Revision Surgery for Treatment of Weight Regain After Roux-en-Y Gastric Bypass

Overview

Journal Obes Surg

Date 2013 Aug 22

PMID 23963882

Citations 4

Authors

Alvaro Antonio Bandeira Ferraz

Luciana Teixeira DE Siqueira

Eliobas Nunes Filho

Jose Guido Correa de Araujo Jr

Josemberg Marins Campos

Thiago Xavier de Barros-Correia

Mariana Gomes Muniz

Edmundo Machado Ferraz

Affiliations

Soon will be listed here.

Abstract

Background: This study aims to evaluate results on revision surgery for weight regain after gastric bypass, based on surgical technique and follow-up.

Methods: This study is a retrospective analysis of 29 patients who presented weight regain on follow-up after more than 5 years, divided into four groups according to revision surgery type: group 1 (n = 9) includes patients who underwent an increase in the length of the alimentary limb to 200 cm; group 2 (n = 13) are patients who underwent an increase in the length of the alimentary limb and placing of a silicon ring; group 3 (n = 2) are patients who underwent an increase in the length of the alimentary limb and gastric plication, and group 4 (n = 5) are patients who underwent gastric plication and placing of a silicon ring.

Results: The average preoperative weight before revision surgery was 117.8 kg, and the average postoperative follow-up for revision surgery was 13.7 months. Weight loss after revision surgery was observed in all groups but was greater in patients with longer revisional postoperative follow-up. Patients who underwent placing of a silicon ring presented greater weight loss than those who had had such a band since the original gastric bypass operation.

Conclusions: Data suggest that revision surgery may be a useful tool in achieving weight loss in patients presenting weight regain following gastric bypass, obesity, bariatric surgery, gastric bypass, weight regain, and revision surgery.

Citing Articles

Weight Regain after Metabolic Surgery: Beyond the Surgical Failure.

Salazar J, Duran P, Garrido B, Parra H, Hernandez M, Cano C J Clin Med. 2024; 13(4).

PMID: 38398456 PMC: 10888585. DOI: 10.3390/jcm13041143.

Resizing of the Gastric Pouch for Weight Regain after Laparoscopic Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass: Is It a Valid Option?.

Ferro S, Zulian V, De Palma M, Sartori A, Andreica A, Nedelcu M J Clin Med. 2022; 11(21).

PMID: 36362466 PMC: 9659038. DOI: 10.3390/jcm11216238.

Weight Regain After Bariatric Surgery: Prevalence, Etiology, and Treatment.

Velapati S, Shah M, Kuchkuntla A, Abu-Dayyeh B, Grothe K, Hurt R Curr Nutr Rep. 2018; 7(4):329-334.

PMID: 30168043 DOI: 10.1007/s13668-018-0243-0.

Influence of excess weight loss and weight regain on biochemical indicators during a 4-year follow-up after Roux-en-Y gastric bypass.

Nicoletti C, de Oliveira B, de Pinhel M, Donati B, Marchini J, Junior W Obes Surg. 2014; 25(2):279-84.

PMID: 24996801 DOI: 10.1007/s11695-014-1349-0.

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