Roux en Y gastric bypass indications

Indication of Bariatric Surgery (Roux-en-Y Gastric Bypass

  1. The indication of a combination (restrictive and malabsorptive) bariatric technique, such as a Roux-en-Y Gastric Bypass Surgery (RYGB) and Duodenal Switch (Scopinaro) in the older individuals can be risky, not just in terms of nutritional needs, but primarily for promoting modifications in the intestinal microbiota
  2. Background: Laparoscopic Roux-en-Y gastric bypass (RYGB) is proven to be a safe and effective treatment of obesity and related co-morbidities. However, there is a small group of patients who are unable to tolerate postoperative complications and ultimately undergo reversal procedures
  3. Roux-en-y gastric bypass is a restrictive-malabsorptive operation performed for weight loss in individuals with a BMI of 40 or greater, or in those BMI of 35 or greater with obesity-related comorbidities. Gastric bypass can be performed via open, laparoscopic, or robotic techniques
  4. The Roux-en-Y gastric bypass (RYGB) procedure has been demonstrated to be a safe and effective treatment of obesity and related diseases. Such success has been documented throughout the literature with significant risk reductions in hypertension, diabetes mellitus, and hyperlipidemi
  5. INTRODUCTION. Laparoscopic Roux-en-Y gastric bypass (LRYGB), as a bariatric procedure, was first described by Alan Wittgrove in 1994 [ 1 ]. Over the ensuing decades, the technique of LRYGB as well as perioperative care of patients have been gradually improved and refined [ 2 ]
  6. Indications included weight regain (n = 29), malabsorption (n = 16), gastrogastric fistula (n = 5), band-associated problems (n = 3), and refractory stomal ulceration (n = 1)

Indications and outcomes of reversal of Roux-en-Y gastric

Roux-en-Y Gastric Bypass - StatPearls - NCBI Bookshel

Bariatric Times. 2020;17 (5):9-10. Over 200,000 patients in the United States were treated with bariatric surgery in 2017, and, of those patients, almost 18 percent underwent Roux-en-Y gastric bypass (RYGB). 1 Though the safety and effectiveness of RYGB as a treatment for obesity are well-known, postoperative complications can still occur Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. It's often done as a laparoscopic surgery, with small incisions in the abdomen. This surgery reduces the size of your upper stomach to a small pouch about the size of an egg. The surgeon does this by stapling off the upper. Once the indication for revisional surgery is established, the surgeon has to choose between different options according to the WR/IWL, the functional and morphological problem: revisional SG (ReSG), conversion to Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion with duodenal switch (BPD-DS), or one anastomosis gastric bypass (OAGB) (currently not indicated in France) and single anastomosis duodeno-ileal bypass (SADI) The Roux-en-Y gastric bypass is a rather complex procedure requiring many small millimeter-sized incisions and attachments. Surgeons must have proper technique and precision to minimize complications and risks. Sometimes, when the intestine is attached to the new stoma, the doctor can make the opening too big, causing too much food to 'bypass.

The aim of this study was to assess the indications and outcomes of revision of SG to laparoscopic Roux-en-Y gastric bypass (RYGB) at a single community hospital. Setting Community hospital, United States A retrospective analysis of laparoscopic conversions from SG to Roux-en-Y gastric bypass (RYGB) was performed to assess the efficacy for reflux relief and weight loss success. Results A total of eight out of 73 patients (11%) underwent conversion to RYGB for severe reflux ( n = 3) or weight regain ( n = 5) after a median interval of 33 months following laparoscopic sleeve gastrectomy Laparoscopic sleeve gastrectomy (LSG) was originally described as the restrictive part of biliopancreatic diversion with duodenal switch (BPD/DS) and was subsequently used as a first step procedure in difficult cases for either DS or laparoscopic Roux-en-Y gastric bypass (RYGB) . During recent years, LSG has progressively gained popularity among the surgical community as a standalone bariatric procedure

