Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 10/2019

01-10-2019 | Brief Communication

Dilated Gastric Pouch Resizing for Weight Loss Failure After One Anastomosis Gastric Bypass

Authors: Adrien Faul, Jean-Marc Chevallier, Tigran Poghosyan

Published in: Obesity Surgery | Issue 10/2019

Login to get access

Abstract

Some patients may experience inadequate weight loss or weight regain due to gastric pouch dilation after one anastomosis gastric bypass (OAGB). Dilated gastric pouch resizing (GPR) associated with correction of eating behavior was suggested as an option in the management of these patients. Retrospective analysis of 17 consecutives patients who underwent a GPR between 2007 and 2017 was undertaken. At revision, the mean body mass index (BMI) and percentage of total weight loss (%TWL) were 41.5 ± 11 kg/m2 and 15 ± 10, respectively. Overall morbidity rate was 6.7% (n = 1). Two years after revision, the mean BMI and %TWL were 34.1 ± 5 kg/m2 and 31 ± 13, respectively. GPR appeared to be a satisfactory option resulting in mid-term secondary weight loss in well selected patients at the expense of non-negligible morbidity rate.
Literature
1.
Chevallier JM, Arman GA, Guenzi M, et al. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015;25:951–8.CrossRef
2.
Borbely Y, Winkler C, Kroll D, et al. Pouch reshaping for significant weight regain after Roux-en-Y gastric bypass. Obes Surg. 2017;27:439–44.CrossRef
3.
Al-Bader I, Khoursheed M, Al Sharaf K, et al. Revisional laparoscopic gastric pouch resizing for inadequate weight loss after Roux-en-Y gastric bypass. Obes Surg. 2015;25:1103–8.CrossRef
4.
Iannelli A, Schneck A-S, Hebuterne X, et al. Gastric pouch resizing for Roux-en-Y gastric bypass failure in patients with a dilated pouch. Surg Obes Relat Dis. 2013;9:260–7.CrossRef
5.
Parikh M, Heacock L, Gagner M. Laparoscopic “gastrojejunal sleeve reduction” as a revision procedure for weight loss failure after Roux-en-Y gastric bypass. Obes Surg. 2011;21:650–4.CrossRef
6.
Hamdi A, Julien C, Brown P, et al. Midterm outcomes of revisional surgery for gastric pouch and gastrojejunal anastomotic enlargement in patients with weight regain after gastric bypass for morbid obesity. Obes Surg. 2014;24:1386–90.CrossRef
7.
Maleckas A, Gudaityte R, Petereit R, et al. Weight regain after gastric bypass: etiology and treatment options. Gland Surg. 2016;5:617–24.CrossRef
8.
Schmidt HJ, Lee EW, Amianda EA, et al. Large series examining laparoscopic adjustable gastric banding as a salvage solution for failed gastric bypass. Surg Obes Relat Dis. 2018;14:1869–75.CrossRef
9.
Brunaldi VO, Jirapinyo P, de Moura DTH, et al. Endoscopic treatment of weight regain following Roux-en-Y gastric bypass: a systematic review and meta-analysis. Obes Surg. 2018;28:266–76.CrossRef
10.
Uittenbogaart M, Leclercq WK, Luijten AA, et al. Laparoscopic adjustable gastric banding after failed Roux-En-Y gastric bypass. Obes Surg. 2017;27:381–6.CrossRef
Metadata
Title
Dilated Gastric Pouch Resizing for Weight Loss Failure After One Anastomosis Gastric Bypass
Authors
Adrien Faul
Jean-Marc Chevallier
Tigran Poghosyan
Publication date
01-10-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-03972-8

Other articles of this Issue 10/2019

Obesity Surgery 10/2019 Go to the issue

Original Contributions

Improvement in Food Intolerance Resulting from Roux-En-Y Gastric Bypass after Speech Therapy Intervention in Chewing

Letter to the Editor

DJ Flexure Pathologies—a Case for a Bowel-First Approach in Gastric Bypass Surgery

Letter to the Editor

Letter to the Editor Concerning: Fractures in Adults After Weight Loss from Bariatric Surgery and Weight Management Programs for Obesity: Systematic Review and Meta-analysis

Original Contributions

Prevalence of Vitamin D Depletion, and Associated Factors, among Patients Undergoing Bariatric Surgery in Southern Brazil

Original Contributions

Impact of Bariatric Surgery on Women Aerobic Exercise Capacity

Original Contributions

Influence of Energy Balance on the Rate of Weight Loss Throughout One Year of Roux-en-Y Gastric Bypass: a Doubly Labeled Water Study