Long-Term Results at 10 Years of Pouch Resizing for Roux-en-Y Gastric Bypass Failure

Drai, Céline; Chierici, Andrea; Schiavo, Luigi; Mazahreh, Tagleb S.; Schneck, Anne-Sophie; Iannelli, Antonio

doi:10.3390/nu14194035

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…Patients who require BS often have a steatotic liver, which can make the surgery technically challenging [107]. This can lead to longer surgery times, an increased risk of bleeding during surgery, anastomotic complications, and in some cases, suboptimal bariatric anatomy, which can compromise long-term results [108,109]. Another challenge during bariatric surgery is increased intra-abdominal fat, especially in patients with central obesity.…”

Section: Extubationmentioning

confidence: 99%

Very Low-Calorie Ketogenic Diet (VLCKD) as Pre-Operative First-Line Dietary Therapy in Patients with Obesity Who Are Candidates for Bariatric Surgery

et al. 2023

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Bariatric surgery is currently the most effective method for achieving long-term weight loss and reducing the risk of comorbidities and mortality in individuals with severe obesity. The pre-operative diet is an important factor in determining patients’ suitability for surgery, as well as their post-operative outcomes and success in achieving weight loss. Therefore, the nutritional management of bariatric patients requires specialized expertise. Very low-calorie diets and intragastric balloon placement have already been studied and shown to be effective in promoting pre-operative weight loss. In addition, the very low-calorie ketogenic diet has a well-established role in the treatment of obesity and type 2 diabetes mellitus, but its potential role as a pre-operative dietary treatment prior to bariatric surgery has received less attention. Thus, this article will provide a brief overview of the current evidence on the very low-calorie ketogenic diet as a pre-operative dietary treatment in patients with obesity who are candidates for bariatric surgery.

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Section: Extubationmentioning

confidence: 99%

Very Low-Calorie Ketogenic Diet (VLCKD) as Pre-Operative First-Line Dietary Therapy in Patients with Obesity Who Are Candidates for Bariatric Surgery

et al. 2023

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Gastric Pouch Resizing for Recurrent Weight Gain After Roux-en-Y Gastric Bypass—Does It Have Its Rational?

Hehl,

Birrer,

Hauser

et al. 2024

OBES SURG

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Introduction The most effective treatment for obesity and associated comorbidities is metabolic-bariatric surgery (MBS). Nevertheless, recurrent weight gain is reported in up to 40% of patients after Roux-en-Y gastric bypass (RYGB), eventually with a recurrence of obesity-associated comorbidities. Gastric pouch resizing (GPR) is performed as a low-risk secondary surgery to cease weight regain. We herewith analyzed the effect of GPR after primary RYGB on long-term weight loss, course of comorbidities, safety, and patient satisfaction. Methods Forty-eight patients undergoing GPR between 2016 and 2020 at the University Hospital of Zurich were included. Data were collected from a prospective database. GPR was performed laparoscopically and included a resection of the enlarged gastric pouch and a redo of the gastrojejunostomy. Additionally, 37 patients participated in a survey to evaluate PROMs (patient-reported outcome measures). Results GPR followed RYGB after a mean time of 106.2 ± 45.5 months at a mean BMI of 39 ± 5.4 kg/m2. Mean follow-up was 55.9 ± 18.5 months with a mean BMI 1- and 5-years postoperative of 37 ± 5.5 kg/m2 and 35 ± 7.5 kg/m2, respectively. Obesity-associated comorbidities were resolved in 53% of patients at follow-up (p < 0.05). Minor postoperative complications occurred in 12.5% while major complications occurred in 10.4% of patients. The PROMs showed high levels of satisfaction after GPR. Conclusion GPR for recurrent weight gain after primary RYGB is a safe procedure resulting in weight stabilization and resolution of obesity-associated comorbidities. It is thus a valuable surgical option in well-selected patients. Graphical Abstract

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Long-term results of conversion of Roux-en-Y to biliopancreatic diversion with duodenal switch

Roulet,

Phocas,

Becouarn

et al. 2024

Surgery for Obesity and Related Diseases

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Long-Term Results at 10 Years of Pouch Resizing for Roux-en-Y Gastric Bypass Failure

Cited by 3 publications

References 31 publications

Very Low-Calorie Ketogenic Diet (VLCKD) as Pre-Operative First-Line Dietary Therapy in Patients with Obesity Who Are Candidates for Bariatric Surgery

Very Low-Calorie Ketogenic Diet (VLCKD) as Pre-Operative First-Line Dietary Therapy in Patients with Obesity Who Are Candidates for Bariatric Surgery

Gastric Pouch Resizing for Recurrent Weight Gain After Roux-en-Y Gastric Bypass—Does It Have Its Rational?

Long-term results of conversion of Roux-en-Y to biliopancreatic diversion with duodenal switch

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