Reoperative Surgery for the Morbidly Obese

Cates, Joe A.

doi:10.1001/archsurg.1990.01410220184026

Cited by 38 publications

(17 citation statements)

References 12 publications

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“…Reoperative bariatric surgery is associated with a higher morbidity and mortality than primary surgery, with mortality rates as high as 12.5% [5,20]. We had one complication and no deaths.…”

Section: Discussionmentioning

confidence: 88%

Laparoscopic revision of failed open bariatric procedures

et al. 2003

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Section: Discussionmentioning

confidence: 88%

Laparoscopic revision of failed open bariatric procedures

et al. 2003

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“…Staple-line disruption, band erosion, and stenosis have been well documented as late complications of vertical banded gastroplasty [7]. The actual incidence of band erosion is not well known but several large series have reported band erosion rates varying between 1% and 7% [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…This worked well for conductive material but is not feasible for nonconductive media such as gortex, silastic or other synthetic materials which often are found in gastric prosthesis. Endoscopic scissor transection, first reported in Europe [7], has been successfully applied in a small case series reported by Evans [8].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic management of eroded prosthesis in vertical banded gastroplasty patients

et al. 2009

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Our study demonstrates that endoscopic scissor transaction is a safe and effective modality in removing eroded gastric prostheses after vertical banded gastroplasty and avoids the pitfalls associated with removing the eroded bands surgically. It also allows the patient and surgeon to make an insightful decision regarding a revisional bariatric surgical procedure, without being contingent on addressing the eroded gastric band.

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“…Die Zunahme an Komplikationen hängt insbesondere mit einer erhöhten Rate von Anastomoseninsuffizienzen zusammen. Besonders häufig ist die Umwandlung restriktiver Verfahren in einen Magen-Bypass, da dieser nicht nur in den USA als «Goldstandard» angesehen wird [5][6][7][8][9][10][11]. Die Umwandlungen erfolgten in der Regel in «offener» Technik.…”

Section: Introductionunclassified

Redo-Chirurgie: Umwandlung von einem bariatrischen Verfahren in ein anderes

Weiner¹

2003

Visc Med

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Redo Surgery: Transformation of a Bariatric Treatment in Another An estimated 2% of men and 6% of women in the USA are morbidly obese. These patients have a mortality rate that is 6 to 12 times higher than that of their normal-weight peers. In these extreme cases of overweight, only surgical intervention can produce substantial and sustained weight loss. However, up to 20% of these patients will require re-operation for failure to achieve or maintain an adequate weight loss. Re-operative bariatric surgery can be challenging and has traditionally been performed as an open procedure. We present 29 patients who underwent a laparoscopic Roux-en-Y gastric bypass or a biliopancreatic diversion with duodenal switch after failure to achieve weight loss with prior laparoscopic or open restrictive procedures. Their average body mass index before surgical revision was 46.2 kg/m². Mean operative time was 3 h 20 min, and length of hospital stay was 6.1 days. There were 3 complications in 2 patients and no deaths. Our initial experience suggests that laparoscopic gastric bypass is a safe and feasible re-operative bariatric procedure. For confirmation, a larger series of patients with follow-up data must be awaited.

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Reoperative Surgery for the Morbidly Obese

Cited by 38 publications

References 12 publications

Laparoscopic revision of failed open bariatric procedures

Laparoscopic revision of failed open bariatric procedures

Endoscopic management of eroded prosthesis in vertical banded gastroplasty patients

Redo-Chirurgie: Umwandlung von einem bariatrischen Verfahren in ein anderes

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