Systematic review on reoperative bariatric surgery

Brethauer, Stacy A.; Kothari, Shanu N.; Sudan, Ranjan; Williams, Brandon; English, Wayne J.; Brengman, Matthew L.; Kurian, Marina; Hutter, Matthew M.; Stegemann, Lloyd; Kallies, Kara J.; Nguyen, Ninh T.; Ponce, Jaime; Morton, John M.

doi:10.1016/j.soard.2014.02.014

Cited by 291 publications

(59 citation statements)

References 173 publications

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“…While surgical revision has traditionally been used to treat weight regain, the procedure is associated with limited efficacy data and higher complication rates than that of the index surgery. [27][28][29][30] Alternatively, endoscopic techniques have recently been developed to treat weight regain. These include sclerotherapy where sodium morrhuate is injected around the GJA to reduce the GJA size, 31 32 argon plasma coagulation, 33 34 endoscopic plication and endoscopic suturing to close a small gastrogastric fistula and/or to reduce the size of the GJA.…”

Section: Discussionmentioning

confidence: 99%

Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index

Jirapinyo

Dayyeh

Thompson

2017

BMJ Open Gastroenterol

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BackgroundDespite initial successful weight loss, some patients may experience weight regain following Roux-en-Y gastric bypass (RYGB).ObjectiveTo assess the impact of weight regain on bariatric patients’ quality of life (QoL).MethodsThis was a prospective cross-sectional study. Fifty-six consecutive RYGB patients were recruited and divided into weight-regain and weight-stable cohorts. QoL was assessed using the Bariatric Quality of Life (BQL) questionnaire. The BQL Index scores of the weight-regain and weight-stable groups were compared using Student’s t-test. Additionally, the BQL Index score of the weight-regain group was compared with that of historical prebariatric patients. Predictors of BQL were assessed using univariate and multivariate linear regression analyses.ResultsOf 56 RYGB patients, 41 (73%) had weight regain. On average, patients had body mass index (BMI) of 37 ±7.5 kg/m2 and gained 34 ±26% of maximal weight initially lost. Weight-regain patients had lower BQL Index scores than weight-stable patients (44.8±6 vs 53±7, p<0.001). Patients with weight regain had similar BQL Index scores as the prebariatric patients despite lower BMI (BMI of 39.7±6.8 vs 47.2±7.6, p<0.05; BQL Index of 44.8±6 vs 41.6±10.4, p=0.144, respectively). Years from RYGB, BMI and amount of weight regain were associated with BQL Index on a univariate analysis (β=−0.55,−0.52, −0.7; p<0.0001). Only weight regain was a significant predictor of BQL on a multivariate analysis (β =−0.56; p=0.001).ConclusionWeight regain had a negative impact on bariatric patients’ QoL. Patients who regained at least 15% of maximal weight lost appeared to have as low QoL as those who had not undergone bariatric surgery despite a lower BMI.

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Section: Discussionmentioning

confidence: 99%

Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index

Jirapinyo

Dayyeh

Thompson

2017

BMJ Open Gastroenterol

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“…The only justification that one should hence need for RBS is whether the risks of RBS are outweighed by the benefits. This question has not yet been and perhaps cannot be answered with level 1 evidence given the sheer number of studies now reporting on the safety and efficacy of RBS [10,[29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Revisional Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: a Systematic Review of Comparative Outcomes with Respective Primary Procedures

et al. 2015

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Though primary bariatric surgery is now firmly established as the first-line treatment for morbid obesity, this is not the case with revisional bariatric surgery. Despite proven benefits and patient demand, revisional bariatric surgery continues to attract controversy. Even though it is widely believed to be riskier and less effective than primary bariatric surgery, there is currently no systematic review in literature addressing this point. This review aims to establish outcomes after revisional bariatric surgery in comparison with those after primary bariatric surgery. Since Roux-en-Y gastric bypass or sleeve gastrectomy is currently the commonest anatomy achieved after revisional bariatric surgery, this review focuses on the outcome of revisional Roux-en-Y gastric bypass and revisional sleeve gastrectomy in comparison with respective primary procedures.

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“…The recent systematic review of the ASMBS Revision Task Force, suggest the conversion to LRYGB in case of severe GERD post-LSG refractory to PPI treatment as effective option [6] (Reviewer 2 comment).…”

Section: Discussionmentioning

confidence: 99%

“…When GERD symptoms significantly impair patients' quality of life, regardless of whether the symptoms are combined with insufficient weight loss or weight regain, revision surgery is indicated. Although conversion to LRYGB seems to be the preferred revision approach, resection of the residual fundus or neofundus (fundectomy as the main part of a resleeve) with hiatal defect repair (if present) might be an alternative strategy in some patients [1,6].…”

Section: Introductionmentioning

confidence: 99%

Residual fundus or neofundus after laparoscopic sleeve gastrectomy: is fundectomy safe and effective as revision surgery?

et al. 2014

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Systematic review on reoperative bariatric surgery

Cited by 291 publications

References 173 publications

Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index

Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index

Revisional Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: a Systematic Review of Comparative Outcomes with Respective Primary Procedures

Residual fundus or neofundus after laparoscopic sleeve gastrectomy: is fundectomy safe and effective as revision surgery?

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