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Obesity Surgery
Published in: Obesity Surgery 9/2016

01-09-2016 | Review Article

Re-operations after Secondary Bariatric Surgery: a Systematic Review

Authors: Alexandr Kuzminov, Andrew J. Palmer, Stephen Wilkinson, Bekkhan Khatsiev, Alison J. Venn

Published in: Obesity Surgery | Issue 9/2016

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Abstract

This paper reviews reoperations rates for short- and long-term complications following secondary bariatric procedures and need for further bariatric surgery. The search revealed 28 papers (1317 secondary cases) following at least 75 % of patients for 12 months or more. For adjustable gastric banding (AGB), rebanding had higher re-revisional rates than conversions into other procedures. Conversion of AGB to Roux-en-Y gastric bypass had the highest number of short- (10.7 %) and long-term (22.0 %) complications. We estimated 194 additional reoperations per 1000 patients having a secondary procedure, 8.8 % needing tertiary surgery. Despite being poorly reported, risks of reoperations for long-term complications and tertiary bariatric surgery are higher than usually reported risks of short-term complications and should be taken into account when choosing a secondary bariatric procedure and for economic evaluations.
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Metadata
Title
Re-operations after Secondary Bariatric Surgery: a Systematic Review
Authors
Alexandr Kuzminov
Andrew J. Palmer
Stephen Wilkinson
Bekkhan Khatsiev
Alison J. Venn
Publication date
01-09-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 9/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2252-7

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