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REVIEW
Alison Pletch, Anne Lidor
PURPOSE OF REVIEW: GERD after bariatric surgery is an ongoing concern for bariatric surgeons and their patients. This paper reviews the association of persistent or de novo GERD after multiple types of bariatric surgery, and focuses on the work up and management of GERD after SG. RECENT FINDINGS: Two recent large, multicenter randomized clinical trials have shown stronger associations between SG and GERD compared to RYGB. A large group of internationally recognized bariatric surgeons collaborated on 72 consensus statements to help guide the bariatric community on the subject of redo surgeries after SG, including as it pertains to GERD...
April 2024: Current Gastroenterology Reports
#2
JOURNAL ARTICLE
Aiman Ismaeil, Bruno Dillemans
Roux-en-Y gastric bypass (LRYGB) would be the procedure of choice for non-responders of weight loss and patients with reflux symptoms (GERD). However, not every patient is a candidate for RYGB, and sometimes, the patient can insist only on alternatives other than malabsorption procedures, as was the case with our patient. We report a case with symptomatic GERD who underwent a successful Nissen sleeve gastrectomy after band removal. To our knowledge, this is the first case using Nissen sleeve as a redo surgery after a previous bariatric procedure...
February 3, 2024: Obesity Surgery
#3
MULTICENTER STUDY
Michał Łabul, Michał Wysocki, Piotr Małczak, Maciej Matyja, Natalia Dowgiałło-Gornowicz, Paweł Lech, Michał Szymański, Piotr Major
The increasing prevalence of bariatric surgery has resulted in a rise in the number of redo procedures as well. While redo bariatric surgery has demonstrated its effectiveness, there is still a subset of patients who may not derive any benefits from it. This poses a significant challenge for bariatric surgeons, especially when there is a lack of clear guidelines. The primary objective of this study is to evaluate the outcomes of patients who underwent Re-Redo bariatric surgery. We conducted a retrospective cohort study on a group of 799 patients who underwent redo bariatric surgery between 2010 and 2020...
February 1, 2024: Scientific Reports
#4
JOURNAL ARTICLE
Rocio Castillo-Larios, Jorge Cornejo, Naga Swati Gunturu, Yilon Lima Cheng, Enrique F Elli
PURPOSE: A revisional bariatric surgery (RBS) is necessary in about 28% of the patients. The role of robotic surgery in RBS is still a subject of debate. We aim to report the outcomes of robotic-assisted RBS at our institution. MATERIALS AND METHODS: We identified patients who underwent robotic-assisted RBSs between January 1, 2016, and May 31, 2022. We analyzed patient demographics and indications for surgery. Measured outcomes included peri- and postoperative morbidity, comorbidity management, and weight loss outcomes...
November 3, 2023: Obesity Surgery
#5
JOURNAL ARTICLE
Outcome of Revisional Bariatric Surgery After Failed Sleeve Gastrectomy: a German Multicenter Study.
Omar Thaher, Juan Fernando Mesa Daza, Roland S Croner, Christine Stroh
PURPOSE: Sleeve gastrectomy (SG) is a common bariatric procedure that has been shown to be effective in both the short and long term, but it is not without risks, some of which necessitate revision or redo surgery (RS). MATERIALS AND METHODS: GBSR (German Bariatric Surgery Registry) data were evaluated in this multicenter analysis. Short-term results (1-year follow-up) of RS (Re-Sleeve gastrectomy, Roux-en-Y gastric bypass, RYGB, Omega-loop gastric bypass, OLGB, and duodenal switch, DS) following primary SG (n = 27939) were evaluated...
September 28, 2023: Obesity Surgery
#6
JOURNAL ARTICLE
Ingeborg Bohlmann, Werner Müller, Antonius Schuster, Claudius Falch
Unknown intestinal rotation anomaly poses a challenge in laparoscopic gastric bypass surgery. We present a case of a patient with intestinal non-rotation that stayed undetected throughout performing a laparoscopic Roux-en-Y gastric bypass. As a result, the alimentary limb was constructed in an anti-peristaltic way, and the whole gastric bypass was located far more distally than usual. Postoperatively, the patient presented with recurring nausea and vomiting. After several diagnostic steps, a computed tomography finally revealed the inadvertently reverse directed gastric bypass and the pre-existing condition of intestinal non-rotation...