The aim of this study was to report preliminary results within the 2 main indications for laparoscopic conversion of SG to Roux-en-Y gastric bypass (RYGB). Setting University Hospital, France Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass—Indications and Outcome Felix B. Langer & Arthur Bohdjalian & Soheila Shakeri-Leidenmühler & Sebastian F. Schoppmann & Johannes Zacherl & Gerhard Prager Published online: 15 April 2010 # Springer Science + Business Media, LLC 2010 Abstract Background Due to excellent weight loss. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/narrated-videos-by-topics/bariatric-surgeries/-/me.. Laparoscopic Roux-en-Y Gastric Bypass (Graphic) Watch later. Share. Copy link. Info. Shopping. Tap to unmute. If playback doesn't begin shortly, try restarting your device. Up next

Download Citation | Open roux-en-Y gastric bypass: Indications and technique | Summary Clearly, laparoscopic RYGB is a significant technologic advance. Nevertheless, there remains a role for open. Sarr MG. Open Roux-en-Y gastric bypass: Indications and technique. Journal of Gastrointestinal Surgery. 2004 Jan 1;8(4):390-392. https://doi.org/10.1016/j.gassur.2003. Also known as: Roux en Y Gastric Bypass. Drug Trials; Drug Drug Name Drug Description; Drug Drug Name Target Type; Drug Drug Name Phase Status Count; DB01156: Bupropion: 4: Completed: 1: DB00285: Venlafaxine: 4: Completed: 1: Using machine learning in drug discovery? Integrate our machine-readable data into your algorithms, saving you time and. Roux-en-Y gastric bypass is a type of weight loss surgery. Staples are used to make a small stomach pouch that is separate from the rest of your stomach. The new stomach pouch is connected to the middle part of the small intestine. Food will bypass (go around) the rest of the stomach and move directly into the small intestine The roux-en-Y gastric bypass surgery is the gold standard of bariatric surgery. On average, patients lose about 60-80% of their excess weight after surgery. However, not everyone loses the same weight after gastric bypass surgery. Studies have shown that up to 15-35% of patients regain significant amount of weight back or fail to achieve.


Gastric bypass, also known as Roux-en-Y gastric bypass, is a bariatric or weight loss surgery for obese patients who have not been successful in losing weight through dieting, exercise, and medication. The surgery uses a combination of restrictive and malabsorptive techniques to achieve a successful outcome Gastrointestinal (GI) hemorrhage is a potential complication after both open and laparoscopic gastric bypass. The incidence of GI hemorrhage after laparoscopic gastric bypass ranges from 1.1 to 4 percent. [1-6] Although the incidence is low, this complication can be life-threatening if not recognized expeditiously and treated correctly The Roux-en-Y gastric bypass is considered the gold standard for weight loss surgery. Proven benefits identified with both the open or laparoscopic technique include: Significant weight loss. Improvement in obesity-related health problems (including cardiovascular disease, hypertension and type 2 diabetes) Reduction in patient mortality

Total Parenteral Nutrition (TPN) - Nutritional Disorders

Indications, safety, and feasibility of conversion of

The Roux-en-Y Gastric Bypass surgery reduces the stomach's storage capacity, which limits food intake and helps you feel full much sooner than a regular size stomach. Amongst the benefit of weight loss, Gastric Bypass surgery has benefited thousands of our patients at CER Bariatrics by helping reduce and in, some cases, put into remission the. Introduction. Anastomotic leaks and pulmonary embolism are the two most feared complications in patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB), and considered the most common cause of death 1, 2.The reported incidence of leakage varies from 0·1 to 5·6 per cent 3-7, partly depending on the definition used.The Scandinavian Obesity Surgery Registry 8 reported a leak rate of 1. Roux-en-Y Gastric Bypass. Roux-en-Y gastric bypass (RYGB) is the most common type of gastric bypass weight loss surgery. 1 It is usually laparoscopic. It is reversible if necessary, but is designed to be permanent. The surgeon first divides your stomach, leaving a smaller upper portion and stitching shut the larger remainder of your stomach so. Roux-en-Y gastric bypass (RYGB) is the most effective treatment to reduce body weight and improve glycemic status including T2DM. 11,12 The weight loss and improvement of glycemic status after RYGB caused by RYGB induced rerouting of nutrients and improved the secretion of gastrointestinal hormones, such as ghrelin, peptide YY and glucagon-like.

What Happens During a Roux-en-Y Gastric Bypass Procedure? During this 60 to 90 minute procedure, our surgeon sections off a portion of the stomach and reroute part of the small intestine. This new configuration allows food to be redirected, bypassing most of the stomach and the first section of the small intestine Previous studies have reported that roux-en Y gastric bypass surgery (RYGBS) has used to treat patients with T2DM. However, there is no literature evidence addressing on the effect of RYGBS for patients with T2DM at evidence-based medicine level. Thus, the target of this study is to evaluate the effect of RYGBS for patients with T2DM Background Roux-en-Y gastric bypass (RYGB) is the second most frequently performed bariatric procedure worldwide. While pouch migration is a common phenomenon after sleeve gastrectomy (SG), it has. Laparoscopic Roux-en-Y Gastric Bypass A Restrictive and Malabsorptive Procedure How is it done? The laparoscopic RY gastric bypass is performed by introducing a laparoscope, which is connected to a video camera, through small abdominal incisions, giving a magnified view of the internal organs on a television monitor. The entire operation is performed inside the abdomen [

Revising Roux-en-Y Gastric Bypass Procedures | HCPLive

Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y

Background . Complications at the gastrojejunal anastomosis after laparoscopic Roux-en-Y gastric bypass (LRYGB) are challenging in terms of diagnosis, therapy, and prevention. This study aims at identifying these complications and discussing their management. Methods . Data of 228 patients who underwent a LRYGB between October 2008 and December 2011 were reviewed retrospectively to evaluate. The Roux-en-Y Gastric Bypass has been around for over 50 years and has been the commonest weight loss proedure performed worldwide for most of that time period. However, it is significantly more complex surgery than gastric band or sleeve gastrectomy surgery because it involves both the cutting and joining of different parts of the bowel and. This surgery is known as Roux-En-Y Gastric Bypass (RYGP). There are two ways to perform this surgery: the open incision method and the laproscopic method, which uses 5 small incisions to reduce post-operative pain and speed recovery. There are two ways to perform Roux-En-Y Gastric Bypass; open and laparoscopic Since reports as early as 2005, the laparoscopic sleeve gastrectomy (SG) has gained increased acceptance as a primary weight loss operation. As with any bariatric procedure, insufficient weight loss and long term complications have been reported. We analyzed primary SG warranting revision to Roux-en-Y gastric bypass (RYGB)

Indications For Bariatric Surgery - Jet Medical Tourism

A roux en y gastric bypass reduces the size of our upper stomach to that of the size of an egg. This weight loss surgery helps by reducing the number of calories and fat that your body absorbs from the food you eat. Many do say this is the safest weight loss surgery to use if you're overweight and struggling to lose it in other ways Gastric bypass surgery has long been a dependable option for those looking to lose weight, look better, and feel better. One of the weight loss surgery options offered by Baptist Health Bariatrics Center is the Roux-en-Y gastric bypass (or RYGB). RYGB has been changing lives, one surgery at a time, for decades Roux-En-Y Gastric Bypass. Gastric bypass, also known as Roux-en-Y gastric bypass, is a bariatric or weight loss surgery for obese patients who have not been successful losing weight through dieting, exercise and medication. The surgery uses a combination of restrictive and mal-absorptive techniques to achieve a successful outcome

Laparoscopic Gastric Bypass: Background, Indications

Laparoscopic Gastric Bypass Technique: Laparoscopic Roux

Roux-En-Y Gastric Bypass Roux En Y Benefits & Complication

What is gastric bypass surgery or (RNY or Roux-en-Y) If you are contemplating a weight loss procedure to get rid of obesity, you should first understand all your options before making a decision. At your first meeting with a bariatric surgeon, you should ask what is gastric bypass surgery and how it can benefit you The mini-gastric bypass can cost anywhere from $16,000 - $22,000 depending on the state and location of the procedure as well as the physician and hospital in which it is performed. This is significantly less than the average Roux-en-Y bypass which can cost, on average, $18,000 - $35,000 Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg . 2003 Dec. 13 (6):861-4. [Medline] Gastric bypass surgery, also known as Roux-en-Y gastric bypass (RYGB), is a type of bariatric (weight-loss) surgery. The procedure works by restricting the amount of food a person can eat, as well as limiting the absorption of nutrients in the gut. In addition to careful preparation, patients must be willing and able to make permanent lifestyle. The Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is one of the most commonly performed bariatric procedures. Although the risk-benefit balance is highly favorable, it is important for the people in the field to be aware, understand and prevent potential complications. The aim of this chapter focuses on one of the potential complications of.

