Gastric Bypass Reversal

Brown, Maria R.; Chirumamilla, Vasu; Giannone, Jonathan; Kaul, Ashutosh

doi:10.1007/978-3-030-28273-8_3

Cited by 1 publication

(3 citation statements)

References 34 publications

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“…Zaveri et al 78 published a retrospective study of 50 patients who underwent reversal, 14% for anastomotic ulcers, 6% for functional disorder, 4.5% for anastomotic complications, and 1% for malnutrition. Reversal surgeries lead to 87% resolution of malnutrition 12,79 . Conversion from RYGB to a duodenal switch procedure is performed for additional weight loss 3,82 …”

Section: Resultsmentioning

confidence: 99%

“…77 RYGB reversal is uncommon but can be indicated for refractory marginal ulcers, severe malnutrition, stricture, obstruction, or dumping syndrome. [77][78][79][80][81] Zaveri et al 78 published a retrospective study of 50 patients who underwent reversal, 14% for anastomotic ulcers, 6% for functional disorder, 4.5% for anastomotic complications, and 1% for malnutrition. Reversal surgeries lead to 87% resolution of malnutrition.…”

Section: Adjustable Gastric Bandmentioning

confidence: 99%

“…Reversal surgeries lead to 87% resolution of malnutrition. 12,79 Conversion from RYGB to a duodenal switch procedure is performed for additional weight loss. 3,82 Biliopancreatic Diversion With Duodenal Switch BPD/DS has consisted of < 1% of bariatric surgeries, mainly due to the technical difficulty of the procedure.…”

Section: Adjustable Gastric Bandmentioning

confidence: 99%

See 2 more Smart Citations

Decision-making Considerations in Revisional Bariatric Surgery

Chen,

Chiang,

Ghanem

et al. 2024

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Objective: With drastic variations in bariatric practices, consensus is lacking on an optimal approach for revisional bariatric surgeries. Materials and Methods: The authors reviewed and consolidated bariatric surgery literature to provide specific revision suggestions based on each index surgery, including adjustable gastric band (AGB), sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion with duodenal switch (BPD-DS), single anastomosis duodenal-ileal bypass with sleeve (SADI-S), one anastomosis gastric bypass (OAGB), and vertical banded gastroplasty (VBG). Results: AGB has the highest weight recurrence rate and can be converted to RYGB, SG, and BPD-DS. After index SG, common surgical options include a resleeve or RYGB. The RYGB roux limb can be distalized and pouch resized in context of reflux, and the entire anatomy can be revised into BPD-DS. Data analyzing revisional surgery after a single anastomosis duodenal-ileal bypass with sleeve was limited. In patients with one anastomosis gastric bypass and vertical banded gastroplasty anatomy, most revisions were the conversion to RYGB. Conclusions: As revisional bariatric surgery becomes more common, the best approach depends on the patient’s indication for surgery and preexisting anatomy.

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Section: Resultsmentioning

confidence: 99%