The gold standard technique in bariatric surgery is Roux-en-Y gastric bypass (RYGB) (Fig. 2).This is a proximal gastric bypass (using a 100- to 150-cm Roux-en-Y or alimentary limb is the norm in ...

We performed a laparoscopic lengthening of the Roux limb by additional 120 cm resulting in a new alimentary limb of 160 cm. Oral PPI therapy (80 mg/day) was continued and sucralfate (4 g/d) was added.

He underwent an uncomplicated laparoscopic Roux-en-Y gastric bypass that included the creation of an 80-cm Roux limb. In the first year after surgery, he lost more than 80% of his excess weight ...