Open access, online only case report A new revisional surgery for severe protein-calorie malnutrition after Roux-en-Y gastric bypass: successful duodenojejunal reconstruction using jejunal interposition

Roux-en-Y gastric bypass (RYGB) may result in nutritional deficiencies, mainly involving micronutrients, and occasionally protein-calorie malnutrition (PCM) because of the resulting anatomic and functional changes. Failure of conservative PCM treatment may be an indication for corrective surgery, where the technique may vary according to the surgical cause of the malnutrition. In this study, we present the results of the reconnection of the duodenum and the proximal jejunum to the alimentary tract for the treatment of severe PCM caused by malabsorption after RYGB. (Surg Obes Relat Dis 2016;12:e21–e23.) r 2016 American Society for Metabolic and Bariatric Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).