Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass: an audit of 34 patients

Jun 18, 2016Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Changing sleeve gastrectomy to Roux-en-Y gastric bypass surgery: review of 34 patients

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Abstract

Among 34 patients, 11.7% experienced major adverse events within 90 days after converting from sleeve gastrectomy to Roux-en-Y gastric bypass.

  • Thirty-one patients underwent surgery for weight loss failure, while three patients had surgery due to proton pump inhibitor-resistant gastroesophageal reflux disease (GERD).
  • The average body mass index (BMI) before sleeve gastrectomy was 53±11 kg/m2.
  • A laparoscopic approach was used in 94% of the cases.
  • At the time of revisional surgery, the average BMI decreased to 44.7±9.8 kg/m2.
  • The percentage excess weight loss improved to 33.6±27.1% at the time of surgery, compared to 63.1±36.2% at three years post-surgery.
  • GERD was resolved in all patients, allowing them to stop using proton pump inhibitors.

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