Gastric bypass surgery—also called Roux-en-Y gastric bypass surgery (RYGB)—is a type of bariatric surgery that involves creating a small pouch out of a patient's existing stomach. This scheduled surgery requires careful preparation, as the end result demands a lifelong commitment to healthy diet and exercise habits Roux‐en‐Y Gastric Bypass • Common PCS issues: - Keep in mind that not every Roux‐en‐Y is the same. For example, if the Roux‐en‐Y bypass is done for bariatric weight loss purposes, an Excision of stomach is not done but might be performed in other situations Gastric Bypass Surgery (Also know as the Roux En Y Bypass) is carried out to reduce the size of your stomach. It is done under a general anaesthetic and usually takes between two to three hours depending on your individual circumstances. Your surgeon will use surgical staples to create a pouch from the upper part of your stomach Gastric bypass is a weight loss surgery which involves reducing the size of the stomach to promote early satiety and bypassing a section of the intestine to limit food absorption. This is usually carried out by the Roux-En-Y procedure in which the stomach and intestine are reconnected by creating two new communications or anastomoses. The Roux-en-Y gastric bypass (RYGB) is a worldwide-performed procedure as primary surgery, and as conversional procedure after complications and/or failure of other bariatric procedures. RYGB can be performed as revisional surgery after adjustable gastric banding, vertical banded gastroplasty, sleeve gastrectomy and one anastomosis gastric bypass

Roux-en-Y Gastric Bypass - IFS

Indications for revision surgery in one-step and two-step

1.2 Indications for Surgery Body Mass Index..... 9 2.0 Historical Background of the Roux-en-Y Gastric Bypass.. 10 3.0 Laparoscopic 6 Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity Overweight is spreading throughout all countries so obesity is a worldwide problem: It is the heavy burden o Roux-en-Y Gastric Bypass. RYGB involves dividing the stomach to create a small (15-30mL) stomach pouch into which a segment of jejunum approximately 15 to 60cm inferior to the ligament of Treitz is inserted, whereas the proximal portion of the jejunum that drains the bypassed lower stomach and duodenum is reanastomosed 75 to 150cm inferior to the gastrojejunostomy

Intestinal Complications after Roux-en-Y Gastric Bypass

Roux-en-Y gastric bypass is one of the most common bariatric surgeries, used to treat morbid obesity.. In this laparoscopic operation, the stomach is stapled or divided to form a small pouch (typically <30 mL in volume), which is anastomosed to the Roux limb (also known as the efferent or alimentary limb) made of jejunum of varying length (typically 75-150 cm) Benefits of gastric bypass. Roux en y gastric bypass is an effective weight loss procedure that offers excellent results than any other method. It is likely to lose about 40-70% of your excess weight loss. Remember, not all patients lose the same amount of weight. It depends on individual circumstances Currently, the most effective treatment options are various bariatric surgery procedures, including its gold standard, the Roux-en-Y gastric bypass. These procedures are invasive, but their effect to reduce body weight and to diminish the occurrence and severity of obesity-related comorbidities largely outweighs any other treatment option

