HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Revisional bariatric surgery is more effective for improving obesity-related co-morbidities than it is for reinducing major weight loss.

AbstractBACKGROUND:
Patients having previous bariatric surgery are at risk for weight regain and return of co-morbidities. If an anatomic basis for the failure is identified, many surgeons advocate revision or conversion to a Roux-en-Y gastric bypass. The aim of this study was to determine whether revisional bariatric surgery leads to sufficient weight loss and co-morbidity remission.
PATIENTS AND METHODS:
From 2005-2012, patients undergoing revision were entered into a prospectively maintained database. Perioperative outcomes, including complications, weight loss, and co-morbidity remission, were examined for all patients with a history of a previous vertical banded gastroplasty (VBG) or Roux-en-Y gastric bypass (RYGB).
RESULTS:
Twenty-two patients with a history of RYGB and 56 with a history of VBG were identified. Following the revisional procedure, the RYGB group experienced 35.8% excess weight loss (%EWL) and a 31.8% morbidity rate. For the VBG group, patients experienced a 46.2% %EWL from their weight before the revisional operation with a 51.8% morbidity rate. Co-morbidity remission rate was excellent. Diabetes (VBG:100%, RYGB: 85.7%), gastroesophageal reflux disease (VBG: 94.4%, RYGB: 80%), and hypertension (VBG: 74.2%, RYGB:60%) demonstrated significant improvement.
CONCLUSION:
Revision of a failed RYGB or conversion of a VBG to a RYGB provides less weight loss and a higher complication rate than primary RYGB but provides an excellent opportunity for co-morbidity remission.
AuthorsDaniel McKenna, Don Selzer, Michael Burchett, Jennifer Choi, Samer G Mattar
JournalSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery (Surg Obes Relat Dis) 2014 Jul-Aug Vol. 10 Issue 4 Pg. 654-9 ISSN: 1878-7533 [Electronic] United States
PMID24708909 (Publication Type: Journal Article)
CopyrightCopyright © 2014 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
Topics
  • Adult
  • Body Mass Index
  • Female
  • Gastric Bypass (adverse effects)
  • Gastroesophageal Reflux (etiology, prevention & control)
  • Gastroplasty (adverse effects)
  • Humans
  • Hypertension (etiology, prevention & control)
  • Male
  • Middle Aged
  • Obesity, Morbid (complications, surgery)
  • Reoperation
  • Retrospective Studies
  • Sleep Apnea, Obstructive (etiology, prevention & control)
  • Treatment Outcome
  • Weight Loss

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: