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Volume 7, Issue 3 (Suppl)

J Obes Weight Loss Ther, an open access journal

ISSN: 2165-7904

Childhood Obesity & Bariatric Surgery 2017

June 12-13, 2017

June 12-13, 2017 Rome, Italy

Childhood Obesity and Nutrition

International Conference on

Metabolic and Bariatric Surgery

International Conference on

JOINT EVENT

Laparoscopic wedge resection of gastrojejunostomy for weight recidivism after gastric bypass

Aly Elbahrawy

McGill University Health Centre, Canada

Background & Aim:

Weight recidivism after Roux-en-Y gastric bypass (RYGB) is a common problem. Often, this weight loss failure

or regain may be due to a wide gastrojejunostomy (GJ). We evaluated the feasibility and safety of a novel approach of laparoscopic

wedge resection of gastrojejunostomy (LWGJ) for a wide stoma after RYGB associated with weight recidivism.

Methods:

This is a single-center retrospective study of a prospectively-collected database. We analyzed outcomes of patients with

weight recidivism after RYGB and a documented wide GJ (>2 cm) on imaging, who underwent LWGJ between 11/2013-05/2016.

Results:

Nine patients underwent LWGJ for dilated stomas. All patients were female with a mean±SD age of 53±7 years. Mean interval

between RYGB and LWGJ was 9±3 years. All cases were performed laparoscopically with no conversions. Mean operative time and

hospital stay were 86±9 minutes and 1.2±0.4 days, respectively. The median (IQR) follow-up time was 14 (12-18) months. During

follow-up, there were no deaths, postoperative complications or unplanned readmissions or reoperations. The mean and median

(IQR) BMI before RYGB and LWGJ were 55.4±8.1 kg/m

and 56.1 (47.9-61.7) and 43.4±8.6 kg/m

and 42.1 (38.3-47.1), respectively.

One year after LWGJ, mean and median (IQR) BMI significantly decreased to 34.9±7.3 kg/m

and 33.3 (31.7-35.0) corresponding to

a mean %EWL of 64.6±19.9 (P<0.05).

Conclusion:

LWGJ is safe and can lead to further weight loss in patients experiencing weight recidivism after RYGB with a wide

GJ (>2 cm). Long-term follow-up is needed to determine the efficacy and durability of LWGJ and compare its outcomes with other

endoscopic/surgical approaches for weight recidivism after RYGB with a documented wide GJ.

J Obes Weight Loss Ther 2017, 7:3 (Suppl)

DOI: 10.4172/2165-7904-C1-046