Effect of primary versus revisional Roux-en-Y gastric bypass: inferior weight loss of revisional surgery after gastric banding

Slegtenhorst, Bendix R.; Harst, Erwin van der; Demirkıran, Ahmet; Korte, Joyce de; Schelfhout, L.J.D.M.; Klaassen, René A.

doi:10.1016/j.soard.2012.01.022

Cited by 46 publications

(31 citation statements)

References 28 publications

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“…The weight loss data reported an excess body mass index loss of 39 % for patients with RYGB as a revisional procedure after GB, but the median BMI loss in this study was 4.4 kg/m 2 , which is a poor result in our opinion [14]. Slegtenhorst et al and Zingg et al also observed lower weight loss after revisional RYGB than after the primary procedure [13,15].…”

Section: Discussioncontrasting

confidence: 62%

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One Versus Two-Step Roux-en-Y Gastric Bypass After Gastric Banding—Data Analysis of the German Bariatric Surgery Registry

Weiner

Wolff²,

Lerche³

et al. 2014

OBES SURG

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RYGBs are popular procedures after failed GB in Germany. The multivariable analysis for overall intraoperative complications revealed a significant difference between the two-step and the one-step procedure. In an unadjusted and multivariate assessment, the one-step procedure had statistically lower general postoperative complications than the two-step approach. Therefore, we suggest performing band removal and RYGB as a one-step procedure. Further analysis is necessary to evaluate the risk factors for the one-step procedure. Follow-up investigations must be performed to determine whether RYGB is an effective and safe option after GB.

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Section: Discussioncontrasting

confidence: 62%

“…Slegtenhorst et al report a higher incidence of complications for revisional RYGB (15.2 %) compared with primary RYGB (14.7 %) [13].…”

Section: Discussionmentioning

confidence: 99%

One Versus Two-Step Roux-en-Y Gastric Bypass After Gastric Banding—Data Analysis of the German Bariatric Surgery Registry

Weiner

Wolff²,

Lerche³

et al. 2014

OBES SURG

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“…Though some studies have shown inferior weight loss with RBS [2][3][4], others have not. At the same time, some authors [5,6] have shown that inferior weight loss with RBS does not come at the cost of inferior comorbidity resolution. Similarly, while many studies have shown higher complication rates with RBS compared to primary bariatric surgery (PBS) [2,7], our group [8] and others have performed RBS with exceptional safety and reported complication rates similar to PBS.…”

Section: Introductionmentioning

confidence: 99%

Revisional Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: a Systematic Review of Comparative Outcomes with Respective Primary Procedures

et al. 2015

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Though primary bariatric surgery is now firmly established as the first-line treatment for morbid obesity, this is not the case with revisional bariatric surgery. Despite proven benefits and patient demand, revisional bariatric surgery continues to attract controversy. Even though it is widely believed to be riskier and less effective than primary bariatric surgery, there is currently no systematic review in literature addressing this point. This review aims to establish outcomes after revisional bariatric surgery in comparison with those after primary bariatric surgery. Since Roux-en-Y gastric bypass or sleeve gastrectomy is currently the commonest anatomy achieved after revisional bariatric surgery, this review focuses on the outcome of revisional Roux-en-Y gastric bypass and revisional sleeve gastrectomy in comparison with respective primary procedures.

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“…Some suggests similar complication rates between primary and revisional bariatric surgery, while others show that revisional bariatric surgery can result in 8-46 % morbidity [3][4][5][6]. The existing literature on outcomes after revisional bariatric surgery is limited by sample size, and there are few published comparative studies.…”

mentioning

confidence: 99%

Perioperative risk and complications of revisional bariatric surgery compared to primary Roux-en-Y gastric bypass

et al. 2014

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Effect of primary versus revisional Roux-en-Y gastric bypass: inferior weight loss of revisional surgery after gastric banding

Cited by 46 publications

References 28 publications

One Versus Two-Step Roux-en-Y Gastric Bypass After Gastric Banding—Data Analysis of the German Bariatric Surgery Registry

One Versus Two-Step Roux-en-Y Gastric Bypass After Gastric Banding—Data Analysis of the German Bariatric Surgery Registry

Revisional Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: a Systematic Review of Comparative Outcomes with Respective Primary Procedures

Perioperative risk and complications of revisional bariatric surgery compared to primary Roux-en-Y gastric bypass

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