BACKGROUND: @entity356 ( @entity356 ) demonstrated similar results to traditional Roux-en-Y procedures. A possible concern is how to manage a chronic @entity9098 when medical therapy results ineffective. Revision of the gastro-jejunal @entity254 , obtaining a Roux-en-Y reconstruction, has already been proposed, but technical details have not been elucidated yet. This video shows how to revise a 200-cm @entity356 to treat chronic @entity9098 , by converting the procedure to Roux-en-Y, having a short gastric pouch and a long efferent limb. METHODS: A 51-year-old @entity1 complained of recurrent heartburns 2  months after @entity356 . A gastroscopy witnessed the presence of a 6-cm long gastric pouch with @entity5042 and @entity9098 in esophagus. Specific medications were ineffective. He underwent a revisional laparoscopic procedure. The efferent limb was measured and consisted of 650  cm. The afferent limb was then divided next to the previous gastro-jejunal @entity254 and a jejuno-jejunal @entity254 was performed distally at 70  cm on the alimentary limb. RESULTS: Total operative time was 50  min. The postoperative stay was uneventful and the @entity1 was discharged in postoperative day four. At 6  months follow-up he is still free of medications without symptoms. CONCLUSIONS: The ideal scenario for the presented technique is the finding of a long efferent limb, in order to fashion a Roux-en-Y limb without the risk of @entity86 . To reach this goal, we suggest the measurement of the whole small bowel intra-operatively, in order to assess the length of the common channel left in place.

Laparoscopic Conversion of One XXXX Gastric Bypass to Roux-en-Y Gastric Bypass for @entity9098 .

@entity1 :: ('9606', 'Species') :: ['patient'] @entity5042 :: ('MESH:D019449', 'Disease') :: ['pouchitis'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity9098 :: ('MESH:D001655', 'Disease') :: ['bile reflux'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative malabsorption'] @entity356 :: ('MESH:D013274', 'Disease') :: ['OAGB', 'One anastomosis gastric bypass']
@entity254 :: (MESH:C563598,Disease) :: ['Anastomosis']
