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Obesity Surgery
Published in: Obesity Surgery 7/2019

01-07-2019 | Sleeve Gastrectomy | Original Contributions

Secondary Bariatric Procedures in a High-Volume Centre: Prevalence, Indications and Outcomes

Authors: Mohamed Elshaer, Karim Hamaoui, Parushak Rezai, Kasim Ahmed, Nadira Mothojakan, Omer Al-Taan

Published in: Obesity Surgery | Issue 7/2019

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Abstract

Background

Secondary bariatric procedures represent a challenge to both patients and surgeons. The objective of this study was to explore the patterns of recurrence and modalities of secondary bariatric procedures in a tertiary bariatric centre.

Materials and Methods

A retrospective analysis of patients who underwent secondary bariatric procedures after laparoscopic adjustable gastric band (AGB), sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) from April 2007 to March 2017.

Results

Overall, 3266 bariatric procedures were performed, and secondary bariatric procedures were required for 45 (1.4%) patients (28 AGB, 14 SG, 3 RYGB). Twenty-six (57.8%) patients underwent conversion to RYGB, eight (17.8%) patients underwent conversion to SG, seven (15.6%) patients were converted to duodenal switch (DS), two (4.4%) patients had revision of gastrojejunal anastomosis, one (2.2%) patient underwent revision of gastric pouch and one (2.2%) patient had replacement of AGB. Mean change in BMI and %TWL at 18 months were 8.5 ± 3.9 kg/m2 and 17.6 ± 8.2 respectively after revision of AGB. Mean change in BMI and %TWL at 18 months were 11.7 ± 11.2 kg/m2 and 18.4 ± 13.2 respectively after revision of SG. Mean change in BMI and %TWL at 18 months were 2.6 ± 3.0 kg/m2 and 6.9 ± 6.8 respectively after revision of RYGB. No mortality was reported after revision procedures.

Conclusion

Weight regain, inadequate weight loss and reflux were the main reasons for performing secondary bariatric procedures. The main revision procedures performed were RYGB and SG especially for failed AGB.
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Metadata
Title
Secondary Bariatric Procedures in a High-Volume Centre: Prevalence, Indications and Outcomes
Authors
Mohamed Elshaer
Karim Hamaoui
Parushak Rezai
Kasim Ahmed
Nadira Mothojakan
Omer Al-Taan
Publication date
01-07-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-03838-z

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