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Extended pouch gastric bypass (EP-RYGB) results in slightly better weight loss outcomes and similar health-related quality of life (HRQoL) compared to standard Roux-en-Y gastric bypass (S-RYGB) five to nine years postoperatively, according to researchers from the Netherlands. Anatomy of the surgical procedures. S-RYGB Standard Roux-en-Y gastric bypass, EP-RYGB Extended pouch Roux-en-Y gastric bypass The researchers hypothesised that a narrow longer pouch could lead to better