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In patients who have undergone sleeve gastrectomy, sleeve gastrectomy can be performed again for revision surgery if the desired level of weight loss has not been achieved or if weight loss has decreased as a result of the enlargement of the stomach again. In addition, Roux-en-Y proximal technique can also be applied during sleeve gastrectomy.The proximal technique, which is a gastric bypass technique, allows the creation of a pouch in the stomach. In this technique, which is based on the principle of disabling the stomach, all the food coming into the stomach accumulates in the pouch and the small intestines are connected to this pouch. A certain amount of the distal part of the small intestine towards the large intestine is also cut off at this time.The end of the small intestine from which bile and pancreatic fluid come is joined back to the intestine from further on.
