Revisional one-anastomosis gastric bypass for failed laparoscopic sleeve gastrectomy

In a cohort of 20 patients, the mean total weight loss after revisional one-anastomosis gastric bypass was 26.4% at a mean follow-up of 45.5 months.

• Revisional surgery was performed on 22 patients, representing 3.8% of those who underwent initial laparoscopic sleeve gastrectomy.
• The primary reasons for revisional surgery included weight regain in 65% of cases and insufficient weight loss in 20%.
• All three patients with severe gastroesophageal reflux disease experienced relief of symptoms after the revisional procedure.
• The overall complication rate associated with revisional one-anastomosis gastric bypass was 20%.
• The mean time between the initial sleeve gastrectomy and revisional surgery was 35.3 months.

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