Bariatric revisional surgery: What are the challenges for the patient and the practitioner?
| Autor: | Benjamin Menahem, A. Lee Bion, Arnaud Alves, Y. Le Roux |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Reoperation
medicine.medical_specialty Sleeve gastrectomy Gastric banding business.industry medicine.medical_treatment Gastric bypass Patient characteristics Bariatric Surgery General Medicine 030230 surgery Surgery Obesity Morbid 03 medical and health sciences 0302 clinical medicine Treatment Outcome Multidisciplinary approach 030220 oncology & carcinogenesis medicine Performed Procedure Humans Laparoscopy business Retrospective Studies |
| Zdroj: | Journal of visceral surgery. 158(1) |
| ISSN: | 1878-7886 |
| Popis: | Bariatric revisional surgery represents an important new issue for obese patients because of the considerable rate of failure and complications following bariatric surgery. As the frequency of bariatric procedures increases, so too does the incidence of revisional surgery, which has become becoming increasingly important. The surgeon must know the indications and the results of the various revisional procedures in order to best guide the therapeutic decision. The current challenge is to correctly select the patients for revisional surgery and to choose the appropriate procedure in each case. Multidisciplinary management is essential to patient re-assessment and to prepare the patient for a re- intervention. The objective of this update, based on data from all the most recent studies concerning revisional surgery, is to guide the surgeon in the choice of the revisional procedure, depending on patient characteristics, co-morbidities, the previously performed procedure, the type of failure or complication observed, but also on the surgeon's own habits and the center's expertise. The collected results show that revisional surgery is difficult, with higher complication rates and weight-loss results that are often lower than those of first-intent surgery. For these reasons, patient selection must be rigorous and multidisciplinary and the management in expert centers of these difficult situations must be encouraged. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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