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National trends in using revisional surgeries post-sleeve gastrectomy due to reflux and weight recurrence: a matched case-control analysis.
Surg Obes Relat Dis
October 2024
Laboratory for Surgical and Metabolic Research, Division of General and Gastrointestinal Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
Background: Several options exist for surgical conversion after sleeve gastrectomy (SG), but a definitive safety profile for each option by indication for conversion remains unclear.
Objectives: To determine and compare 30-day risk profiles of SG conversion to Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion with duodenal switch (BPD-DS), and single-anastomosis duodenoileostomy (SADI).
Methods: Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program national database entries from 2020 to 2022 were used to identify 25,760 adult patients who underwent SG conversion to RYGB, BPD-DS, or SADI.
Outcomes of revisional surgery options after inadequate sleeve gastrectomy: A comprehensive network meta-analysis.
World J Surg
September 2024
General Surgery Department, Kasralainy School of Medicine, Cairo University, Cairo, Egypt.
Background: Despite the success of sleeve gastrectomy (SG) in of weight loss and treatment of the medical problems associated with obesity, some concerns have arisen about the need for revisional surgeries after SG in some patients. This study aimed to present an updated and comprehensive comparison among the presently available revisional surgeries employed explicitly in cases of inadequate outcomes after SG, which is the most frequently performed bariatric surgery in contemporary practice.
Methods: This network meta-analysis included studies that compared the outcomes of different revisional bariatric procedures after an inadequate outcome of SG.
Decision-making Considerations in Revisional Bariatric Surgery.
Surg Laparosc Endosc Percutan Tech
August 2024
Department of General Surgery, New York University Langone Health, Brooklyn, NY.
Objective: With drastic variations in bariatric practices, consensus is lacking on an optimal approach for revisional bariatric surgeries.
Materials And Methods: The authors reviewed and consolidated bariatric surgery literature to provide specific revision suggestions based on each index surgery, including adjustable gastric band (AGB), sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion with duodenal switch (BPD-DS), single anastomosis duodenal-ileal bypass with sleeve (SADI-S), one anastomosis gastric bypass (OAGB), and vertical banded gastroplasty (VBG).
Results: AGB has the highest weight recurrence rate and can be converted to RYGB, SG, and BPD-DS.
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