Comparison of Repeat Sleeve Gastrectomy and Roux-en-Y Gastric Bypass in Case of Weight Loss Failure After Sleeve Gastrectomy

Aug 8, 2019Obesity surgery

Comparing Repeat Sleeve Gastrectomy and Gastric Bypass After Failed Weight Loss from Sleeve Gastrectomy

AI simplified

GLP-1 Therapies on OpenScience ↗PubMed ↗DOI ↗

Abstract

Excess weight loss at 1 year was 69.5% for re-sleeve gastrectomy (re-SG) compared to 61.2% for Roux-en-Y gastric bypass (RYGB).

The mean interval between primary sleeve gastrectomy and re-surgery was approximately 41.5 months for re-SG and 43.2 months for RYGB.
The mean operative time was shorter for re-SG at 103 minutes compared to 129.4 minutes for RYGB.
One death (1.7%) occurred in the re-SG group, while 25 complications (17.4%) were reported across both groups.
At 1 year, the mean body mass index was 31.6 for re-SG and 32.5 for RYGB, indicating no significant difference.
Both re-SG and RYGB demonstrated similar outcomes in weight loss during the first year after surgery.

AI simplified

BACKGROUND: Few series are available on the results of repeat sleeve gastrectomy (re-SG) and Roux-en-Y gastric bypass (RYGB) performed to manage the failure of primary sleeve gastrectomy (SG). The objective of this study was to compare the short- and medium-term outcomes of re-SG and RYGB after SG.

MATERIAL & METHODS: Between January 2010 and December 2017, patients undergoing re-SG (n = 61) and RYGB (n = 83) for failure of primary SG were included in this study. Revisional surgery was proposed for patients with insufficient excess weight loss (EWL ≤ 50%) or weight regain. The primary endpoint was the comparison of weight loss in the re-SG group and the RYGB group at the 1-year follow-up. The secondary endpoints were overall mortality and morbidity, specific morbidity, length of stay, weight loss, and correction of comorbidities.

RESULTS: The mean interval between SG and re-SG was 41.5 vs. 43.2 months between SG and RYGB (p = 0.32). The mean operative time was 103 min (re-SG group) vs. 129.4 min (RYGB group). One death (1.7%; re-SG group) and 25 complications (17.4%; 9 in the re-SG group, 16 in the RYGB group) were observed. At the 1 year, mean body mass index was 31.6 in the re-SG group and 32.5 in the RYGB group (p = 0.61) and excess weight loss was 69.5 vs. 61.2, respectively (p = 0.05).

CONCLUSION: Re-SG and RYGB as revisional surgery for SG are feasible with acceptable outcomes and similar results on weight loss on the first postoperative year.

Full Text

Full text is available at the source.

View full text (PDF) ↗View full text (HTML) ↗

Comparison of Repeat Sleeve Gastrectomy and Roux-en-Y Gastric Bypass in Case of Weight Loss Failure After Sleeve Gastrectomy

Abstract

Full Text

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the glp-1 therapies brief

Abstract

Full Text

Related papers

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the glp-1 therapies brief