Revision of Roux-en-Y gastric bypass to distal bypass for failed weight loss

Revision of RYGB to distal gastric bypass can allow patients to achieve sustainable weight loss similar to what they were seeking from their primary surgery. From the results of the present series, the operation was safe, with no perioperative mortality or anastomotic complications. The development of protein calorie malnutrition and vitamin deficiencies is real, and patients require close monitoring and follow-up.