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Length of roux limb?

Hi all and thanks for all the support so far!

After reading all over this board, looking at med journal articles online, and talking to different people on my care team I am 90% sure I'm going to do the Roux en Y (with any luck in Sept/Oct). I have seen a few articles and references to different mm lengths for the roux limb... what does this do? Does shorter mean less absorption = more weight loss? Of course I'm going to ask my surgeon before I make a final decision but I want to have some knowledge under my belt first. Bonus for links to articles online. and THANK YOUUUUUUU

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  • GreenTealael
    GreenTealael

    Hi I have read a few studies that suggested the longer the bypass does not always correlate to more weightloss except in patients with very high BMI Initial article linked. Use citations fo

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  • Author

So longer is more malabsorption (bypassed more area)? or shorter (i have a shorter small intestine)?

Hi

I have read a few studies that suggested the longer the bypass does not always correlate to more weightloss except in patients with very high BMI

Initial article linked. Use citations for other articles

https://link.springer.com/article/10.1007/s11695-011-0402-5

my surgeon never even brought this up, so I actually have no idea how long mine is.

"The hypothesis is that a distal bypass can lead to better weight loss outcomes due to a longer diversion of the digestive tract and a shorter section of common bowel for absorption.[11] The small intestine has a huge variability in length among patients and can vary between 300 to 1,000 cm.[12] Because of this, the CL length can theoretically range from 50 to 850 cm in a proximal gastric bypass as intestinal lengths are not routinely measured before reconstruction of the digestive continuity." Source: https://misjournal.net/article/view/2053

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