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Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass: an audit of 34 patients.
- Source :
-
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2016 Nov; Vol. 12 (9), pp. 1646-1651. Date of Electronic Publication: 2016 Mar 02. - Publication Year :
- 2016
-
Abstract
- Background: Weight loss failure and proton pomp inhibitor (PPI)-resistant gastroesophageal reflux diseases (GERD) after sleeve gastrectomy (SG) are frequently encountered.<br />Objectives: The aim of this study was to evaluate the efficacy and risks of SG conversion to Roux-en-Y gastric bypass (RYGB) in the case of weight loss failure or severe GERD.<br />Setting: University hospitals.<br />Methods: Between March 2007 and December 2014, 34 patients with history of SG underwent RYGP. A retrospective analysis of a prospectively collected database was undertaken.<br />Results: Among 34 patients, 31 underwent revisional surgery for weight loss failure and 3 for PPI-resistant GERD. Six patients in the weight loss failure group had symptomatic GERD that was effectively treated with PPIs. The average body mass index (BMI) was 53±11 kg/m2 before SG. A laparoscopic approach was performed in 94% of patients. There was no postoperative mortality. Major adverse events (<90 days) occurred in 4 patients (11.7%). The mean length of stay was 6.7±2.8 days. At the time of revisional surgery, the mean BMI, percentage excess weight loss, and percentage weight loss were 44.7±9.8 kg/m2, 33.6±27.1%, and 16±9.7%, respectively, compared with 40.9±8.5 kg/m2, 63.1±36.2%, and 23.8±14% at 3 years. The GERD was resolved in all patients, allowing the cessation of PPI medication.<br />Conclusion: Laparoscopic conversion of SG to RYGB is feasible and it allows improvement in secondary weight loss and GERD, but at the cost of high morbidity.<br /> (Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Female
Gastroesophageal Reflux therapy
Humans
Length of Stay statistics & numerical data
Male
Postoperative Complications etiology
Postoperative Complications therapy
Prospective Studies
Proton Pump Inhibitors therapeutic use
Reoperation statistics & numerical data
Retrospective Studies
Treatment Failure
Weight Loss physiology
Gastrectomy methods
Gastric Bypass methods
Laparoscopy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1878-7533
- Volume :
- 12
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 27313191
- Full Text :
- https://doi.org/10.1016/j.soard.2016.02.039