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MAY 16, 2016

Mixed Results for Distal Versus Proximal Gastric Bypass

Length of Limb Appears To Have No Effect on Weight Loss

By Christina Frangou

Los Angeles—The first large randomized trial to compare distal and proximal gastric bypasses in super obese patients has left the bariatric community with as many questions as answers.

In a rigorous double-blind trial involving 113 bariatric surgery patients, there was no difference in two-year weight loss when the biliopancreatic limb was kept at 50 cm for both procedures, suggesting that changing the length of the alimentary limb between 150 and 300 cm has no