Vadim Sherman
Tanzania
Mini Review
Roux en Y Gastric Bypass: How and Why it Fails?
Author(s): Mark A Dykstra, Noah J Switzer, Vadim Sherman, Shahzeer Karmali and Daniel W BirchMark A Dykstra, Noah J Switzer, Vadim Sherman, Shahzeer Karmali and Daniel W Birch
The Roux-en-Y Gastric Bypass (RYGB) is the most successful bariatric procedure. Despite its successes, a growing number of patients who undergo RYGB present with clinically significant weight regain in the years following their procedure. Anatomical etiologies have been often implicated in this weight regain as either an enlargement of the gastric pouch or gastrojejunostomy, or the presence of a gastro gastric fistula leading to loss of caloric restriction. Surgical or endoscopic revision is an effective means to address this. Behavioral problems can also lead to poor results if patients do not adhere to strict dietary and lifestyle regimens following their procedure. Poor dietary compliance needs to be addressed with behavioral and nutritional counseling at a multidisciplinary clinic. Mental health is an often forgotten etiology for weight recidivism. Especially in high-risk patients.. View More»
