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Surgical Endoscopy
Published in: Surgical Endoscopy 6/2005

01-06-2005 | Original article

Laparoscopic revisional bariatric surgery: myths and facts

Published in: Surgical Endoscopy | Issue 6/2005

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Abstract

Background

Bariatric surgery is growing worldwide. An increasing number of patients will require revisional procedures because of inadequate weight control, complications, or loss of quality of life.

Methods

From August 1999 to September 2003, 62 patients were submitted to laparoscopic revisional surgery.

Results

The primary operations consisted of laparoscopic adjustable gastric banding in 39 cases, banded and nonbanded Roux-en-Y gastric bypass (RYGB) in 17 cases, vertical banded gastroplasty in 4 cases, and biliopancreatic diversion in 2 cases. Although technically demanding, laparoscopic conversion to RYGB was possible in all cases. Mean operative time was 100 min. Mean hospital stay was 77 h. There were no intraoperative or postoperative complications. A good body mass index reduction after the revisional procedure was observed with a 24 month follow-up period.

Conclusions

Laparoscopic revisional bariatric surgery is safe and effective. However, it should be performed only by experienced bariatric and laparoscopic surgeons.
Literature
1.
Behrns, KE, Smith, CD, Kelly, KA,  et al. 1993Reoperative bariatric surgery: lessons learned to improve patient selection and resultsAnn Surg218646653PubMed
2.
Benotti, P, Forse, RA 1996Safety and long-term efficacy of revisional surgery in severe obesityAm J Surg172232235CrossRefPubMed
3.
Brolin, RE, Kenler, HA, Gorman, JH, Cody, RP 1992Long-limb gastric bypass in the super obese: a prospective randomized studyAnn Surg215387395PubMed
4.
Cadiere, GB, Himpens, J, vertruyen, M,  et al. 2000Laparoscopic gastroplasty (adjustable gastric banding)Semin Laparosc Surg75565PubMed
5.
Capella, JF, Capella, RF 1996The weight reduction operation of choice: vertical banded gastroplasty or gastric bypassAm J Surg1717479CrossRefPubMed
6.
Cohen, R, Pinheiro, JS, Schiavon, C, Correa, J 2002Laparoscopic Roux-en-Y gastric bypass for the treatment of morbid obesityRev Mex Cir Endosc36265
7.
Cottam, DR, Mattar, SG, Schauer, PR 2003Laparoscopic era of operations for morbid obesityArch Surg138367375CrossRefPubMed
8.
Amo, DA 2004Vertical banded gastroplasty: is it a durable operation for morbid obesity?Obes Surg14536538CrossRefPubMed
9.
DeMaria, EJ, Sugerman, HJ, Meador, BSN,  et al. 2001High failure rate after laparoscopic adjustable silicone gastric banding for the treatment of morbid obesityAnn Surg233809818CrossRefPubMed
10.
Fobi, MAL, Lee, H, Holness, R,  et al. 1998Gastric bypass operation for obesityWorld J Surg22925935CrossRefPubMed
11.
Gagner, M, Gentileschi, P, Csepel, J,  et al. 2002Laparoscopic reoperative bariatric surgery: experience from 27 consecutive patientsObes Surg12254260CrossRefPubMed
12.
Gastrointestinal surgery for severe obesity1992National Institutes of Health Consensus Development StatementAm J Clin Nutr55615619
13.
Goldstein, DJ 1992Beneficial health effects of modest weight lossInt J Obesity41623
14.
Greenstein, RJ, Rabner, G, Taler, Y 1994Bariatric surgery vs conventional dieting in the morbid obeseObes Surg41623CrossRefPubMed
15.
Higa, KD, Boone, KB, Ho, T 2000Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients: what have we learned?Obes Surg10509513CrossRefPubMed
16.
17.
MacLean, LD, Rhode, B, Nohr, CW 2000Late outcome of isolated gastric bypassAnn Surg231524528CrossRefPubMed
18.
MacLean, LD, Rhode, BM, Forse, RA 1990Late results of vertical banded gastroplasty for morbid obesity and super obesitySurgery1072027PubMed
19.
Martin, MJ, Mullenix, PS, Steele, SR,  et al. 2004A case-match analysis of failed prior bariatric procedures converted to ressectional gastric bypassAm J Surg187666670CrossRefPubMed
20.
Mason, EE, Tang, S, Renquist, KE,  et al. 1997A decade of change in obesity surgeryObes Surg7189197CrossRefPubMed
21.
Nguyen, NT, Goldman, C, Rosenquist, CJ,  et al. 2001Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costsAnn Surg234279291CrossRefPubMed
22.
O’Brien, PE, Brown, WA, Smith, A,  et al. 1999Prospective study of a laparoscopically placed adjustable gastric band in the treatment of morbid obesityBr J Surg86113118CrossRefPubMed
23.
Ortega,  2004Vertical banded gastroplasty converted to Roux-en-Y gastric bypass: little impact on nutritional status after 5-year follow-upObes Surg14638643CrossRefPubMed
24.
Schauer, PR, Ikramuddin, S, Gourash, W,  et al. 2000Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesityAnn Surg232515529CrossRefPubMed
25.
Schwartz, RW, Strodel, WE, Simpson, WS,  et al. 1988Gastric bypass revisions: lessons learned from 920 casesSurgery104806812PubMed
26.
Scopinaro, N, Gianetta, E, Friedman, D,  et al. 1987Surgical revision of biliopancreatic diversionGastroenterol Clin North Am16529PubMed
27.
Gemert, WG, Wersch, MM, Greve, JWM,  et al. 1998Revisional surgery after failed vertical banded gastroplasty: restoration of vertical banded gastroplasty or conversion to gastric bypassObes Surg82128CrossRefPubMed
28.
Wittgrove, A, Clark, W 2000Laparoscopic Roux en-Y gastric bypass, 500 patients: technique and results, with 3–60 month follow-upObes Surg10233239CrossRefPubMed
29.
Yale, CE 1989Conversion surgery for morbid obesity: complications and long-term weight controlSurgery106474480PubMed
Metadata
Title
Laparoscopic revisional bariatric surgery: myths and facts
Publication date
01-06-2005
Published in
Surgical Endoscopy / Issue 6/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-8826-9

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