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Quan et al. Mini-invasive Surg 2017;1:95-8 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2017.17
www.misjournal.net
Editorial Open Access

The influence of total bowel length on

gastric bypass outcomes

Vincent Quan , Fergus Paul MacDonald Cooper , Mohamed Bekheit
1-6
1
1
1 Department of Surgery, Aberdeen Royal Infirmary, Aberdeen AB252ZN, UK.
2 Department of Surgery, El kabbary General Hospital, Alexandria 21551, Egypt.
3 Institute of Biomedical Sciences, University of Aberdeen, Aberdeen AB252ZN, UK.
4 Centre Hépato-Biliaire, 12 av. Paul Vaillant Couturier, AP-HP, Hôpital Paul Brousse, 94800 Villejuif, France.
5 Inserm Unité 1193, 12 av. Paul Vaillant Couturier, 94800 Villejuif, France.
6 Ecole doctorale Innovation Therapeutique, Universite Pais-Sud, CHÂTENAY-MALABRY Cedex, 92296 Paris, France.
Correspondence to: Dr. Mohamed Bekheit, Department of Surgery, Aberdeen Royal Infirmary, Forsterhill Health Campus, Aberdeen AB252ZN,
UK. E-mail: dr_mohamedbekheit@hotmail.com
How to cite this article: Quan V, Cooper FPM, Bekheit M. The influence of total bowel length on gastric bypass outcomes. Mini-invasive Surg
2017;1:95-8.
Article history: Received: 30 Apr 2017 Accepted: 12 Jun 2017 Published: 30 Sep 2017

Dr. Bekheit received his surgical training in several internationally renowned institutions and by eminent surgeons
in the field of minimally invasive, bariatric, and HBP surgery. Dr. Bekheit is a Board Member of the Minimal Invasive
Bariatric Surgery Program delivered by the Alexandria Endoscopic Association (ALEXEA), where many other courses
are delivered. He founded a few educational programs for the Faculty of Medicine, the University of Alexandria during
his appointment as teaching assistant in the early stages of his training. Currently, he is practicing in surgery in the
Aberdeen Royal Infirmary and conducting first class research with an honorary contract at the University of Aberdeen.
He sits on the editorial board of several peer-reviewed journals.

Bariatric surgery is the only long-term solution to patient satiety but also by the diversion of digestion
obesity-related comorbidities when other conservative leading to malabsorption of nutrients and modulation
measures have failed. [1,2] Diversional surgeries often of the metabolic system. It is a combination of these
offer the highest success rates when compared to effects that contribute to its success rate in both weight
restrictive procedures such as sleeve gastrectomies loss and reversal of comorbidities. [6]
or gastric banding. Of these, the Roux-en-Y gastric
[3]
bypass (RYGBP) is the commonest diversional There are variations between the constructed limb
procedure because though it does not achieve quite lengths of RYGBPs described in the literature, and
the same amount of weight loss as the biliopancreatic these are designed by the surgeon’s preference. [7,8]
diversion and duodenal switch, it does offer a better Most surgeons create a restricted gastric pouch from
complication rate and mortality. [4,5] which the alimentary limb (AL) (100-150 cm) follows to
join the biliopancreatic limb (BPL) (usually 50-100 cm
Gastric bypass achieves weight loss not only by in length) to form the common limb. The remaining
restriction of gastric capacity and therefore earlier common limb (CL) length is of an indeterminate

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