July 4, 2023: Obesity Surgery
#7
RANDOMIZED CONTROLLED TRIAL
Deborshi Sharma, Sanjay Meena, Gautam Anand
INTRODUCTION: Laparoscopic Bariatric surgery despite being minimally invasive can cause moderate to severe pain in the immediate postoperative period. Adequate pain management remains a major challenge. Transversus Abdominis Plane (TAP) block is a regional anesthesia technique which blocks the sensory nerve supply of anterior-lateral abdominal wall. AIMS AND OBJECTIVES: Primary: evaluate Laparoscopic versus ultrasound (USG)-guided TAP block on immediate post-operative analgesia after undergoing laparoscopic bariatric surgery...
September 2023: Surgical Endoscopy
#8
JOURNAL ARTICLE
Piotr Zarzycki, Justyna Rymarowicz, Piotr Małczak, Magdalena Pisarska-Adamczyk, Rafał Mulek, Artur Binda, Natalia Dowgiałło-Gornowicz, Piotr Major, Pross Collaborative Study Group
Background and Objectives: Although the technical simplicity of laparoscopic sleeve gastrectomy is relatively well understood, many parts of the procedure differ according to bariatric surgeons. These technical variations may impact postoperative weight loss or the treatment of comorbidities and lead to qualification for redo procedures. Materials and Methods : A multicenter, observational, retrospective study was conducted among patients undergoing revision procedures. Patients were divided into three groups based on the indications for revisional surgery (insufficient weight loss or obesity-related comorbidities treatment, weight regain and development of complications)...
April 20, 2023: Medicina
#9
JOURNAL ARTICLE
P V Kolyadko, V P Kolyadko, E N Degovtsov, V S Samoilov, A V Stepanenko
Redo bariatric procedures are common. However, redo sleeve gastrectomy is not a frequent case of repeated bariatric surgery and can be performed rather as a necessary measure in difficult intraoperative conditions. We report a patient who underwent laparoscopic adjustable gastric band placement, its blockage and surgical removal, sleeve gastrectomy and redo sleeve gastrectomy. After that, staple-line suture failure developed that required endoscopic clipping.
2023: Khirurgiia
#10
JOURNAL ARTICLE
Mohammad Kermansaravi, Chetan Parmar, Sonja Chiappetta, Scott Shikora, Ali Aminian, Syed Imran Abbas, Luigi Angrisani, Ahmad Bashir, Estuardo Behrens, Mohit Bhandari, Benjamin Clapp, Ricardo Cohen, Jerome Dargent, Bruno Dilemans, Maurizio De Luca, Ashraf Haddad, Khaled Gawdat, Mohamed Hayssam Elfawal, Jaques Himpens, Chih-Kun Huang, Farah Husain, Kazunori Kasama, Radwan Kassir, Amir Khan, Lilian Kow, Matthew Kroh, Muffazal Lakdawala, Juan Antonio Lopez Corvala, Karl Miller, Mario Musella, Abdelrahman Nimeri, Patrick Noel, Mariano Palermo, Luis Poggi, Tigran Poghosyan, Gerhard Prager, Arun Prasad, Aayad Alqahtani, Karl Rheinwalt, Rui Ribeiro, Asim Shabbir, Antonio Torres, Ramon Villalonga, Cunchuan Wang, Kamal Mahawar, Natan Zundel
BACKGROUND: Sleeve gastrectomy (SG) is the most common metabolic and bariatric surgical (MBS) procedure worldwide. Despite the desired effect of SG on weight loss and remission of obesity-associated medical problems, there are some concerns regarding the need to do revisional/conversional surgeries after SG. This study aims to make an algorithmic clinical approach based on an expert-modified Delphi consensus regarding redo-surgeries after SG, to give bariatric and metabolic surgeons a guideline that might help for the best clinical decision...
