[Verse 1]
Sleeve gastrectomy, let's calibrate the cut
Bougie down the lesser curve, thirty-six French strut
Resect the fundus, staple from antrum to the top
Reinforcement on the staple line, bioseal won't stop
Hiatal hernia hiding? Check before you close
Crural repair concurrent, that's how surgical knowledge grows
But caution with the GERD — sleeve can amplify reflux
Some patients need a bypass instead, gotta weigh the crux
[Chorus]
Sleeve, bypass, OAGB, switch
Every operation hits a different metabolic pitch
Pouch construction, limb lengths, defects closed with care
Bariatric surgery — precision everywhere
Sleeve, bypass, OAGB, switch
Revisional options when the first attempt misses
Know your anatomy, know your staple height
Malabsorptive or restrictive — choose the right type
[Verse 2]
Roux-en-Y, the gold standard, pouch the size of your thumb
Gastric pouch fifteen to thirty mils, then the Roux limb comes
Biliopancreatic limb and the alimentary tract
Antecolic antegastric, less internal hernia fact
But retrocolic shorter, both approaches have their place
Petersen's defect, mesocolon gap — close every space
Gastrojejunostomy, hand-sewn or stapled tight
Linear or circular — twenty-one millimetre bite
[Chorus]
Sleeve, bypass, OAGB, switch
Every operation hits a different metabolic pitch
Pouch construction, limb lengths, defects closed with care
Bariatric surgery — precision everywhere
Sleeve, bypass, OAGB, switch
Revisional options when the first attempt misses
Know your anatomy, know your staple height
Malabsorptive or restrictive — choose the right type
[Verse 3]
One anastomosis bypass — single join, long biliopancreatic limb
Loop configuration, two hundred centimetres at the brim
Quicker than the Roux but bile reflux is the concern
SADI-S preserves the pylorus, that's a crucial lesson learned
Duodenal switch with BPD — common channel fifty short
Most aggressive malabsorption, micronutrient support
Adjustable gastric band, historical now, fell from grace
Erosion, slippage, port problems — revisional commonplace
[Bridge]
Endoscopic options when the patient won't go under the knife
Intragastric balloon, six months maximum lifespan
Endoscopic sleeve gastroplasty, suture the greater curve tight
Non-surgical pathways still demand a serious clinical plan
Revisional surgery carries elevated complication rates
Fistula, stenosis, nutritional deficit at the gates
Indication must be solid — weight regain or comorbid return
Anatomical failure or reflux refractory — those are the turns
[Chorus]
Sleeve, bypass, OAGB, switch
Every operation hits a different metabolic pitch
Pouch construction, limb lengths, defects closed with care
Bariatric surgery — precision everywhere
Sleeve, bypass, OAGB, switch
Revisional options when the first attempt misses
Know your anatomy, know your staple height
Malabsorptive or restrictive — choose the right type