Results of Revisional Bariatric Surgery: A Single Center Experience

Abstract

Purpose: With the increase in demand for bariatric surgery, increasing numbers of patients require revisional surgery due to unwanted outcomes of primary bariatric procedures. There is no ideal bariatric procedure for every patient and all bariatric surgeries have failure rates. We aimed to assess the indications for revisional bariatric surgery and short-term surgical outcomes in this study. Materials and methods:All patients who underwent revisional bariatric surgery from March 2012 to June 2018 were determined prospectively. The data were retrospectively reviewed.Results: Forty-four patients were included. Mean age was 42 years. The primary surgery of cases was distributed with 32 laparoscopic sleeve gastrectomy, 7 mini gastric bypass, 4 adjustable gastric band and 5 gastric plication. The most common indication for revisional surgery was insufficient weight loss or renewed weight gain. The mean operation duration was 150 (70-380) minutes and mean duration 4.7 (3-12) hospital stay days. The improvement rates for comorbid for diabetes mellitus (DM), hypertension (HT) and obstructive sleep apnea syndrome (OSAS) were 84.6% (n = 11), 70% (n = 7) and 83.3%. Mini gastric bypass was performed most frequently as revisional procedure. Seven patients developed complications after revision surgery. Conclusion:Revisional bariatric surgery performed using the laparoscopic approach can be successfully completed with acceptable postoperative morbidity risks and shows satisfactory short-term weight loss. There is a need for longterm outcomes.