Revision of Failed Bariatric Procedures to Roux-en-Y Gastric Bypass (RYGB)
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Mousa A. Khoursheed & Ibtisam A. Al-Bader & Fahad S. Al-asfar & Ali I. Mohammad & Mumtaz Shukkur & Hussain M. Dashti
- چاپ و سال / کشور: 2010
Description
Bariatric surgery for morbid obesity has been established as an effective treatment method and has been shown to be associated with resolution of co-morbidities. Despite its success, some patients may require revision because of weight regain or mechanical complications. From September 2005 to December 2009, 42 patients underwent revisional Roux-en-Y gastric bypass (RYGB). All procedures were performed by one surgeon. Demographics, indications for revision, complications, and weight loss were reviewed. Thirty-seven patients were treated with laparoscopic (n=36) or open (n=1) RYGB after failed laparoscopic adjustable gastric banding. Four patient were treated with laparoscopic (n=3) or open (n-1) RYGB after failed vertical banded gastroplasty, and one patient underwent open redo RYGB due to large gastric pouch. Conversion rate from laparoscopy to open surgery was 2.5% (one patient). Mean operative time was 145.83±35.19 min, and hospital stay was 3.36± 1.20 days. There was no mortality. Early and late complications occurred in six patients (14.2%). The mean followup was 15.83±13.43 months. Mean preoperative body mass index was 45.15±7.95 that decreased to 35.23±6.7, and mean percentage excess weight loss was 41.19±20.22 after RYGB within our follow-up period. RYGB as a revisional bariatric procedure is effective to treat complications of restrictive procedures and to further reduce weight in morbidly obese patients.
OBES SURG (2011) 21:1157–1160 DOI 10.1007/s11695-010-0229-5 Published online: 3 July 2010