The Roux-en-Y Gastric Bypass, often called the gastric bypass, has now been performed for more than 50 years and the laparoscopic approach has been refined since 1993. It is one of the most common operations and is very effective in treating obesity and obesity related diseases. The name is a French term meaning in the form of a Y Revision of primary sleeve gastrectomy to Roux-en-Y gastric bypass: indications and outcomes from a high-volume center. Surg Obes Relat Dis. 2016; 12 : 1817-1825 Abstrac Roux-en-Y gastric bypass. Bij de R-en-Y gastric bypass wordt het maagvolume fors verkleind en wordt er een omlegging gecreëerd van het spijsverteringskanaal. De ingreep wordt uitgevoerd via een kijkbuisoperatie (laparoscopie) of met de robot. De chirurg creëert een kleine beursmaag thv de overgang van de slokdarm naar de maag Roux-en-Y (pronounced ROO-en-why) gastric bypass surgery restricts food intake by creating a small pouch at the top of the stomach. The pouch is then connected to a section of the small intestine, allowing food to bypass the lower stomach and the first two parts of the small intestine The average cost of Roux-en-Y gastric bypass surgery is approximately $15,000 to $30,000, but this is often covered by insurance providers. The cost of the gastric bypass procedure will vary based on the expertise of your bariatric surgeon and the geographic location of the practice. In addition, associated fees like anesthesia and medications.

Sleeve Gastrectomy Surgery - Pioneer Valley Surgical

The gallbladder is not usually removed during Roux-en-Y gastric bypass, and there is no indication that gallbladder contraction is adversely affected after gastric bypass. Previous studies suggested an increase in cholecystokinin after jejunoileal bypass, which may result in enhanced bile flow from the gallbladder or liver ( 34 ) Share your videos with friends, family, and the worl

Roux-en-Y anastomosis - Wikipedi

Some indications for conversion to Roux en Y bypass may be: Uncontrolled acid reflux symptoms despite medication following previous operations eg gastric band or sleeve Uncontrolled bile reflux following previous operations eg gastric band or sleeve The presence of Barrett's Oesophagus (hence an. Watch the video below to learn more about Roux-en-Y gastric bypass. YouTube. Ethicon. 69.1K subscribers. Subscribe. Gastric Bypass Procedure Animation. Watch later. Copy link. Info

Indications for Conversion from Sleeve Gastretomy to Roux

Sleeve gastrectomy and Roux-en-Y gastric bypass are two of the most commonly performed bariatric procedures in Australia, the other being gastric banding. They are usually done laparoscopically. As with banding, sleeve and bypass operations result in less hunger and reduced portion sizes The gastric bypass technique was introduced by Mason and Ito in 1967 (17).Currently, the Roux-en-Y gastric bypass combines restrictive and malabsorptive properties by creating a small gastric pouch and a Roux limb (18). While varia-tions exist, the Roux-en-Y gastric bypass may be considered the standard of reference for bariatri Indications and mid-term results of conversion from sleeve gastrectomy to Roux-en-Y gastric bypass Obes Surg , 23 ( 2 ) ( 2013 ) , pp. 212 - 215 CrossRef View Record in Scopus Google Schola One type of gastric bypass surgery is a Roux-en-Y gastric bypass. In normal digestion, food passes through the stomach and enters the small intestine, where most of the nutrients and calories are absorbed. It then passes into the large intestine (colon), and the remaining waste is eventually excreted. In a Roux-en-Y gastric bypass, only a small.

Roux-en-Y Gastric Bypass Surgery has been very popular overseas for many years and can result in excellent long-term sustained weight loss. This Weight Loss Surgery procedure is performed using a few small laparoscopic (keyhole) incisions, and creates a small portion of narrow stomach which is disconnected from the rest of the stomach Roux-en-Y Gastric Bypass Surgery. In this surgery stomach is stapled to create a small pouch which defines the quantity of food that can be consumed at one time after surgery. Small bowel is divided and joined to this stomach pouch at a calculated level. Proximal portion of small intestine is bypassed to prevent food coming in contact with.

The Roux-en-Y can provide sustained weight loss (60 to 70 pounds for a patient 100 pounds overweight). It is also proven to improve or weight-related conditions such as Type 2 diabetes. The American Society for Metabolic and Bariatric Surgery has designated the University of Minnesota Medical Center a Bariatric Surgery Center of Excellence Roux-En-Y Gastric Bypass Indications. As per IFSO-APC Consensus statements 2011. Bariatric surgery should be considered for the treatment of... Surgery:. Gastric bypass surgery is performed under general anaesthesia. Your surgeon makes several small incisions on... Post-operative care:. After. Laparoscopic Roux-en-Y Gastric Bypass. Roux-en-Y Gastric Bypass (RYGB) is more sophisticated than Mini Gastric Bypass (MGB). In RYGB the surgeon separates a small pouch of the stomach from the rest of the stomach, and separates the small bowel into two parts. The surgeon then creates two connections (called anastomosis) Gastric bypass can be done in two ways. With open surgery, your surgeon makes a large surgical cut to open your belly. The bypass is done by working on your stomach, small intestine, and other organs. Another way to do this surgery is to use a tiny camera, called a laparoscope. This camera is placed in your belly The Roux-en-Y gastric bypass (RNYGB) has been around in various shapes and forms for over 50 years. It has previously been considered the gold standard of weight loss procedures. With the evolution of new techniques, including the mini gastric bypass (MGB) and sleeve gastrectomy (LSG), this title has been contended

