Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass—Indications and Outcome

Langer, Felix B.; Bohdjalian, Arthur; Shakeri-Leidenmühler, Soheila; Schoppmann, Sebastian F.; Zacherl, Johannes; Prager, Gerhard

doi:10.1007/s11695-010-0125-z

Cited by 148 publications

(56 citation statements)

References 43 publications

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“…Лишь двум из 263 пациентов (0,76%) в ходе ПРЖ мы вы-полняли заднюю крурорафию в связи с выявлением грыж пищеводного отверстия диафрагмы значитель-ных размеров. Тем не менее, ни в одном случае ГЭРБ не явилась причиной конверсии ПРЖ в другие виды операций, хотя в ряде опубликованных наблюдений ГЭРБ являлась причиной конверсии в гастрошунти-рование -бариатрическую операцию, обладающую максимальным антирефлюксным эффектом [16,17].…”

Section: Discussionunclassified

Efficiency of Laparoscopic sleeve gastrectomy at patients with obesity

Yashkov¹,

Иванович²,

Луцевич³

et al. 2015

Obes. metabol.

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Introduction. Laparoscopic Sleeve Gastrectomy (SG) is a relatively new bariatric operation popularity of which is increasing yearly. However many questions regarding this operation are still unclear. Aim of this study is an assessment of efficacy of SG in the patients of different BMI-groups, evaluation of early and late postoperative complications and possible side effects. Materials and methods. From 2004 г. to August 2014 primary laparoscopic SG in CELT-clinic (Moscow) was performed in 263 patients aged 39,1 ± 10,7 yrs, male/female rate - 55:208, initial weight -113,9± 21,34 kg, mean BMI - 40,1± 6,1 kg/m2. Results. There was no mortality, early complications rate was 4,2%. 92,7 % of pts were follow-uped one year and more after surgery. In the entire group maximal excess weight loss (EWL) was 75,8% at 12 months and 63,7% at 60 months postoperatively. EWL depended on initial BMI. In patients with BMI 35 ( n=39) EWL was 94,1 % at 9 months and remained at level of 90 % to 4 year while in the super-obese patients (BMI50, n=10), maximal mean EWL didn’t exceed 40 % at 2 years. Late complications were: reflux- oesophagitis - 5,7 %, cholelithiasis - 2,7 %, iron-deficiency anemia - 16,3%. 4 (1,5%)of ptsunderwent second-step Duodenal Switch in the late period, but actually more patients need second-step surgery due to insufficient effect of SG. Conclusion. SG is prospective, safe and effective operation and may be considered as stand-alone operation as well as first step of more complex operations. Further evaluation of late (5 years) results is necessary as well as a comparison of results with other bariatric operations.

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Section: Discussionunclassified

Efficiency of Laparoscopic sleeve gastrectomy at patients with obesity

Yashkov¹,

Иванович²,

Луцевич³

et al. 2015

Obes. metabol.

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“…The bariatric procedure of choice for these patients is still under debate. The options vary, ranging from rebanding (usually in the case of technical band failure), through conversion to the more complex options, such as RYGBP, BPD, BPD-DS, and recently, LSG [13,15,[23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic sleeve gastrectomy as a revisional option after gastric band failure

et al. 2011

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“…restricted and malabsorptive procedures. In the case of functional complications of laparoscopic SG (LSG) such as GERD, the laparoscopic RYGBP (LRYGBP) remains the procedure of choice [2]. The search for the ideal weight loss operation is still ongoing.…”

Section: Surgical Techniquementioning

confidence: 99%

“…With all these developments in bariatric surgery, there has been a tendency by bariatric specialists to operate on these patients more than once using different types of bariatric surgeries. After the failure of the sleeve gastrectomy (SG), three options are available as a second intervention: the conversion into a biliopancreatic diversion with duodenal switch, the Roux-en-Y gastric bypass (RYGBP), and more recently, a re-SG consisting in the refashioning of a dilated gastric tube [2][3][4]. After SG, weight loss failure and gastroesophageal reflux disease (GERD) are the most common indications for redo surgery.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Conversion of a Sleeve Gastrectomy to the Roux-en-Y Gastric Bypass

et al. 2015

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After the failure of sleeve gastrectomy (SG), three options are available as a second intervention: the conversion into a biliopancreatic diversion with duodenal switch, the Roux-en-Y gastric bypass (RYGBP), and more recently, a re-SG consisting in the refashioning of a dilated gastric tube. We describe two different approaches for the conversion. The conversion to RYGBP remains a technically challenging operation but feasible and effective, and it should be reserved to specialized centers.

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Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass—Indications and Outcome

Abstract: Conversion to RYGB is an effective treatment for weight regain or intractable reflux symptoms following SG. Thus, SG can be performed, intended as sole and definitive bariatric intervention, with conversion from SG to RYGB as an exit strategy for these complications.

Cited by 148 publications

References 43 publications

Efficiency of Laparoscopic sleeve gastrectomy at patients with obesity

Efficiency of Laparoscopic sleeve gastrectomy at patients with obesity

Laparoscopic sleeve gastrectomy as a revisional option after gastric band failure

Laparoscopic Conversion of a Sleeve Gastrectomy to the Roux-en-Y Gastric Bypass

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