Factores de riesgo para la cirugía revisional tras gastrectomía vertical laparoscópica: análisis tras 10 años de seguimiento

Abstract

The aim of the study was to evaluate the incidence of revisional surgery (RS) after laparoscopic sleeve gastrectomy (LSG) in a series of patients after 10-years follow-up, as well as, indications and risk factors associated.An observational single-centre study was performed on a cohort of 125 patients who underwent LSG between 2012 and 2021.The incidence of RS in our series was 10.4% (13 patients). Main indications were gastroesophageal reflux in 11 patients (84.6%) follow by insufficient weight loss/weight regain (15.4%). Surgical procedure performed in all cases was laparoscopic Y-en-Roux gastric bypass (LYRGB). Type 2 diabetes and surgery-related data as the use of narrower calibration bougie and longer distance to pylorus when performing the first stapling, have been postulated in our cohort as potential predictive factors for LSG failure. The early identification of risk factors for technical failure or complications' onset, would lead to an adequate selection of the surgical procedure and to minimize the impact of RS.