Laparoscopic Reversal of Roux-en-Y Gastric Bypass with Hand-Sewn Gastro-Gastrostomy and Resection of the Alimentary Limb

Reversal of RYGB is a precious treatment option for otherwise unmanageable postbariatric complications in well-selected cases. The operation should be performed in high volume bariatric centers after multidisciplinary patient preparation. The early and late complications of the reversal are higher than the rates seen in primary MBS; therefore, patients should be informed and monitored accordingly to ensure the best achievable outcomes.