Revised sleeve gastrectomy: another option for weight loss failure after sleeve gastrectomy

Abstract

The ReSG may be a valid option for failure of primary LSG for both primary or secondary dilatation. Long-term results of ReSG are awaited to prove efficiency. Further prospective clinical trials are required to compare the outcomes of ReSG with those of Roux en Y Gastric Bypass or DS for weight loss failure after LSG.

Re-sleeve gastrectomy as revisional bariatric procedure after biliopancreatic diversion with duodenal switch

“…Marceau et al reported excellent 20 years results after BPD-DS with a %EWL of over 70% [3], but Biron et al mentioned that weight regains after BPD-DS is an increasing problem, especially in super-obese patients, doubling the failure rate every five years with weight regain [16]. In our series, we identified 17 patients with weight regain at a median follow-up of more than 5 years In bariatric surgery, weight regain is a common problem [7,17,18]. Even after satisfactory weight loss, weight regain can occur if patients go back to bad eating habits and sedentary lifestyle [8,19].…”

“…In SG, Baltasar et al reported first on two patients who had undergone re-SG for dilation of SG, with subsequent increased successive weight loss [23]. Other authors reported comparable observation with a substantial of weight regain in up to 23% of SG [5,6,11,18]. However, consideration should be given to a possible re-SG since additional gastric volume restriction might jeopardize the patient's psychological balance [8].…”

Feasibility and Safety of Conversion Sleeve Gastrectomy after Failed Primary Adjustable Gastric Banding or Sleeve Gastrectomy

“…examples include SG, RYGB, and AGB [8,9,11,12]. Conversion operations to RYGB (CRYGB) have been reported to be feasible and well tolerated after failed AGB [12].…”

“…Other reports demonstrated that both CSG and CRYGB were feasible options and resulted in further substantial weight loss [8]. Another study revealed that CSG might be a valid option for managing PSG complications such as primary or secondary dilatation [11]. However, there is still insufficient evidence to help establish robust guidelines for conversion operations after failed primary bariatric surgery.…”

“…In addition, approximately 14.3-50% of these patients require revision or conversion surgeries [5][6][7]. However, there is no consensus as to the best choice of revision surgery [8][9][10][11][12]. The safety and efficacy of this are still being explored.…”