How Far Can Our Expectations Go on Revisional Bariatric Surgery After Failed Adjustable Gastric Banding?

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Ana Margarida Barbosa Ribeiro Pereira

    Autor

  • André Manuel Costa Pinho

    Autor

  • Hugo Miguel Teixeira Ferraz Santos Sousa

    Autor

Participantes de fora da FMUP

  • da Costa, EL
  • Rodrigues, S
  • Barbosa, L.
  • Preto, J

Unidades de investigação

Abstract

Purpose Bariatric surgery has proven its effectiveness in the treatment of obesity and related comorbidities. However, several procedures may be required to treat this chronic disease and/or complications after bariatric surgery. The most frequent revisional surgeries performed after failed laparoscopic adjustable gastric banding (AGB) have been Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). The aim of this study is to compare medium-term outcomes of primary and revisional bariatric procedures. Material and Methods Single institution, matched case-control study of obese patients submitted to bariatric surgery, divided into four groups of 50 patients: (A) primary RYGB; (B) primary SG; (C) revisional Roux-en-Y gastric bypass (rRYGB) after failed laparoscopic AGB; (D) revisional sleeve gastrectomy (rSG) after failed laparoscopic AGB. Demographic variables, surgical procedures characteristics and complications, weight loss outcomes and resolution of comorbidities were compared. Results Mortality and morbidity were comparable between primary and revisional procedures. Weight loss outcomes were inferior in patients submitted to rRYGB when compared to those submitted to RYGB, with no significant differences found when comparing the other groups. Regarding comorbidities outcomes, only patients submitted to rSG had lower odds of comorbidities improvement. Patients submitted to rRYGB had an odd 7 times higher of comorbidities improvement than those submitted to rSG, independent of weight loss outcomes. Conclusion Revisional surgeries are safe procedures with adequate weight loss outcomes in this difficult set of patients. The choice of revisional procedure may not influence weight loss outcomes, but rRYGB seems to be a better option regarding comorbidities resolution.

Dados da publicação

ISSN/ISSNe:
0960-8923, 1708-0428

Obesity Surgery  Springer New York

Tipo:
Article
Páginas:
1603-1611

Citações Recebidas na Web of Science: 5

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Keywords

  • Obesity; Bariatric surgery; Adjustable gastric banding; Roux-en-Y gastric bypass; Sleeve gastrectomy; Revisional bariatric surgery

Proyectos asociados

Impact of Platelet-Lymphocyte Ratio (PLR) in the prognosis of Gastric Cancer patients

Investigador Principal: Hugo Miguel Teixeira Ferraz Santos Sousa

Estudo Clínico Académico (PLR) . 2020

Impact of serum albumin concentration and neutrophil-lymphocyte ratio score on gastric cancer prognosis

Investigador Principal: Hugo Miguel Teixeira Ferraz Santos Sousa

Estudo Clínico Académico (gastric cancer prognosis . 2020

Health related Quality of Life six years after bariatric surgery: factors influencing outcome

Investigador Principal: André Manuel Costa Pinho

Estudo Clínico Académico . 2020

High-Sensitivity modified Glasgow Prognostic Score (HS-mGPS) as a predictor of overall survival in gastric cancer patients submitted to curative-intent surgery

Investigador Principal: Hugo Miguel Teixeira Ferraz Santos Sousa

Estudo Clínico Académico . 2020

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