March 2023: Surgical Endoscopy
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JOURNAL ARTICLE
Alessandra D'Alessandro, Jean-Loup Dumont, Ibrahim Dagher, Francesco Zito, Giovanni Galasso, Hadrien Tranchart, Fabrizio Cereatti, Jean-Marc Catheline, Guillaume Pourcher, Lionel Rebibo, Daniela Calabrese, Simon Msika, Hugo Rotkopf, Thierry Tuszynski, Filippo Pacini, Roberto Arienzo, Antonio D'Alessandro, Adriana Torcivia, Laurent Genser, Konstantinos Arapis, Renaud Chiche, Giovanni Domenico De Palma, Mario Musella, Jean-Marc Chevallier, Gianfranco Donatelli
BACKGROUND: Gastric sleeve stenosis (GSS) is described in 1%-4% of patients. OBJECTIVE: To evaluate the role of endoscopy in the management of stenosis after laparoscopic sleeve gastrectomy using a standardized approach according to the characteristic of stenosis. SETTING: Retrospective, observational, single-center study on patients referred from several bariatric surgery departments to an endoscopic referral center. METHODS: We enrolled 202 patients...
March 2023: Surgery for Obesity and Related Diseases
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JOURNAL ARTICLE
Michał Łabul, Michał Wysocki, Katarzyna Bartosiak, Michał Orłowski, Bartosz Katkowski, Paweł Jaworski, Piotr Małczak, Piotr Major
INTRODUCTION: With continuously growing number of redo bariatric surgeries (RBS), it is necessary to look for factors determining success of redo-surgeries. PATIENTS AND METHODS: A retrospective cohort study analyzed consecutive patients who underwent RBS in 12 referral bariatric centers in Poland from 2010 to 2020. The study included 529 patients. The efficacy endpoints were percentage of excessive weight loss (%EWL) and remission of hypertension (HT) and/or type 2 diabetes (T2D)...
October 15, 2022: Obesity Surgery
#13
JOURNAL ARTICLE
Rocio E Carrera Ceron, Brant K Oelschlager
Introduction: Recurrent paraesophageal hernias (rPEH) represent a clinical and surgical challenge. Even with a relatively high incidence, most of them are minimally symptomatic, and the need for reoperation is low. For those patients who are candidates for surgery, laparoscopic revision is a feasible and safe technique although there are other treatment options available. Methods: This article provides an overview of the definition, mechanisms of recurrence, epidemiology, clinical presentation, and indications for treatment of rPEH, as well as an overview of the surgical management options and a description of the technical principles of the repair and/or resection...
September 27, 2022: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
#14
JOURNAL ARTICLE
Dario Raglione, Andrea Chierici, Antonio Castaldi, Céline Drai, Serena de Fatico, Tagleb S Mazahreh, Luigi Schiavo, Anne-Sophie Schneck, Antonio Iannelli
INTRODUCTION: Over the last two decades, a progressive increase in failure rate of bariatric surgery (BS) has occurred in conjunction with an exponential increase in BS worldwide. Bariatric surgeons are confronted with challenging situations in patients with a complex bariatric history. In this study, we aim to evaluate the feasibility and outcomes of revisional BS in patients with at least two or more previous bariatric procedures. METHODS: Data were retrospectively retrieved from a prospectively held database of bariatric procedures performed at our tertiary referral bariatric center and included procedures done from February 2013 up to April 2019 by a single center...
August 23, 2022: Obesity Surgery
#15
MULTICENTER STUDY
Omar Thaher, Jamal Driouch, Martin Hukauf, Christine Stroh
BACKGROUND: This study investigates the outcome of one-stage and two-stage Roux-Y gastric bypass (RYGB) as a revision procedure after failed adjustable gastric banding (AGB). MATERIAL AND METHODS: Data of patients who underwent a one-stage RYGB (OS-RYGB) or a two-stage RYGB (TS-RYGB) revision procedure after failing AGB between 2005 and 2019 were analyzed. Outcome criteria were perioperative complications, operating time, change in weight and BMI, and remission of comorbidities at 1-year follow-up...
