Revision of primary sleeve gastrectomy to Roux-en-Y gastric bypass: indications and outcomes from a high-volume center

Nov 27, 2016Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Reasons for and results of changing sleeve gastrectomy to Roux-en-Y gastric bypass in a busy surgical center

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Abstract

Forty-eight patients underwent revision from sleeve gastrectomy to Roux-en-Y gastric bypass.

  • The mean time to revision was 26 months, with follow-up after surgery averaging 20 months.
  • The most common reasons for revision included reflux (14 patients), inadequate weight loss (11 patients), and both reflux and inadequate weight loss (16 patients).
  • Reflux symptoms resolved in 96% of patients following the revision.
  • Hiatal hernias were repaired in 50% of the patients undergoing the revision.
  • Percentage total weight loss at 3, 6, 12, 24, and 36 months was 9.0%, 12.9%, 15.7%, 13.3%, and 6.5%, respectively.
  • The overall complication rate was 31%, with no reported mortalities.

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Full Text

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