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The aim of the study is to evaluate the incidence of IH after robot-assisted RYGB (RA-RYGB) performed with the \u201cDouble Loop\u201d technique at our Institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective cohort study of patients submitted to RA-RYGB with the \u201cDouble Loop\u201d technique, with a minimum follow-up of 2\u00a0years. Patients with complaints of abdominal pain at clinical visits or entering the emergency department were evaluated. Primary outcome was the incidence of IH, defined as the presence of herniated bowel through a mesenteric defect, diagnosed at imaging or at surgical exploration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 129 patients were included: 65 (50.4%) were primary procedures, while 64 (49.6%) were revisional operations after primary restrictive bariatric surgery. Mean age was 47.9\u2009\u00b1\u200910.2\u00a0years, mean weight, and body mass index were, respectively, 105.3\u2009\u00b1\u200922.6\u00a0kg and 39.7\u2009\u00b1\u20099.6\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Postoperative morbidity rate was 7.0%. Mean follow-up was 53.2\u2009\u00b1\u200922.6 (range 24\u201394) months. During the follow-up period, a total of 14 (10.8%) patients entered the emergency department: 1 patient had melena, 4 renal colic, 1 acute cholecystitis, 2 gynecologic pathologies, 2 anastomotic ulcers, 1 perforated gastric ulcer, 1 diverticulitis and 2 gastroenteritis. There were no diagnoses of IH. During the follow-up period, no patient experienced recurrence of symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the present study, the robotic approach confirms the low complication rate and absence of IH after \u201cDouble Loop\u201d RA-RYGB in a large case-series at a medium-term follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-020-07901-0","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T11:04:10Z","timestamp":1598612650000},"page":"4200-4205","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Robotic \u201cDouble Loop\u201d Roux-en-Y gastric bypass reduces the risk of postoperative internal hernias: a prospective observational study"],"prefix":"10.1007","volume":"35","author":[{"given":"Fabrizio","family":"Rebecchi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elettra","family":"Ugliono","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Palagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Genzone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Toppino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Morino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,8,28]]},"reference":[{"key":"7901_CR1","doi-asserted-by":"publisher","first-page":"3783","DOI":"10.1007\/s11695-018-3450-2","volume":"28","author":"L Angrisani","year":"2018","unstructured":"Angrisani L, Santonicola A, Iovino P, Vitiello A, Higa K, Himpens J, Buchwald H, Scopinaro N (2018) IFSO Worldwide survey 2016: primary, endoluminal, and revisional procedures. 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