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Revisional Laparoscopic Gastric Pouch Resizing for Inadequate Weight Loss After Roux-en-Y Gastric Bypass.
Obes Surg. 2015 Jul; 25(7):1103-8.OS

Abstract

BACKGROUND

Weight regain due to gastric pouch dilatation after Roux-en-Y gastric bypass (RYGB) is seen more frequently after long-term follow-up. We studied the feasibility and safety of laparoscopic pouch resizing (LPR) for dilated gastric pouch after RYGB associated with inadequate weight loss.

METHODS

From 1st June 2011 to 1st September 2013, patients who underwent LPR after failed RYGB were retrospectively compared and analyzed. Data included patient demographics, comorbidity, indication for revision, preoperative weight and BMI, operative time, hospital stay, conversion rate, mean follow-up, body mass index (BMI) loss, percentage excess weight loss (%EWL), reoperation rate, morbidity, and mortality.

RESULTS

Out of 170 revisional bariatric procedures, 32 LPR (27/5, F/M) were performed for dilated gastric pouch after RYGB. The mean age, preoperative weight, and BMI were 38.3 ± 9.3 years, 101.7 ± 22.8 kg, 38.8 ± 6.4 kg/m(2), respectively. The median operative time and hospital stay were 100 min and 2 days, respectively. All pouch resizing procedures were carried out laparoscopically, with none requiring conversion to open surgery. The overall complication and reoperation rates were 15.6 and 3.1 %, respectively. There were no deaths. The mean follow-up was 14.1 ± 6.2 months. The mean postoperative BMI was 32.8 ± 7.3 kg/m(2), and the median %EWL was 29.1 %.

CONCLUSIONS

LPR is safe and can lead to adequate weight loss. However, long-term follow-up is needed to determine the efficiency and durability of this procedure.

Authors+Show Affiliations

Department of Surgery, Faculty of Medicine, Kuwait University, Safat, PO Box 24923, Jabriya, 13110, Kuwait.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

25599857

Citation

Al-Bader, Ibtisam, et al. "Revisional Laparoscopic Gastric Pouch Resizing for Inadequate Weight Loss After Roux-en-Y Gastric Bypass." Obesity Surgery, vol. 25, no. 7, 2015, pp. 1103-8.
Al-Bader I, Khoursheed M, Al Sharaf K, et al. Revisional Laparoscopic Gastric Pouch Resizing for Inadequate Weight Loss After Roux-en-Y Gastric Bypass. Obes Surg. 2015;25(7):1103-8.
Al-Bader, I., Khoursheed, M., Al Sharaf, K., Mouzannar, D. A., Ashraf, A., & Fingerhut, A. (2015). Revisional Laparoscopic Gastric Pouch Resizing for Inadequate Weight Loss After Roux-en-Y Gastric Bypass. Obesity Surgery, 25(7), 1103-8. https://doi.org/10.1007/s11695-015-1579-9
Al-Bader I, et al. Revisional Laparoscopic Gastric Pouch Resizing for Inadequate Weight Loss After Roux-en-Y Gastric Bypass. Obes Surg. 2015;25(7):1103-8. PubMed PMID: 25599857.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Revisional Laparoscopic Gastric Pouch Resizing for Inadequate Weight Loss After Roux-en-Y Gastric Bypass. AU - Al-Bader,Ibtisam, AU - Khoursheed,Mousa, AU - Al Sharaf,Khalid, AU - Mouzannar,D Ali, AU - Ashraf,Aqeel, AU - Fingerhut,Abe, PY - 2015/1/21/entrez PY - 2015/1/21/pubmed PY - 2016/1/30/medline SP - 1103 EP - 8 JF - Obesity surgery JO - Obes Surg VL - 25 IS - 7 N2 - BACKGROUND: Weight regain due to gastric pouch dilatation after Roux-en-Y gastric bypass (RYGB) is seen more frequently after long-term follow-up. We studied the feasibility and safety of laparoscopic pouch resizing (LPR) for dilated gastric pouch after RYGB associated with inadequate weight loss. METHODS: From 1st June 2011 to 1st September 2013, patients who underwent LPR after failed RYGB were retrospectively compared and analyzed. Data included patient demographics, comorbidity, indication for revision, preoperative weight and BMI, operative time, hospital stay, conversion rate, mean follow-up, body mass index (BMI) loss, percentage excess weight loss (%EWL), reoperation rate, morbidity, and mortality. RESULTS: Out of 170 revisional bariatric procedures, 32 LPR (27/5, F/M) were performed for dilated gastric pouch after RYGB. The mean age, preoperative weight, and BMI were 38.3 ± 9.3 years, 101.7 ± 22.8 kg, 38.8 ± 6.4 kg/m(2), respectively. The median operative time and hospital stay were 100 min and 2 days, respectively. All pouch resizing procedures were carried out laparoscopically, with none requiring conversion to open surgery. The overall complication and reoperation rates were 15.6 and 3.1 %, respectively. There were no deaths. The mean follow-up was 14.1 ± 6.2 months. The mean postoperative BMI was 32.8 ± 7.3 kg/m(2), and the median %EWL was 29.1 %. CONCLUSIONS: LPR is safe and can lead to adequate weight loss. However, long-term follow-up is needed to determine the efficiency and durability of this procedure. SN - 1708-0428 UR - https://www.unboundmedicine.com/medline/citation/25599857/Revisional_Laparoscopic_Gastric_Pouch_Resizing_for_Inadequate_Weight_Loss_After_Roux_en_Y_Gastric_Bypass_ L2 - https://dx.doi.org/10.1007/s11695-015-1579-9 DB - PRIME DP - Unbound Medicine ER -