Laparoscopic revision of <scp>R</scp>oux‐en‐<scp>Y</scp> gastric bypass to sleeve gastrectomy: A ray of hope for failed <scp>R</scp>oux‐en‐<scp>Y</scp> gastric bypass

Lakdawala, Muffazal; Limas, Peter Ian; Dhar, Shilpa; Remedios, Carlyne; Dhulla, Neha; Sood, Amit; Bhasker, Aparna Govil

doi:10.1111/ases.12277

Cited by 14 publications

(11 citation statements)

References 30 publications

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“…In our group, the mean EWL after conversion from RYGB to SG was 74.77 ± 8.94%, Lakdawala et al in the study of five patients, the mean EWL at 1 year was 35.8 ± 8.8%, Dapri et al reported 59.3 ± 31.5% EWL in 1 year in four patients 15,16 . Continuous weight loss after revision; we attribute it to the functioning of the pylorus, which increases the restriction, and resection of the entire ghrelin-producing fundus of the stomach.…”

Section: Discussionsupporting

confidence: 52%

Puede la revisión de RYGB para gastrectomia vertical ser una solución para el tratamento inadecuado de pérdida de peso?

Okut¹,

Turgut²,

Kaplan³

et al. 2022

CIRU

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We aimed to discuss the weight loss success of the revision of RYGB to sleeve gastrectomy (SG). Between January 2019 and June 2020, four patients' files were analyzed retrospectively. Post-RYGB mean minimal BMI was 27.4 ± 9.47 kg/m², before SG the mean BMI was 43.41 ± 4.16 kg/m 2 . Post-operative gastric fistula developed in two patients. The mean follow-up time after revision surgery was 17.25 ± 6.89 months, mean excess weight loss (EWL) was 74.77 ± 8.94%, and mean BMI was 32.65 ± 2.9 kg/m 2 . Despite high rate of major complications, revision of RYGB to SG is successful in weight loss and resolving certain complications of RYGB.

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Section: Discussionsupporting

confidence: 52%

Puede la revisión de RYGB para gastrectomia vertical ser una solución para el tratamento inadecuado de pérdida de peso?

Okut¹,

Turgut²,

Kaplan³

et al. 2022

CIRU

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“…• Statement not endorsed. Evidence supporting statements 57 and 58 is scarce, and is mainly derived from a few case reports, including [135][136][137][138][139][140][141][142][143][144][145] . In one report, three patients with dumping syndrome and refractory hypoglycaemia had insufficient benefit of the reversal of their gastric bypass and they ultimately required partial pancreatectomy for control of neuroglycopenia 117 .…”

Section: : Continuous Enteral Feeding Via a Gastrostomy Tube Can Bementioning

confidence: 99%

International consensus on the diagnosis and management of dumping syndrome

Arts²,

et al. 2020

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Dumping syndrome is a frequent complication of cancer and non-cancer oesophageal and gastric surgery, as well as bariatric surgery (also known as metabolic surgery). These interventions change gastric anatomy and innervation, which can enable a considerable amount of undigested food to reach the small intestine too rapidly 1-4. Dumping syndrome comprises a constellation of symptoms that can be subdivided into early and late dumping syndrome symptoms, which can occur jointly or separately 1-8. Typically, symptoms of early dumping syndrome occur within the first hour after a meal and include gastrointestinal symptoms (abdominal pain, bloating, borborygmi, nausea and diarrhoea) and vasomotor symptoms (flushing, palpitations, perspiration, tachycardia, hypotension, fatigue, desire to lie down and, rarely, syncope) 1,2. The underlying mechanisms might involve osmotic effects, peptide hormone release and autonomic neural responses 1. Symptoms of late dumping syndrome usually occur between 1 and 3 h after a meal and are primarily the manifestations of hypoglycaemia, which mainly results from an incretin-driven hyperinsulinaemic response after carbohydrate ingestion. Hypoglycaemia-related symptoms are attributable to neuroglycopenia (which is indicated by fatigue, weakness, confusion, hunger and syncope) and to vagal and sympathetic activation (indicated by perspiration, palpitations, tremor and irritability) 1,2. The literature has referred to late dumping syndrome as 'reactive hypoglycaemia' or, after bariatric surgery, as 'postbariatric hypoglycaemia'. However, on the basis of a common pathophysiology of rapid exposure of the small intestine to nutrients, which is also seen in early dumping syndrome (see subsequent discussion), we refer to this phenomenon as 'late dumping syndrome'. The prevalence of dumping syndrome depends on the type and extent of surgery, and on the criteria used to diagnose dumping syndrome. Dumping syndrome occurs in approximately 20% of patients undergoing

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“…Various surgical re-interventions have been used, including gastric tube placement, gastric bypass reversal with or without concomitant sleeve resection and gastric pouch restriction (Table 5) (66,103,(105)(106)(107)(108)(109)(110)(111)(112)(113)(114)(115)(116)(117)(118)(119)(120)(121)(122)(123). A special consideration is the association between hypoglycemia after Roux-en-Y gastric bypass and nesidioblastosis that may result in serious and refractory neuroglycopenic symptoms, which respond to pancreatic resection and re-re section (124).…”

Section: Surgical Re-intervention or Continuous Enteral Feedingmentioning

confidence: 99%

“…As shown in Table 5, approximately 24% of patients who underwent surgical re-intervention because of refractory obesity reviews severe post-Roux-en-Y gastric bypass hypoglycemia received a gastric bypass reversal (66,103,(106)(107)(108)(109)(110)(111)(112)(113) and approximately 9% had gastric pouch restriction (66,114,115). Pancreatic resection, the most commonly reported procedure, was performed in approximately 67% of patients (66,103,105,107,114,(116)(117)(118)(119)(120)(121)(122)(123).…”

Section: Surgical Re-intervention or Continuous Enteral Feedingmentioning

confidence: 99%

Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management

et al. 2016

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Laparoscopic revision of Roux‐en‐Y gastric bypass to sleeve gastrectomy: A ray of hope for failed Roux‐en‐Y gastric bypass

Abstract: Laparoscopic conversion of RYGB to sleeve gastrectomy as a first stage may be considered as an additional option in the armamentarium of revision procedures after RYGB.

Cited by 14 publications

References 30 publications

Puede la revisión de RYGB para gastrectomia vertical ser una solución para el tratamento inadecuado de pérdida de peso?

Puede la revisión de RYGB para gastrectomia vertical ser una solución para el tratamento inadecuado de pérdida de peso?

International consensus on the diagnosis and management of dumping syndrome

Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management

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