Challenges of Revisional Metabolic and Bariatric Surgery: A Comprehensive Guide to Unraveling the Complexities and Solutions of Revisional Bariatric Procedures

Overview

Journal J Clin Med

Specialty General Medicine

Date 2024 Jun 19

PMID 38892813

Authors

Lorna A Evans

Rocio Castillo-Larios

Jorge Cornejo

Enrique F Elli

Affiliations

Soon will be listed here.

Abstract

Revisional metabolic and bariatric surgery (RMBS) presents unique challenges in addressing weight loss failure or complications arising from initial bariatric procedures. This review aims to explore the complexities and solutions associated with revisional bariatric procedures comprehensively, offering insights into the evolving terrain of metabolic and bariatric surgery. A literature review is conducted to identify pertinent studies and expert opinions regarding RMBS. Methodological approaches, patient selection criteria, surgical techniques, preoperative assessments, and postoperative management strategies are synthesized to provide a comprehensive overview of current practices and advancements in the field, including institutional protocols. This review synthesizes key findings regarding the challenges encountered in RMBS, including the underlying causes of primary procedure failure, anatomical complexities, technical considerations, and assessments of surgical outcomes. Additionally, patient outcomes, complication rates, and long-term success are presented, along with institutional approaches to patient assessment and procedure selection. This review provides valuable insights for clinicians grappling with the complexities of RMBS. A comprehensive understanding of patient selection, surgical techniques, preoperative management, and postoperative care is crucial for enhancing outcomes and ensuring patient satisfaction in the field of metabolic bariatric surgery.

Citing Articles

Bariatric and endo-bariatric interventions for diabetes: What is the current evidence?.

Mondal S, Ambrose Fistus V, Pappachan J World J Diabetes. 2024; 15(11):2255-2263.

PMID: 39582566 PMC: 11580570. DOI: 10.4239/wjd.v15.i11.2255.

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