Previous Bariatric Surgery Increases Postoperative Morbidity after Sleeve Gastrectomy for Morbid Obesity

Abstract

SG can be safely performed but patients and surgeons must be aware of a higher risk of postoperative complications when SG is proposed as a revisional surgery.

Analysis of Morbidity Data of 308 Cases of Laparoscopic Sleeve Gastrectomy—the Soroka Experience

“…Gagniere et al [24] reported a series of 102 patients undergoing primary or secondary LSG, with significantly higher risk for complications in the secondary LSG group. Germanova et al reported similar results [29]. The actual reported larger series shows that secondary LSG is associated with increased risk for major complications, although not statistically significant, probably because of sample size.…”

Reoperative Surgery for Management of Early Complications After Gastric Bypass

“…Multiple studies have documented the increased risk of postoperative morbidity after revisional bariatric surgery [15][16][17][18]. There is also data suggesting higher reoperative rate for complications in patients undergoing revisional surgery [19].…”

Clinical and Economic Evaluation of Absorbable Staple Line Buttressing in Sleeve Gastrectomy in High-Risk Patients

“…Since absorbable membranes are expensive, they could be reserved to a specific population, at higher risk of developing complications. While leak risk factors are well studied [5][6][7][8][9], hemorrhage risk factors are not well established. In addition to the most commonly accepted leak risk factors (such as BMI > 50 kg/m 2 , severe sleep apnea, diabetes, age over 60, and previous gastric surgery), we have chosen two other potential risk factors for bleeding: hypertension and anticoagulant therapy.…”

“…The factors that may increase the leak risk have already been studied [5][6][7][8][9][10]. Some of these factors, such as body mass index (BMI) >50 kg/m 2 , previous gastric surgery, and the use of a calibration tube smaller than 40 F, have been correlated to increased risks of leaks and possible bleeding.…”