Management of Complications and Outcomes After Revisional Bariatric Surgery: 3-Year Experience at a Bariatric Center of Excellence

Obesity Surgery
Mohamed AbdelgawadGianfranco Silecchia

Abstract

Laparoscopic revisional bariatric surgery (RBS) is increasingly common. A tailored decision-making process is advocated. In this retrospective study, we reviewed the RBS experience of a single center, analyzing perioperative complications to provide insight into management options and midterm outcomes. Records from November 2011 to March 2015 were reviewed from prospectively maintained database. Six hundred eighteen patients underwent laparoscopic bariatric procedures; of these, 81 (13.1 %) underwent RBS. Patients with a minimum follow-up of 6 months (n = 77) were evaluated. Fifty-nine underwent revised laparoscopic sleeve gastrectomy, and 18 underwent revised Roux-en-Y gastric bypass. Indications for RBS were inadequate weight loss or weight regain in 42 cases (54.5 %) and gastroesophageal reflux disease (GERD), procedure-related complications, or technical failure in 35 cases (45.5 %). There were no deaths or conversions to open surgery. After a mean follow-up of 22 months, body mass index (BMI) decreased from 40.9 ± 6.7 to 31.9 ± 4.8 kg/m(2), mean % excess weight loss (%EWL) was 58 ± 24.3 %, and 55.3 % of patients had resolution of comorbidities. Eight major complications (10.4 %) occurred: five leaks and three intra-abdomin...Continue Reading

References

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Citations

Jun 16, 2016·Langenbeck's Archives of Surgery·Angelo IossaGianfranco Silecchia
Mar 3, 2018·Obesity Surgery·Danila CapocciaFrida Leonetti
Aug 30, 2019·Journal of Robotic Surgery·Tamara Diaz-Vico, Enrique F Elli
May 11, 2019·Annals of Surgical Treatment and Research·Jong Seob Park, Sang-Moon Han
Sep 17, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Carlos Federico DavrieuxMariano E Giménez
Mar 15, 2020·The Surgical Clinics of North America·Pouya IranmaneshErik B Wilson
Mar 2, 2021·Obesity Surgery·Yilon Lima Cheng, Enrique F Elli

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