TY  - BOOK
AU  - Shope, Timothy R
AU  - Wang, Eugene
TI  - Specialty Article: so You Think You Got a Bypass? A Case Series of Adventures in Bariatric Surgery. [Review]
SN  - 0960-8923
PY  - 2018///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - MedStar Washington Hospital Center
KW  - Surgery
KW  - Surgery/Advanced Laparoscopic and Bariatric Surgery
KW  - Journal Article
KW  - Review
N1  - Available online from MWHC library: 1997 - present
N2  - To raise awareness for surgeons encountering bariatric patients with anatomy that deviates from the standard Roux-en-Y gastric bypass (RYGB). This is a single-institution retrospective case series over 12 years (2003-2014) involving patients who believed they received RYGBs, but actually did not. Data was obtained reviewing physician encounters, imaging, and operative reports. There were six cases with confusing clinical pictures, found to have aberrant RYGB anatomy: (1) gastric bypass with jejuno-jejunostomy only without gastrojejunostomy, (2) distal partial vertical gastrectomy without expected prosthetic band, (3) inverse vertical banded gastroplasty, (4) non-divided gastric bypass with no gastrojejunostomy, (5) 20-cm Roux limb, with gastro-gastric fistula, and (6) 200-cm bilio-pancreatic limb similar to the traditional Scopinaro procedure. There are cases of "Roux-en-Y gastric bypasses" that have no resemblance to the named procedure at all. Adjunctive upper gastrointestinal studies and upper endoscopies help surgeons make diagnoses that are incongruent with the surgical history. It is important to keep in mind that there could be anatomic or surgical variations which were born out of necessity or based on other surgeons' creativities
UR  - https://dx.doi.org/10.1007/s11695-018-3149-4
ER  -