Approach to Poor Weight Loss After Laparoscopic Sleeve Gastrectomy: Re-sleeve Vs. Gastric Bypass
| Autor: | Nourah Alsharqawi, Waleed Buhaimed, Mohanned Al Haddad, Ahmed Al-Mulla, Shehab Akrof, Salman Al-Sabah, Saud Al-Subaie, Khaled Alenezi |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Gastroplasty Endocrinology Diabetes and Metabolism medicine.medical_treatment Gastric bypass Gastric Bypass 030209 endocrinology & metabolism Body Mass Index 03 medical and health sciences 0302 clinical medicine Weight regain Gastrectomy Weight loss Weight Loss medicine Humans Obesity Treatment Failure Retrospective Studies Laparoscopic sleeve gastrectomy Nutrition and Dietetics business.industry Middle Aged Surgery Feasibility Studies Female Laparoscopy 030211 gastroenterology & hepatology medicine.symptom business Excessive weight loss Body mass index Algorithms Follow-Up Studies |
| Zdroj: | Obesity Surgery. 26:2302-2307 |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | Laparoscopic sleeve gastrectomy (LSG) is increasing worldwide; however, long-term follow-up results included insufficient weight loss and weight regain. This study aims at assessing the outcomes of converting LSG to laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic re-sleeve gastrectomy (LRSG). A total of 1300 patients underwent LSG from 2009 to 2012, of which 12 patients underwent LRYGB and 24 patients underwent LRSG in Al-Amiri Hospital alone. Data included length of stay, percentage excessive weight loss (EWL%), and body mass index (BMI). Twenty-four patients underwent conversion from LSG to LRSG, and 12 patients underwent conversion from LSG to LRYGB due to insufficient weight loss and weight regain. Eighty-five percent were females. The mean weight and BMI prior to LSG for the LRYGB and LRSG patients were 136.5 kg and 52, and 134 kg and 50, respectively. The EWL% after the initial LSG was 37.9 and 43 %, for LRYGB and LRSG, respectively. There were no complications recorded. Results of conversion of LSG to LRYGB involved a mean EWL% 61.3 % after 1 year (p value 0.009). Results of LRSG involved a mean EWL% of 57 % over interval of 1 year (p value 0.05). Comparison of the EWL% of LRYGB and LRSG for failed primary LSG was not significant (p value 0.097). Following our algorithm, revising an LSG with an LRSG or LRYGB for poor weight loss is feasible with good outcomes. Larger and longer follow-up studies are needed to verify our results. |
| Databáze: | OpenAIRE |
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