%0 Journal Article
%T Functional Roux-en-Y Gastric Bypass (F-RYGB), with Preservation of Duodenal Access: Report of Two Revisional Cases of Sleeve Gastrectomy
%A Victor Ramos Mussa Dib
%A Carlos Augusto Scussel Madalosso
%A Paulo Reis Esselin de Melo
%A Rui Ribeiro
%A Paula Volpe
%A Carlos Eduardo Domene
%J Surgical Science
%P 135-158
%@ 2157-9415
%D 2024
%I Scientific Research Publishing
%R 10.4236/ss.2024.153015
%X <span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Objective: </span></b></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">This case report aimed to demonstrate a possible
neuromuscular effect of Latarjet nerves transection or truncal vagotomy, in
association with sleeve gastrectomy plus antrojejunostomy, in order to
reproduce a Roux-en-Y gastric bypass (RYGB) mechanistic principles, in patients
with previous Sleeve Gastrectomy (SG) who had had weight regain, with or
without concomitant gastroesophageal reflux disease (GERD). </span><b><span style=\"font-family:Verdana;\">Background:</span></b><span style=\"font-family:Verdana;\"> Sleeve gastrec</span><span style=\"font-family:Verdana;\">tomy (SG) is one of the most
frequently performed bariatric operations</span><span style=\"font-family:Verdana;\"> world</span><span style=\"font-family:Verdana;\">wide. Nevertheless, weight regain and gastroesophageal reflux disease</span><span style=\"font-family:Verdana;\"> (GERD) have been consistently demonstrated, in association with this technique,
which may require a revisional procedure. RYGB is an option in such a situation
but, implies in gastrointestinal exclusions, which represents a shortcom</span><span style=\"font-family:Verdana;\">ing of this revision. Surpassing this inconvenient
would be of great value for the patients.</span></span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Methods: </span></b></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">We describe herein two cases
of SG revision for</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> weight regain and GERD, with a follow-up of one
year. Gastroesophageal reflux disease was evaluated by validated questionnaire,
upper endoscopy, seriography, high resolution manometry (HRM) and impedance
pHmetry (I-pHmetry), in the pre and postoperative periods. A re-Sleeve
Gastrectomy with antrojejunal anastomosis was done in both cases, after
informed consents. The Latarjet nerves were transected in one case, due to a
bleeding in the left gastric vessels and a truncal vagotomy was required in the
other, to appropriately treat an associated hiatal hernia.</span></span></span><span><span><span style=\"font-family:&quot;\">
%K Roux-en-Y Gastric Bypass
%K Sleeve Gastrectomy
%K Jejuno Gastric Bypass
%K Vagus Nerve
%K Vagotomy
%K Bariatric Surgery
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=132053