Revisional bariatric surgery after adjustable gastric band: a multicenter Polish Revision Obesity Surgery Study (PROSS)

Dowgiałło-Gornowicz, Natalia; Janik, Michał; Lech, Paweł; Kowalski, Grzegorz; Major, Piotr; Pędziwiatr, Michał; Rymarowicz, Justyna; Zarzycki, Piotr; Stefura, Tomasz; Ciszek, Karol; Małczak, Piotr; Myśliwiec, Piotr; Hady, Hady Razak; Głuszyńska, Paulina; Proczko-Stepaniak, Monika; Szymański, Michał; Materlak, Magdalena; Bartosiak, Katarzyna; Czyżykowski, Łukasz; Mawlichanów, Maciej; Kowalewski, Piotr; Szeliga, Jacek; Kupczyk, Wojciech; Harań, Anna; Mulek, Rafał; Krefft, Michał; Wysocki, Michał; Orłowski, Michał; Franczak, Paula; Binda, Artur; Tarnowski, Wiesław; Jaworski, Paweł; Kamiński, Mateusz; Pastuszka, Maciej; Lisik, Wojciech; Szymański, Paweł; Katkowski, Bartosz; Leśniak, Michał; Łabul, Michał

doi:10.1186/s12893-023-02002-w

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…Historically, a laparoscopic adjustable gastric band (LAGB) is the bariatric procedure most likely to be subject to revisional surgery due to its high rate of failures. LSG is used as a rescue procedure in a significant number of these patients [ 12 , 13 ]. In recent years, the SG has been the preferred restrictive intervention for treating obesity.…”

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confidence: 99%

Roux-en-Y Gastric Bypass after Laparoscopic Sleeve Gastrectomy Failure: Could the Number of Previous Operations Influence the Outcome?

Sista,

Carandina,

Soprani

et al. 2024

JCM

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After a failed laparoscopic adjustable gastric band (LAGB), laparoscopic sleeve gastrectomy (LSG) has been proposed as revisional surgery. Those patients that receive a second restrictive procedure fall into a small subgroup of patients with more than one restrictive procedure (MRP). If also the second restrictive procedure fails, the correct surgical strategy is a challenge for the surgeon. Roux-en-Y gastric bypass (RYGB) may be an option but there is no evidence in the literature on whether the procedure is effective in treating failures after MRP. This study aims to evaluate the influence of the previous number of restrictive interventions (MRP vs single LSG) in the results of RYGB as revisional surgery. We have retrospectively analyzed patients who underwent conversion from laparoscopic sleeve gastrectomy (LSG), or from multiple restrictive procedures (MRP), to RYGB for weight regain (WR) or insufficient weight loss (IWL) between 2009 and 2019. The number of patients analyzed was 69 with conversion to RYGB after LSG and 44 after MRP. The reduction of excess weight (%TWL) at 3, 6, 12, 24 RYGB postoperative months was respectively of 11.03%, 16.39%, 21.43%, and 24.22% in the MRP group, and of 10.97%, 16.4%, 21.22%, and 22.71% in the LSG group. No significant difference was found in %TWL terms after RYGB for the MRP group and the LSG group with an overall %TWL, which was 11.00 ± 6.03, 16.40 ± 8.08, 21.30 ± 9.43, and 23.30 ± 9.91 respectively at 3, 6, 12, and 24 months. The linear regression model highlighted a positive relationship between the %EWL post-bypass at 24 months and the time elapsed only between the LSG and RYGB in the MRP group patients (p < 0.001). RYGB has proved to be a reliable technique with good results in terms of weight loss after failed bariatric surgery both in patients who previously underwent MRP and in those who underwent exclusively LSG. RYGB showed better results in patients who experienced WR than in those who had IWL from previous techniques.

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Section: Introductionmentioning

confidence: 99%

Roux-en-Y Gastric Bypass after Laparoscopic Sleeve Gastrectomy Failure: Could the Number of Previous Operations Influence the Outcome?

Sista,

Carandina,

Soprani

et al. 2024

JCM

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Comparison of revisional surgeries after OAGB versus RYGB: Results from the multicenter Polish Revision Obesity Surgery Study (PROSS)

Stefura,

Mulek,

Krefft

et al. 2024

Pol Przegl Chir

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Introduction: The Roux-en-Y gastric bypass (RYGB) is a leading bariatric surgery globally. The One Anastomosis Gastric Bypass (OAGB), a modification of RYGB, ranks as the third most common bariatric procedure in Poland. While clinical trials show OAGB outcomes are comparable to RYGB regarding weight loss, remission of comorbidities, and hormonal impact, there's limited data on long-term outcomes and complications.Materials and Methods: A retrospective study analyzed patients undergoing revisional bariatric surgeries from January 2010 to January 2020 across 12 Polish centers. Inclusion criteria included patients aged 18 and above who underwent prior OAGB or RYGB. Those with incomplete primary surgery data and follow-up post-revision were excluded. Data gathered covered parameters like anthropometrics, comorbidities, and perioperative details. Patients were categorized based on their initial surgery: OAGB or RYGB. Primary endpoints covered reasons for and types of revisional surgeries, and weight changes; secondary endpoints included postoperative complications and length of hospital stay (LOS).Results: 27 patients participated, with a mean age of 38.187 years. Differences between OAGB (13 patients) and RYGB (14 patients) groups included median initial body weight (100kg vs 126 kg, p<0.016), number of postoperative complications (9 vs 3, p=0.021), median LOS (3 vs 4.5 days, p=0.03). GERD was the primary reason for OAGB revisions (69.2%), whereas insufficient weight loss led RYGB revisions (42.9%). Conclusions: RYGB patients commonly needed revisions due to weight issues, whereas reoperations in the OAGB patients were conducted due to postoperative complications. Postoperative complications and LOS were similar between groups.The importance of research for the development of the field: The results of research may have an influence on clinical surgeons' decisions regarding operation technique choice.

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Revisional bariatric surgery after adjustable gastric band: a multicenter Polish Revision Obesity Surgery Study (PROSS)

Cited by 2 publications

References 21 publications

Roux-en-Y Gastric Bypass after Laparoscopic Sleeve Gastrectomy Failure: Could the Number of Previous Operations Influence the Outcome?

Roux-en-Y Gastric Bypass after Laparoscopic Sleeve Gastrectomy Failure: Could the Number of Previous Operations Influence the Outcome?

Comparison of revisional surgeries after OAGB versus RYGB: Results from the multicenter Polish Revision Obesity Surgery Study (PROSS)

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