Tags

Type your tag names separated by a space and hit enter

Gastric Bypass as a Third Bariatric Procedure-Our Experience with 42 Cases.
Obes Surg. 2019 01; 29(1):215-220.OS

Abstract

BACKGROUND

It is not uncommon to encounter patients seeking a third, fourth, or even fifth bariatric procedure. With higher expected complication rates and questionable patient benefit, the indication for multiple revisions is still in doubt. To evaluate the perioperative and post-operative outcomes of patients undergoing gastric bypass after two previous bariatric surgeries or more.

METHODS

We identified all patients that underwent gastric bypass following at least 2 previous bariatric surgeries. We looked at patient demographics, previous bariatric surgeries, pre-operative body mass index (BMI) and obesity-related co-morbidities, perioperative complications, length of stay (LOS), re-admissions and re-operations, percentage of excess weight loss, and resolution or improvement in comorbidities.

RESULTS

Forty-two patients met the inclusion criteria, the majority being females (31, 73.8%). Average age was 45.6 years (range 27-62), average weight and BMI was 116 kg (range 75-175 kg) and 41.1 kg/m2 (range 25.6-58.7 kg/m2), respectively. Thirty-two patients had two previous bariatric surgeries (73.8%), and 10 patients had 3 former bariatric surgeries (23.8%), and for one patient, this was the fifth bariatric procedure (2.4%). Mean LOS was 10 days (range 2-56 days). Eight patients (19%) needed re-admission and 5 (11.9%) needed re-operation. At a median follow up of 48 months (range 7-99 months), the average BMI was 34.5 kg/m2 (range 23.7-55.1 kg/m2) reflecting an excess BMI loss of 43.3%.

CONCLUSIONS

Gastric bypass as a third or more bariatric procedure is effective yet associated with high complication rates, re-admissions, and re-operations.

Authors+Show Affiliations

General Surgery Division, The Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel. dr.nevonadavn@gmail.com. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. dr.nevonadavn@gmail.com.General Surgery Division, The Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Bariatric Surgery Unit, The Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. General Surgery Department C, Sheba Medical Center, Ramat Gan, Israel.General Surgery Division, The Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Bariatric Surgery Unit, The Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.General Surgery Division, The Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.General Surgery Division, The Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Bariatric Surgery Unit, The Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30294768

Citation

Nevo, Nadav, et al. "Gastric Bypass as a Third Bariatric Procedure-Our Experience With 42 Cases." Obesity Surgery, vol. 29, no. 1, 2019, pp. 215-220.
Nevo N, Abu-Abeid S, Hazzan D, et al. Gastric Bypass as a Third Bariatric Procedure-Our Experience with 42 Cases. Obes Surg. 2019;29(1):215-220.
Nevo, N., Abu-Abeid, S., Hazzan, D., Lahat, G., Nachmani, I., & Eldar, S. M. (2019). Gastric Bypass as a Third Bariatric Procedure-Our Experience with 42 Cases. Obesity Surgery, 29(1), 215-220. https://doi.org/10.1007/s11695-018-3503-6
Nevo N, et al. Gastric Bypass as a Third Bariatric Procedure-Our Experience With 42 Cases. Obes Surg. 2019;29(1):215-220. PubMed PMID: 30294768.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastric Bypass as a Third Bariatric Procedure-Our Experience with 42 Cases. AU - Nevo,Nadav, AU - Abu-Abeid,Subhi, AU - Hazzan,David, AU - Lahat,Guy, AU - Nachmani,Ido, AU - Eldar,Shai Meron, PY - 2018/10/9/pubmed PY - 2019/12/31/medline PY - 2018/10/9/entrez KW - Bariatric surgery KW - Failed bariatric surgery, weight loss failure KW - Revisional bariatric surgery KW - Weight regain SP - 215 EP - 220 JF - Obesity surgery JO - Obes Surg VL - 29 IS - 1 N2 - BACKGROUND: It is not uncommon to encounter patients seeking a third, fourth, or even fifth bariatric procedure. With higher expected complication rates and questionable patient benefit, the indication for multiple revisions is still in doubt. To evaluate the perioperative and post-operative outcomes of patients undergoing gastric bypass after two previous bariatric surgeries or more. METHODS: We identified all patients that underwent gastric bypass following at least 2 previous bariatric surgeries. We looked at patient demographics, previous bariatric surgeries, pre-operative body mass index (BMI) and obesity-related co-morbidities, perioperative complications, length of stay (LOS), re-admissions and re-operations, percentage of excess weight loss, and resolution or improvement in comorbidities. RESULTS: Forty-two patients met the inclusion criteria, the majority being females (31, 73.8%). Average age was 45.6 years (range 27-62), average weight and BMI was 116 kg (range 75-175 kg) and 41.1 kg/m2 (range 25.6-58.7 kg/m2), respectively. Thirty-two patients had two previous bariatric surgeries (73.8%), and 10 patients had 3 former bariatric surgeries (23.8%), and for one patient, this was the fifth bariatric procedure (2.4%). Mean LOS was 10 days (range 2-56 days). Eight patients (19%) needed re-admission and 5 (11.9%) needed re-operation. At a median follow up of 48 months (range 7-99 months), the average BMI was 34.5 kg/m2 (range 23.7-55.1 kg/m2) reflecting an excess BMI loss of 43.3%. CONCLUSIONS: Gastric bypass as a third or more bariatric procedure is effective yet associated with high complication rates, re-admissions, and re-operations. SN - 1708-0428 UR - https://www.unboundmedicine.com/medline/citation/30294768/Gastric_Bypass_as_a_Third_Bariatric_Procedure_Our_Experience_with_42_Cases_ L2 - https://dx.doi.org/10.1007/s11695-018-3503-6 DB - PRIME DP - Unbound Medicine ER -