What is gastric bypass surgery or (RNY or Roux-en-Y) If you are contemplating a weight loss procedure to get rid of obesity, you should first understand all your options before making a decision. At your first meeting with a bariatric surgeon, you should ask what is gastric bypass surgery and how it can benefit you Title:Roux-en-Y Gastrointestinal Bypass Promotes Activation of TGR5 and Peptide YY VOLUME: 20 ISSUE: 8 Author(s):Haojun Yang, Hanyang Liu, YuWen Jiao and Jun Qian* Affiliation:Department of Gastrointestinal Surgery, Nanjing Medical University Affiliated Changzhou No. 2 People's Hospital, Changzhou, 213000, Department of Gastrointestinal Surgery, Nanjing Medical University Affiliated. Roux en Y Gastric Bypass. The Roux en Y gastric bypass is a very good, time-proven weight-loss operation. It has been in existence for over 50 years and has proven long term weight loss. The operation is a keyhole procedure that converts the stomach from a 2 litre capacity to a 30ml small pouch by dividing the upper part of the stomach

The sleeve gastrectomy or gastric sleeve and gastric bypass Roux-en-Y are comparable in weight loss, but appear to differ in their effects on comorbidities 48 48. Yaghoubian A, Tolan A, Stabile BE, et al. Laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy achieve comparable weight loss at 1 year. Am Surg 2012; 78:1325-1328 The laparoscopic approach to bariatric surgery has decreased recovery time and reduced the number of complications. In laparoscopic Roux-en-Y gastric bypass surgery, a 15-30 mL gastric pouch is created and is anastomosed end-to-side to a Roux limb (Fig. 1A, 1B). To create the Roux limb, the surgeon transects the jejunum at approximately 30 cm.

Purpose: The purpose of the study is to evaluate the indications, techniques, and outcomes for percutaneous gastrostomy placement in the gastric remnant following Roux-en-Y gastric bypass (RYGB. Effects of Roux-en-Y gastric bypass surgery on fasting and postprandial concentrations of plasma ghrelin, peptide YY, and insulin. clinical indications and available options Hemant Goyal. Dietary Plan Post-operative Roux-en-Y Gastric Bypass Following surgery, patients will be on a modified diet for 6 weeks. Our surgical and dietetics team will discuss with each patient the dietary plan both pre and post-operatively. Weeks 1&2: Patients will be on a fluid diet post-operatively A total volume of 1.5-2.0L should be consumed dail The Roux-en-Y Gastric Bypass - often called gastric bypass - is considered the 'gold standard' of weight loss surgery and is the second most commonly performed bariatric procedure worldwide. Gastric bypass involves both restrictive and malabsorptive components to produce long-term weight loss. It is restrictive as a result of the.

A Roux-en-Y (say roo-en-why) gastric bypass is surgery to make the stomach smaller and change the connection between the stomach and the intestines. It is done to help people lose weight. The surgery limits the amount of food the stomach can hold. This helps you eat less and feel full sooner. The cut (incision) the doctor made in your belly. Gastric bypass, also called Roux-en-Y gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting t.. Laparoscopic roux-en-y gastric bypass surgery (LRYGB) has become the leading procedure for weight loss in the morbidly obese. Multiple obesity related co-morbidities including type 2 diabetes mellitus (T2DM), hypertension (HTN), obstructive sleep apnea (OSA) and gastroesophageal reflux disease (GERD) improve or resolve following these operations

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