Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery

Bariatric revision surgery is associated with several complications that can be attributed to decreased quality of tissue and complexity of the surgery. A laparoscopic sleeve gastrectomy is a simple technique with potential advantages. Therefore, the results of this procedure were evaluated as a rev...

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Main Authors:	Berende, Cornelis Adrianus Sebastianus, de Zoete, Jean-Paul, Smulders, Johannes Franciscus, Nienhuijs, Simon Willem
Format:	Online
Language:	English
Published:	Springer-Verlag 2011
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266499/

id	pubmed-3266499
recordtype	oai_dc
spelling	pubmed-32664992012-02-03 Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery Berende, Cornelis Adrianus Sebastianus de Zoete, Jean-Paul Smulders, Johannes Franciscus Nienhuijs, Simon Willem Review Bariatric revision surgery is associated with several complications that can be attributed to decreased quality of tissue and complexity of the surgery. A laparoscopic sleeve gastrectomy is a simple technique with potential advantages. Therefore, the results of this procedure were evaluated as a revisional option. Fifty-one patients underwent laparoscopic sleeve gastrectomy (LSG). Indications for the LSG were insufficient weight loss (34 patients, group 1) or vomiting (17 patients, group 2) following a laparoscopic adjustable gastric banding (LAGB) or vertical banded gastroplasty (VBG). Patient and procedure characteristics as well as outcome were collected prospectively. From October 2006 to June 2010, 51 patients with a failed prior bariatic procedure (VBG or LAGB) were converted to (L)SG. The conversion rate was zero. The median procedure time was 99 min (range 54–221) and hospital stay was 3 days (range 2–38). There was no mortality after 30 days. Complications included bleeding (six) and leakage of the staple line (seven). Mean follow-up was 13.8 (2–46) months. LSG as revision surgery for insufficient weight loss resulted in extra weight loss of 52.7%, and the overall extra weight loss was 49.3%. When LSG was performed because of vomiting, 82% was able to eat solid food at follow-up. Of the 65 pre-existent co-morbidities, 21 were resolved and 18 improved. LSG as a revision procedure is feasible. An additional weight loss and further resolution of co-morbidity seem achievable, however, at the cost of a high number of complications. Therefore, revision bariatric surgery should be limited to expert tertiary bariatric centers. Springer-Verlag 2011-08-25 2012-02 /pmc/articles/PMC3266499/ /pubmed/21866377 http://dx.doi.org/10.1007/s11695-011-0501-3 Text en © The Author(s) 2011
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Berende, Cornelis Adrianus Sebastianus de Zoete, Jean-Paul Smulders, Johannes Franciscus Nienhuijs, Simon Willem
spellingShingle	Berende, Cornelis Adrianus Sebastianus de Zoete, Jean-Paul Smulders, Johannes Franciscus Nienhuijs, Simon Willem Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery
author_facet	Berende, Cornelis Adrianus Sebastianus de Zoete, Jean-Paul Smulders, Johannes Franciscus Nienhuijs, Simon Willem
author_sort	Berende, Cornelis Adrianus Sebastianus
title	Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery
title_short	Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery
title_full	Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery
title_fullStr	Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery
title_full_unstemmed	Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery
title_sort	laparoscopic sleeve gastrectomy feasible for bariatric revision surgery
description	Bariatric revision surgery is associated with several complications that can be attributed to decreased quality of tissue and complexity of the surgery. A laparoscopic sleeve gastrectomy is a simple technique with potential advantages. Therefore, the results of this procedure were evaluated as a revisional option. Fifty-one patients underwent laparoscopic sleeve gastrectomy (LSG). Indications for the LSG were insufficient weight loss (34 patients, group 1) or vomiting (17 patients, group 2) following a laparoscopic adjustable gastric banding (LAGB) or vertical banded gastroplasty (VBG). Patient and procedure characteristics as well as outcome were collected prospectively. From October 2006 to June 2010, 51 patients with a failed prior bariatic procedure (VBG or LAGB) were converted to (L)SG. The conversion rate was zero. The median procedure time was 99 min (range 54–221) and hospital stay was 3 days (range 2–38). There was no mortality after 30 days. Complications included bleeding (six) and leakage of the staple line (seven). Mean follow-up was 13.8 (2–46) months. LSG as revision surgery for insufficient weight loss resulted in extra weight loss of 52.7%, and the overall extra weight loss was 49.3%. When LSG was performed because of vomiting, 82% was able to eat solid food at follow-up. Of the 65 pre-existent co-morbidities, 21 were resolved and 18 improved. LSG as a revision procedure is feasible. An additional weight loss and further resolution of co-morbidity seem achievable, however, at the cost of a high number of complications. Therefore, revision bariatric surgery should be limited to expert tertiary bariatric centers.
publisher	Springer-Verlag
publishDate	2011
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266499/
_version_	1611502276349788160

Laparoscopic Sleeve Gastrectomy Feasible for Bariatric Revision Surgery

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