Weight-Related Outcomes After Revisional Bariatric Surgery in Patients with Non-response After Sleeve Gastrectomy—a Systematic Review

Autor: Stephan Axer, Hans Lederhuber, Franziska Stiede, Eva Szabo, Ingmar Näslund
Rok vydání: 2023
Předmět:
Zdroj: Obesity Surgery.
ISSN: 1708-0428
0960-8923
DOI: 10.1007/s11695-023-06630-2
Popis: Weight non-response after sleeve gastrectomy is an emerging issue. This systematic review compared revisional procedures for weight-related outcomes. We searched several databases for relevant articles and included adult patients with revisional bariatric procedures after primary sleeve gastrectomy. Twelve trials with 1046 patients were included, covering five revisional procedures. There were no randomised controlled trials, and 10 studies had a critical risk of bias. Significant variations in inclusion criteria, therapy benchmarks, follow-up schemes, and outcome measurements were observed, preventing meaningful comparison of results. Evidence-based treatment strategies for weight non-response after sleeve gastrectomy cannot be deduced from the current literature. Prospective studies with well-defined indications, standardised techniques, and strict adherence to outcome measurements are needed.
Databáze: OpenAIRE
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