August 2022: Journal of Gastrointestinal Surgery
#16
REVIEW
Chierici A, Chevalier N, Iannelli A
BACKGROUND: revisional bariatric surgery is gaining increasing interest as long term follow-up studies demonstrate an elevated failure rate of primary surgery due to insufficient weight loss, weight regain or complications. This particularly concerns restrictive bariatric surgery which has been widely adopted from the '80s till present through different procedures, notably vertical banded gastroplasty, laparoscopic adjusted gastric banding and sleeve gastrectomy. The aim of this study is to define which revisional bariatric procedure performs the best after failure of primary restrictive surgery...
June 2022: International Journal of Surgery
#17
Mohammadreza Abdolhosseini, Arsh Haj Mohamad Ebrahim Ketabforoush, Parynaz Parhizgar, Mehdi Tavallaei
With the epidemic prevalence of obesity in today's society, bariatric surgery has become very popular in treating severe obesity. Although the complications of this surgery have decreased with the advancement of medicine and post-treatment care, there are still complications that can lead to death if neglected. In this case report, we present a 44-year-old patient who underwent redo bariatric surgery. She was discharged from the hospital in good general condition but returned a few days later with a major complaint of abdominal pain and sudden bleeding from the upper gastrointestinal tract...
2022: Clinical Medicine Insights. Case Reports
#18
JOURNAL ARTICLE
Karl Peter Rheinwalt, Sandra Schipper, Andreas Plamper, Patrick Hamid Alizai, Jonel Trebicka, Maximilian Joseph Brol, Andreas Kroh, Sophia Schmitz, Chetan Parmar, Ulf Peter Neumann, Tom Florian Ulmer
BACKGROUND: Aim of this study was to improve knowledge about the best conversional bariatric procedure following sleeve gastrectomy (SG). METHODS: Data of conversional Roux-en-Y gastric bypass (RYGB) and of one anastomosis gastric bypass (OAGB) after SG were collected prospectively and analyzed retrospectively. Weight loss parameters, gastroesophageal reflux disease (GERD) and comorbidities outcomes were recorded. RESULTS: Total of 123 patients (90 female, mean age 44 ± 0...
April 2022: World Journal of Surgery
#19
REVIEW
Nicola Tartaglia, Giovanna Pavone, Fabio Petruzzelli, Rosaria Menga, Vincenzo Buccino, Mario Pacilli, Laura Ambrosi, Antonio Facciorusso, Antonio Ambrosi
Bariatric surgery is recognized as the most effective treatment for morbid obesity, maintaining a stable weight reduction in the long term and reducing comorbidities, with a favorable impact on mortality. The aim of this study is to evaluate the complication rate and treatment techniques adopted in all patients undergoing bariatric surgery procedures in our center. From May 2017 to March 2020, 91 patients with morbid obesity are admitted to the Department of Medical and Surgical Science of the University Hospital of Foggia undergoing bariatric surgery...
2021: Annali Italiani di Chirurgia
#20
JOURNAL ARTICLE
Ramon Vilallonga, José Manuel Fort, María Rita Rodríguez Luna, Amador García Ruiz de Gordejuela, Oscar Gonzalez, Enric Caubet, Arturo Cirera de Tudela, Mariano Palermo, Andrea Ciudin, Manel Armengol
Introduction: Obesity remains a major public chronic disease, and the multifactorial components of its relapse in many patients remain inevitable. Methods: This article provides a panoramic view of the most commonly performed revisional bariatric surgery (RBS). RBS is a complex procedure; thus, primary procedures should be well chosen and performed to avoid the increasing number of RBS cases. Results: Bariatric surgery is the only successful long-term treatment for obesity. However, a proportion of primary bariatric surgeries has failed during the follow-up period...
September 6, 2021: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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