux after previously performed bariatric intervention.

Materials and methods. The study examined the possibility of using diversionary gastroschunt, D-OAGB as a revision surgical intervention in patients with repeated weight gain or persistent biliary reflux after previously performed bariatric intervention.

Results. Preliminary results show the effectiveness and safety of the technique. The technique of gastric bypass surgery with a long gastric reservoir and anastomosis according to the Ru represents a huge potential as a primary operation in patients with a BMI of more than 35 and the presence of gastroesophageal reflux disease.

Conclusions. Diverted gastric bypass (D-OAGB) as a revision surgical intervention in patients with repeated weight gain and/or persistent biliary reflux after previously performed bariatric intervention is a technique combining the advantages of technologies known in surgical gastroenterology and bariatric surgery. Further accumulation of clinical material with an objective assessment of long-term treatment results is necessary.