Quality of Life, Weight Loss and Improvement of Co-morbidities After Primary and Revisional Laparoscopic Roux Y Gastric Bypass Procedure—Comparative Match Pair Study

Mohos, Elemér; Jánó, Zoltán; Richter, D; Schmaldienst, Elizabeth; Sándor, Gábor László; Mohos, Petra; Horzov, Miroslav; Tornai, Gábor; Prager, Manfred

doi:10.1007/s11695-014-1314-y

Cited by 20 publications

(14 citation statements)

References 24 publications

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“…In terms of anthropometric parameters, some studies have not observed differences in EWL% between patients who received P-RYGB and R-RYGB [12,13]. Conversely, patients who underwent P-RYGB have been reported to achieve significantly better EWL% [16,18], consistent with the findings of the current study. Likewise, the patients who received P-RYGB in our study had a significantly higher TWL% than patients who received R-RYGB, similar to the findings from other studies [20,28].…”

Section: Discussionsupporting

confidence: 90%

“…Moreover, these studies reported inconsistent findings, suggesting comparable weight loss and complications for patients who underwent P-RYGB and R-RYGB [12][13][14] or inferior weight loss and higher complications in patients who received R-RYGB [15,16]. Furthermore, few studies have assessed the evolution of comorbidities after P-RYGB and R-RYGB [8,17,18], despite the possibility of relapse of comorbidities after RYGB (e.g., T2DM, HTN, and dyslipidemia). Likewise, studies comparing P-RYGB to R-RYGB only reported the remission of the comorbidities, with no data provided on the improvements or relapses [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

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Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?

et al. 2019

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Background Revisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared with R-RYGB (e.g., post sleeve gastrectomy/gastric banding) are controversial. Methods Retrospective chart review of all patients who received P-RYGB and R-RYGB (January 2011-June 2015) at our center. One hundred twenty patients who underwent P-RYGB and 34 R-RYGB who completed 18 months follow-up were included. We compared the effectiveness of P-RYGB with R-RYGB by assessing four anthropometric, two glycemic, and four lipid parameters, as well as the control of type 2 diabetes (T2DM), hypertension, dyslipidemia (remission, improvement, persistence, relapse, de novo), mortality and complications rates. Results A comparison of the effectiveness of P-RYGB with R-RYGB at 18 months revealed no significant differences in patients' age, gender, and preoperative BMI between groups. However, patients who received P-RYGB had lower mean weight (P = 0.001) and BMI (P < 0.001), reflected by a higher mean delta BMI (P = 0.02), total weight loss percentage (TWL%) (P < 0.0001) and excess weight loss percentage (EWL%) (P < 0.0001). No differences in glycemic parameters, lipid profiles, control of T2DM, hypertension, and dyslipidemia were observed. No death is reported and complication rates were comparable. Conclusions Although R-RYGB effectively addressed inadequate weight loss, weight regain, and recurrence of comorbidities after restrictive bariatric surgery, R-RYGB resulted in inferior weight loss compared with P-RYGB. Neither procedure differed in their clinical control of T2DM, hypertension, and dyslipidemia. Both procedures exhibited comparable complication rates.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?

et al. 2019

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“…Some surgeons [1,9] have suggested that a restrictive procedure needing conversion for inadequate weight loss should preferably be converted to one that also provides a degree of malabsorption. Elnahas et al [1] demonstrated superior outcome with revisional RYGB and bilio-pancreatic diversion (BPD)/DS for converting a gastric band in their systematic review of revisional surgery after failed AGB; weight loss was not sustained in the SG group.…”

Section: Discussionmentioning

confidence: 99%

“…Risks as well as the benefits with RBS depend on the nature of primary [2,6] as well as the secondary procedure. For example, revisions of adjustable gastric banding (AGB) and sleeve gastrectomy (SG) carry fewer risks than revisions from vertical banded gastroplasty (VBG), horizontal gastroplasty, and Roux-en-Y gastric bypass (RYGB) [2,3,6,7,9,10]. Similarly, a revision to RYGB carries lower risks than revision to duodenal switch (DS) and higher risks than revision to SG [10].…”

Section: Introductionmentioning

confidence: 99%

“…There are other practical problems with such comparison. These patients may already have lost some weight with the PBS, and indeed, sum total of weight loss with their original operation and RBS in these patients is often similar to that would be achieved with a PBS [9,11,12]. Finally, patients undergoing RBS may have a different starting body mass index (BMI) and a more advanced Bdisease^ [9].…”

Section: Introductionmentioning

confidence: 99%

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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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Roux-en-Y gastric bypass and sleeve gastrectomy as revisional bariatric procedures after adjustable gastric banding: a retrospective cohort study

Santos-Sousa,

Nogueiro,

Lindeza

et al. 2023

Langenbecks Arch Surg

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Introduction The frequency of revisional bariatric surgery is increasing, but its effectiveness and safety are not yet fully established. The aim of our study was to compare short-term outcomes of primary (pRYGB and pSG) and revisional bariatric surgeries (rRYGB and rSG). Methods We performed a retrospective cohort study assessing all patients submitted to primary and revisional (after a failed AGB) RYGB and SG in 2019. Each patient was followed-up at 6 months and 12 months after surgery. We compared pRYGB vs. rRYGB, pSG vs. rSG and rRYGB vs. rSG on weight loss, surgical complications, and resolution of comorbidities. Results We assessed 494 patients, of which 18.8% had undergone a revisional procedure. Higher weight loss at 6 and 12 months was observed in patients undergoing primary vs. revisional procedures. Patients submitted to rRYGB lost more weight than those with rSG (%EWL 12 months = 82.6% vs. 69.0%, p < 0.001). Regarding the resolution of obesity-related comorbidities, diabetes resolution was more frequent in pRYGB than rRYGB (54.2% vs. 25.0%; p = 0.038). Also, 41.7% of the patients who underwent rRYGB had dyslipidemia resolution vs. 0% from the rSG group (p = 0.035). Dyslipidemia resolution was also more common in pSG vs. rSG (68.6% vs. 0.0%; p = 0.001). No significant differences in surgical complications were found. Conclusion Revisional bariatric surgery is effective and safe treating obesity and related comorbidities after AGB. Primary procedures appear to be associated with better weight loss outcomes. Further prospective studies are needed to better understand the role of revisional bariatric surgery.

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Quality of Life, Weight Loss and Improvement of Co-morbidities After Primary and Revisional Laparoscopic Roux Y Gastric Bypass Procedure—Comparative Match Pair Study

Cited by 20 publications

References 24 publications

Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?

Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?

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

Roux-en-Y gastric bypass and sleeve gastrectomy as revisional bariatric procedures after adjustable gastric banding: a retrospective cohort study

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