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Published in: Obesity Surgery 6/2019

01-06-2019 | Sleeve Gastrectomy | Review Article

Mid-long-term Revisional Surgery After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Authors: Bingsheng Guan, Tsz Hong Chong, Juzheng Peng, Yanya Chen, Cunchuan Wang, Jingge Yang

Published in: Obesity Surgery | Issue 6/2019

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Abstract

This study aimed to make a meta-analysis regarding mid-long-term outcomes (≥ 3-year follow-up) after sleeve gastrectomy (SG), focusing on incidence, reasons, and results of revisional surgery. PubMed, EMBASE, and CENTRAL were searched and 32 studies were included. The overall revision rate was 10.4%, but for patients with ≥ 10-year follow-up, the rate was 22.6%. European studies had a higher revision rate (14.4%) than other studies. The most common reason for revision was failure in weight loss, and the most frequent revisional procedure was gastric bypass. Revisional surgery was favorable for weight reduction and comorbidity resolution. In conclusion, revision rate is not rare after SG, especially when looking at long-term follow-up. Bariatric surgeons and patients need to fully understand and deal with the need for revision after SG.
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Metadata
Title
Mid-long-term Revisional Surgery After Sleeve Gastrectomy: a Systematic Review and Meta-analysis
Authors
Bingsheng Guan
Tsz Hong Chong
Juzheng Peng
Yanya Chen
Cunchuan Wang
Jingge Yang
Publication date
01-06-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-03842-3

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