Midterm results of revisional bariatric surgery postsleeve gastrectomy: resleeve versus bypass
| Autor: | Salman Al-Sabah, Shehab Akrof, Saud Al-Subaie, Eliana Al Haddad, Khaled Alenezi |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Sleeve gastrectomy medicine.medical_treatment Gastric bypass Gastric Bypass Bariatric Surgery 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Weight loss Gastrectomy Retrospective analysis medicine Performed Procedure Humans Retrospective Studies Laparoscopic sleeve gastrectomy business.industry Surgery Obesity Morbid Treatment Outcome 030211 gastroenterology & hepatology Female Laparoscopy medicine.symptom business Body mass index |
| Zdroj: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 16(11) |
| ISSN: | 1878-7533 |
| Popis: | Background Bariatric surgery has been shown to produce the most predictable weight loss results, with laparoscopic sleeve gastrectomy (SG) being the most performed procedure as of 2014. However, inadequate weight loss may present the need for a revisional procedure. Objectives The aim of this study is to compare the efficacy of laparoscopic resleeve gastrectomy (LRSG) and laparoscopic Roux-en-Y gastric bypass in attaining successful weight loss. Setting Public hospital following SG. Methods A retrospective analysis was performed on all patients who underwent SG from 2008–2019. A list was obtained of those who underwent revisional bariatric surgery after initial SG, and their demographic characteristics were analyzed. Results A total of 2858 patients underwent SG, of whom 84 patients (3%) underwent either a revisional laparoscopic Roux-en-Y gastric bypass (rLRYGB) or LRSG. A total of 82% of the patients were female. The mean weight and body mass index (BMI) before SG for the LRSG and rLRYGB patients were 136.7 kg and 49.9 kg/m2 and 133.9 kg and 50.5 kg/m2, respectively. The mean BMI showed a drop from 42.0 to 31.7 (P Conclusions Revisional bariatric surgery is a safe and effective method for the management of failed primary SG. LRSG patients tended to do better earlier on; however, it leveled off with those who underwent rLRYGB by 5 years. |
| Databáze: | OpenAIRE |
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