Re-sleeve Gastrectomy for Failed Laparoscopic Sleeve Gastrectomy: A Feasibility Study
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Antonio Iannelli & Anne Sophie Schneck & Patrick Noel & Imed Ben Amor & Daniel Krawczykowski & Jean Gugenheim
- چاپ و سال / کشور: 2010
Description
Background Laparoscopic sleeve gastrectomy (LSG) has been rapidly accepted as a valuable bariatric procedure before its effectiveness on weight loss in the long-term is clearly demonstrated. We report a feasibility study including 13 patients undergoing a redo LSG for either progressive weight regain after initial weight loss of insufficient weight loss. Methods From October 2005 to April 2010, 13 patients underwent a re-sleeve gastrectomy procedure for progressive weight regain or insufficient weight loss (<50% of excess weight (EW)) associated with the persistence of the gastric fundus on upper gastrointestinal series. Results Mean initial body mass index (BMI) and EW were 44.6 (37–52.9) kg/m2 and 61.8 (38.2–93.9) kg, respectively. There were ten comorbid conditions in five out of the 13 patients. The revision resulted in a mean BMI, percent of excess weight loss (%EWL), and percentage of excess BMI loss (%EBL) of 32.3 kg/m2, 50.3%, and 57% at 1 month; 32 kg/m2, 47.9%, and 54.5 at 6 months; and 27.5 kg/m2, 71.4%, and 82.8% at 12 months, respectively. There was no morbidity. Conclusions Laparoscopic revision of LSG is safe and effective in the short term to obtain substantial loss of weight and improvement in comorbidities.
OBES SURG (2011) 21:832–835 DOI 10.1007/s11695-010-0290-0 Published online: 6 October 2010
