Revision surgery for treatment of weight regain after Roux-en-Y gastric bypass.

Autor: Ferraz AA; Surgery Department, Pernambuco Federal University Hospital, Recife, Pernambuco, Brazil., de Siqueira LT, Nunes Filho E, de Araújo JG Jr, Campos JM, de Barros-Correia TX, Muniz MG, Ferraz EM
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2014 Jan; Vol. 24 (1), pp. 2-8.
DOI: 10.1007/s11695-013-1055-3
Abstrakt: Background: This study aims to evaluate results on revision surgery for weight regain after gastric bypass, based on surgical technique and follow-up.
Methods: This study is a retrospective analysis of 29 patients who presented weight regain on follow-up after more than 5 years, divided into four groups according to revision surgery type: group 1 (n = 9) includes patients who underwent an increase in the length of the alimentary limb to 200 cm; group 2 (n = 13) are patients who underwent an increase in the length of the alimentary limb and placing of a silicon ring; group 3 (n = 2) are patients who underwent an increase in the length of the alimentary limb and gastric plication, and group 4 (n = 5) are patients who underwent gastric plication and placing of a silicon ring.
Results: The average preoperative weight before revision surgery was 117.8 kg, and the average postoperative follow-up for revision surgery was 13.7 months. Weight loss after revision surgery was observed in all groups but was greater in patients with longer revisional postoperative follow-up. Patients who underwent placing of a silicon ring presented greater weight loss than those who had had such a band since the original gastric bypass operation.
Conclusions: Data suggest that revision surgery may be a useful tool in achieving weight loss in patients presenting weight regain following gastric bypass, obesity, bariatric surgery, gastric bypass, weight regain, and revision surgery.
Databáze: MEDLINE
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