Gastrojejunal sleeve as a revisional surgery for a failed Roux-en-Y gastric bypass

Background Roux-en-Y gastric bypass (RYGBP) is one of the best solutions for morbid obesity, but secondary weight regain is seen in about 15-25% of cases. In this prospective study, we assessed the short-term success of gastrojejunal sleeve along with jejunojejunostomy distalization as a revisional procedure in cases of failed RYGBP. Patients and methods This study included 13 cases of failed RYGBP done at least 3 years earlier; all were assessed using three-dimensional virtual gastrography. All patients were followed up for 2 years. Results Mean BMI decreased from 44.2 +/- 6.04 to 30.7 +/- 4.06 kg/m(2); mean excess weight loss was 28.1 +/- 23%; and comorbidities improved in 62.5% of cases. Mean operative time was 204 +/- 33 min, while the mean postoperative hospital stay was 3 days. No mortalities, conversions, or major complications were observed among the patients included in this study. Conclusion Gastrojejunal sleeve with jejunojejunal distalization is a safe, feasible, and effective revisional procedure for a failed RYGBP.