Revisional Bariatric Surgery - Safe and Effective

Laparoscopic revision from LAP-BAND® to gastric bypass

“…BAND-to-RYGBP revision patients is comparable to that reported in primary (initial) RYGBP series [3,17,23] and is lower than that reported in revision series from vertical-banded gastroplasty (VBG) or silastic ring vertical gastroplasty (SRVG) to RYGBP [4,7,8,11,19,20,24]. It is especially important to note that no leaks or other serious complications occurred in our series of revision patients.…”

Laparoscopic revision of failed open bariatric procedures

“…The RYGB has been well established as the operation of choice for revisional bariatric surgery [3,11,17,18]. Although the laparoscopic approach is considered safe and effective for primary surgery [10,15,16,19], the safety and efficacy of a laparoscopic approach to bariatric reoperative have not been established.…”

“…In those who fail to meet weight loss goals, revision of short limb bypass to long limb bypass provides additional benefit [8]. Patients who fail to meet weight loss goals after VBG can be offered revision to RYGB, with the expectation of improved and sustained weight loss [13,11,17].…”

Natural orifice surgery: initial US experience utilizing the StomaphyXTM device to reduce gastric pouches after Roux-en-Y gastric bypass

“…There is a 12% incidence of surgical revisions after gastric bypass surgery [7]. In a review of the literature on reoperative open bariatric surgery, there were 17 papers with 838 patients, with a 14% major complication rate and 1.3% mortality rate [8]. Also in this review, there were 64 patients in the laparoscopic revision group, with a 9% major complication rate and 4.5-h average operating room time.…”