Background Obesity is a serious global epidemic and poses a significant health threat to humans. The prevalence of obesity is increasing not only in adults, but also among children and adolescents. Non-operative treatment of obesity has commonly been ineffective, and bariatric surgery has been shown to be effective in achieving substantial weight loss and improving obesity related comorbidities in the long-term. Aim of the Work Our objective in this study is to assess the effectiveness of Gastro-jejunal stomal plication (GJP) for inadequate weight loss follow Roux-en-Y gastric bypass surgery (RYGB). Patients and Methods The study will use the following search tools and databases: PubMed, Google Scholar, Cochrane Clinical Trials Database, Cochrane Review Database, EMBASE, and Allied and Complementary Medicine. Search terms included Revisional Surgery, inadequate weight loss And Roux en Y gastric bypass, then gastro-jejunal plication. These studies were published from (2009-2017). Results Eleven studies were included and these studies worked on 420 patients. Comparisons between these were done according to age, sex, time interval between (RYGB) & GJP, weight loss after GJP, laparoscopic vs open technique and overall complications of revisional surgery (GJP). Conclusion The exact reasons for weight loss failure after RYGB remain incompletely elucidated and are probably multifactorial. Pouch resizing could be a valuable option for weight loss failure or regain in selected patients with a dilated gastric pouch after RYGB in the short term. Careful selection of candidates for this procedure through psychiatric and nutritional evaluations and volumetric measures of the gastric pouch, preferably using CT, is mandatory to identify those patients most likely to benefit from revision.

中文翻译：

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Roux-en-Y 胃绕道术后体重减轻不足的胃空肠褶皱结果

背景肥胖是一种严重的全球流行病，对人类健康构成重大威胁。肥胖症的患病率不仅在成人中增加，而且在儿童和青少年中也在增加。肥胖的非手术治疗通常是无效的，而减肥手术已被证明可有效实现长期的体重减轻和改善肥胖相关的合并症。工作目的 我们在本研究中的目的是评估胃空肠造口折叠术 (GJP) 在 Roux-en-Y 胃绕道手术 (RYGB) 后体重减轻不足的效果。患者和方法 本研究将使用以下搜索工具和数据库：PubMed、Google Scholar、Cochrane 临床试验数据库、Cochrane 综述数据库、EMBASE 以及联合和补充医学。搜索词包括修正手术、体重减轻不足和 Roux en Y 胃旁路术，然后是胃空肠折叠术。这些研究发表于（2009-2017）。结果 纳入了 11 项研究，这些研究对 420 名患者有效。根据年龄、性别、（RYGB）和 GJP 之间的时间间隔、GJP 后的体重减轻、腹腔镜与开放技术以及翻修手术的总体并发症（GJP）进行了这些比较。结论 RYGB 后体重减轻失败的确切原因仍未完全阐明，可能与多因素有关。在短期内，对于 RYGB 术后胃袋扩张的选定患者，调整袋子大小可能是减肥失败或恢复的一个有价值的选择。