Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St. Andrea Hospital, Sapienza University, Rome, Italy.
Université Côte d'Azur, Nice, France.
Minerva Surg. 2021 Feb;76(1):8-16. doi: 10.23736/S2724-5691.20.08493-X.
The Roux-en-Y gastric bypass (RYGB) is a worldwide-performed procedure as primary surgery, and as conversional procedure after complications and/or failure of other bariatric procedures. RYGB can be performed as revisional surgery after adjustable gastric banding, vertical banded gastroplasty, sleeve gastrectomy and one anastomosis gastric bypass. Each of these revisional procedures may be technically challenging, and accurate preoperative work-up and operative planning is required. If correctly performed, RYGB as revisional procedure is associated with satisfying outcomes and is indicated in the treatment of insufficient weight loss and postoperative complications of a primary bariatric procedure - such as chronic leak or gastroesophageal reflux after sleeve gastrectomy. The present article analyzes the most important indications, technical points and tips and tricks to safely perform RYGB as a secondary procedure.
胃旁路术（RYGB）是一种在全球范围内作为主要手术进行的手术，也是在其他减重手术出现并发症和/或失败后进行的转化手术。RYGB 可以作为可调胃束带术、垂直捆扎胃成形术、袖状胃切除术和单吻合口胃旁路术的修正手术。这些修正手术中的每一种都可能具有技术挑战性，需要进行准确的术前检查和手术计划。如果正确执行，作为修正手术的 RYGB 与令人满意的结果相关，并且适用于治疗原发性减重手术的体重减轻不足和术后并发症，例如袖状胃切除术后的慢性漏或胃食管反流。本文分析了作为二级手术安全实施 RYGB 的最重要的适应证、技术要点和技巧。
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