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Closed-Loop Gangrene Post Banded Roux-en-Y Gastric Bypass (B-RYGB)
Mansour Alkhurmudi1, Abdullah S Alzaharani1, Feras Alsannaa2
1General Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Cureus
|April 22, 2026
Summary
Laparoscopic banded Roux-en-Y gastric bypass (B-RYGB) can cause rare but serious complications like cranial slippage of the alimentary limb through the MiniMizer gastric ring, leading to bowel ischemia.
Area of Science:
- Bariatric Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Laparoscopic banded Roux-en-Y gastric bypass (B-RYGB) is used for weight loss and to prevent pouch dilation.
- Complications, though rare, can occur, impacting patient outcomes.
- The MiniMizer gastric ring is a device used in some B-RYGB procedures.
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