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Obesity Surgery
Published in: Obesity Surgery 1/2014

01-01-2014 | Original Contributions

Revision Surgery for Treatment of Weight Regain After Roux-En-Y Gastric Bypass

Authors: Álvaro Antônio Bandeira Ferraz, Luciana Teixeira de Siqueira, Elióbas Nunes Filho, José Guido Corrêa de Araújo Júnior, Josemberg Marins Campos, Thiago Xavier de Barros-Correia, Mariana Gomes Muniz, Edmundo Machado Ferraz

Published in: Obesity Surgery | Issue 1/2014

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Abstract

Background

This study aims to evaluate results on revision surgery for weight regain after gastric bypass, based on surgical technique and follow-up.

Methods

This study is a retrospective analysis of 29 patients who presented weight regain on follow-up after more than 5 years, divided into four groups according to revision surgery type: group 1 (n = 9) includes patients who underwent an increase in the length of the alimentary limb to 200 cm; group 2 (n = 13) are patients who underwent an increase in the length of the alimentary limb and placing of a silicon ring; group 3 (n = 2) are patients who underwent an increase in the length of the alimentary limb and gastric plication, and group 4 (n = 5) are patients who underwent gastric plication and placing of a silicon ring.

Results

The average preoperative weight before revision surgery was 117.8 kg, and the average postoperative follow-up for revision surgery was 13.7 months. Weight loss after revision surgery was observed in all groups but was greater in patients with longer revisional postoperative follow-up. Patients who underwent placing of a silicon ring presented greater weight loss than those who had had such a band since the original gastric bypass operation.

Conclusions

Data suggest that revision surgery may be a useful tool in achieving weight loss in patients presenting weight regain following gastric bypass, obesity, bariatric surgery, gastric bypass, weight regain, and revision surgery.
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Metadata
Title
Revision Surgery for Treatment of Weight Regain After Roux-En-Y Gastric Bypass
Authors
Álvaro Antônio Bandeira Ferraz
Luciana Teixeira de Siqueira
Elióbas Nunes Filho
José Guido Corrêa de Araújo Júnior
Josemberg Marins Campos
Thiago Xavier de Barros-Correia
Mariana Gomes Muniz
Edmundo Machado Ferraz
Publication date
01-01-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-013-1055-3

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