Fig. 2

Schematics depicting the different reconstruction options utilized in the literature. Post-RYGB anatomy depicted on left in each figure. a Remnant is resected, new biliopancreatic drainage accomplished with distal portion of old biliopancreatic limb. b Remnant is resected, new biliopancreatic drainage accomplished with distal portion of old alimentary limb. c Remnant is spared, new biliopancreatic drainage and gastric remnant drainage into new limb raised from old common channel, as in our patient. d Remnant is spared, new biliopancreatic drainage accomplished with new limb raised from old common channel and gastric remnant is drained into distal portion of old biliopancreatic limb. e Remnant is spared, new biliopancreatic and gastric remnant drainage is performed in series and in continuity with old common channel distal to the old jejunojejunostomy