A case-match analysis of failed prior bariatric procedures converted to resectional gastric bypass

Laparoscopic revisional bariatric surgery: myths and facts

“…As a result, primary obesity surgery has been performed increasingly all over the world [5, 6, 10]. There is no ''perfect surgical technique'' for treating morbidly obese patients that achieves 100% excellent results, and probably, more revisional bariatric procedures should be necessary.The main causes for revisional bariatric procedures are regaining of weight, inadequate weight loss, late complications, or loss of quality of life.Vertical banded gastroplasty has a 29% to 56% incidence of long-term revision [18,19,23,26]. Gastric banding is associated with a revison rate of 3.5% to 60% [4, 8, 9, 22, 27], and gastric bypass has a 3% to 13% incidence of revisional procedures, tending to the lower end [2,15,23].…”

“…Vertical banded gastroplasty has a 29% to 56% incidence of long-term revision [18,19,23,26]. Gastric banding is associated with a revison rate of 3.5% to 60% [4,8,9,22,27], and gastric bypass has a 3% to 13% incidence of revisional procedures, tending to the lower end [2,15,23].…”

Reoperative Bariatric Surgery

“…The authors experienced a 3.3 % leak rate (signifi cantly higher than the primary procedures), 8 % early reoperation rate, 10 % of symptomatic incisional hernias, similar 5-year weight loss results as the primary open RYGB, 93 % satisfaction rate, and no mortality. [ 14 ]. He found significantly higher operating times, blood loss, and hospital stay in the reoperative group, but no differences in postoperative morbidity, resolution of comorbidities, mortality, and weight loss at 1 year.…”

Transoral surgery for morbid obesity

“…Recent studies estimate a rate of 5%-13% for major complications with re-operative surgery [38] , the most serious of which include anastomotic leaks, wound dehiscence, incisional hernias and pulmonary complications.…”