Revised Sleeve Gastrectomy: Our Experience

Coste, T; Nedelcu, Marius; Ferrandis, Charlotte; Loureiro, Marcelo de Paula; Souche, Regis; Nedelcu, Anamaria; Nocca, David

doi:10.1089/lap.2020.0724

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…Gastric stenosis after ReSG could be due to the stapling of gastric tissue under tension, in front of the angulus narrowing so much the stomach along the calibration tube in that specific area. Nocca et al 27 noted 12% of gastric stricture following ReSG and proposed that stapling should be done on the antrum then in the upper part of the stomach starting above the incisura angularis leaving that area without stapling it. However, surgical skills are highly recommended to perform this revisional surgery.…”

Section: Discussionmentioning

confidence: 99%

Re-sleeve gastrectomy is a safe and sensible intervention in selected patients - retrospective cohort study

El Khoury,

Catheline,

Taher

et al. 2023

International Journal of Surgery

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Introduction: Sleeve gastrectomy (SG) is a good treatment intervention to control metabolic syndrome in patients with obesity worldwide. However, weight regain is of great concern and would usually necessitate a re-intervention. In recent years, re-sleeve gastrectomy (ReSG) has been proposed to treat weight regain in the context of a large residual stomach. Our objective was to analyze the long-term results and safety profile of this intervention in a large case series. Methods: From September 2010 to March 2021, a retrospective cohort study in a tertiary non-university hospital was performed. Seventy-nine patients received a ReSG by laparoscopy. Pre-operative radiologic imaging showed a dilation of the gastric pouch exceeding 250 cc in all cases. Results: A total of seventy-nine patients (87% females) with a mean age of 44.8 years old and a mean Body Mass Index (BMI) of 40.0 kg/m2 were enrolled in the study. The mean follow-up was 44.8 months. The ReSG indication was insufficient weight loss in 37 patients (46.8%) and weight regain in 39 patients (53.2%). We noticed a 10.1% complications rate: gastric stenosis (5.1%), bleeding (2.5%), and incisional site hernia in 2.5%, with no death. There was no gastric fistula detected. The mean BMI decreased to 33.1 kg/m2 after ReSG (a decrease of 6.9 kg/m2). Conclusion: After insufficient weight loss or weight regain following sleeve gastrectomy and in presence of localized or global gastric tube dilation, ReSG seems to be a good treatment choice and a safe procedure.

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Section: Discussionmentioning

confidence: 99%