One‐anastomosis gastric bypass (OAGB) complications include inadequate weight loss, recurrent weight gain (RWG), and gastroesophageal reflux disease (GERD). Conversion to distal Roux‐en‐Y gastric bypass (D‐RYGB) may be an effective conversional approach. A 38‐year‐old female underwent OAGB with a body mass index (BMI) of 53 kg/m 2 and 43% initial total weight loss but had RWG to BMI of 44 kg/m 2 over 5 years with refractory GERD symptoms. She underwent D‐RYGB conversion, creating a 330 cm biliopancreatic limb, 75 cm Roux limb, and 400 cm total alimentary limb length to decrease the chance of malnutrition. At 2 weeks, GERD symptoms were resolved completely. By 12 months, 42% total weight loss was achieved with normal nutritional parameters. For RWG and refractory GERD after OAGB, conversion to D‐RYGB can promote weight loss and GERD symptom control while preventing nutritional deficiencies.
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Kermansaravi et al. (2024) studied this question.
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