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01-11-2018 | Brief Communication

Re-sleeve Gastrectomy 4 Years Later: Is It Still an Effective Revisional Option?

Authors: F. De Angelis, M. Avallone, A. Albanese, M. Foletto, G. Silecchia

Published in: Obesity Surgery | Issue 11/2018

Abstract

Laparoscopic sleeve gastrectomy (LSG) is the most performed surgical procedure worldwide. Long-term outcomes report that up to 30% of patients require revisional surgery and re-sleeve gastrectomy (rLSG) is one of the revisional procedures available. The aim was to update the outcomes of a cohort of rLSG at 52 months. This study reports the 52-month follow-up of a cohort of 19 patients previously published after 24-month follow-up. Sixteen patients completed the follow-up. Nine patients complained of GERD symptoms after 36 months. Five patients were converted to laparoscopic RYGB. Two patients were converted to a laparoscopic BPD-DS for weight regain 4 patients are asymptomatic with stable weight. On the basis of our disappointing results, it can be said that rLSG is not currently offered as revisional procedure in both centers.

Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27(9):2279–89.CrossRefPubMedPubMedCentral

Homan J, Betzel B, Aarts EO, et al. Secondary surgery after sleeve gastrectomy: Roux-en-Y gastric bypass or biliopancreatic diversion with duodenal switch. SurgObesRelat Dis. 2015 Jul-Aug;11(4):771–7.

Sánchez-Pernaute A, Rubio MÁ, Conde M, et al. Single-anastomosis duodenoileal bypass as a second step after sleeve gastrectomy. SurgObesRelat Dis. 2015;11(2):351–5.

AlSabah S, Alsharqawi N, Almulla A, et al. Approach to poor weight loss after laparoscopic sleeve gastrectomy: re-sleeve vs. gastric bypass. Obes Surg. 2016;26(10):2302–7.CrossRefPubMed

Silecchia G, De Angelis F, Rizzello M, et al. Residual fundus or neofundus after laparoscopic sleeve gastrectomy: is fundectomy safe and effective as revision surgery? SurgEndosc. 2015;29(10):2899–903.

Rebibo L, Dhahri A, Robert B, et al. Repeat sleeve gastrectomy: optimization of outcomes by modifying the indications and technique. Surg Obes Relat Dis. 2018;14(4):490–7. https://doi.org/10.1016/j.soard.2017.12.025.CrossRefPubMed

Cesana G, Uccelli M, Ciccarese F, et al. Laparoscopicre-sleeve gastrectomy as a treatment of weight regain after sleeve gastrectomy. World J Gastrointest Surg. 2014;6(6):101–6.CrossRefPubMedPubMedCentral

Nedelcu M, Noel P, Iannelli A, et al. Revised sleeve gastrectomy (re-sleeve). Surg Obes Relat Dis. 2015;11(6):1282–8.CrossRefPubMed

Iannelli A, Schneck AS, Noel P, et al. Re-sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibilitystudy. Obes Surg. 2011;21(7):832–5.CrossRefPubMed

10.

Noel P, Nedelcu M, Nocca D, et al. Revised sleeve gastrectomy: another option for weight loss failure after sleeve gastrectomy. SurgEndosc. 2014;28(4):1096–102.

Title: Re-sleeve Gastrectomy 4 Years Later: Is It Still an Effective Revisional Option?
Authors: F. De Angelis
M. Avallone
A. Albanese
M. Foletto
G. Silecchia
Publication date: 01-11-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 11/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-018-3481-8

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Re-sleeve Gastrectomy 4 Years Later: Is It Still an Effective Revisional Option?

Abstract

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Springer Medicine

Abstract

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