Laparoscopic sleeve gastrectomy conversion to Roux-en-Y gastric bypass: experience in 50 patients after 1 to 3 years of follow-up

Aug 14, 2016Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Results of Switching from Sleeve Gastrectomy to Gastric Bypass Surgery after 1 to 3 Years in 50 Patients

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Abstract

Fifty patients underwent conversion from sleeve gastrectomy to revisional laparoscopic Roux-en-Y gastric bypass.

  • Mean age of patients was 39±8.4 years, with 84% being women.
  • Indications for revision included weight regain (56%), gastroesophageal reflux disease (32%), and gastric stenosis (12%).
  • In patients experiencing weight regain, the median percentage of total weight loss at 12 months was 18.5% and at 36 months was 19.3%.
  • Percentage of excess weight loss at 12 months was 60.7% and at 36 months was 66.9%.
  • Over 90% of patients with gastroesophageal reflux disease reported improvement or resolution of symptoms.
  • All patients with gastric stenosis had symptom resolution after conversion.

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