Skip to main content
SpringerLink
Log in

Laparoscopic revisional bariatric surgery: myths and facts

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

Bariatric surgery is growing worldwide. An increasing number of patients will require revisional procedures because of inadequate weight control, complications, or loss of quality of life.

Methods

From August 1999 to September 2003, 62 patients were submitted to laparoscopic revisional surgery.

Results

The primary operations consisted of laparoscopic adjustable gastric banding in 39 cases, banded and nonbanded Roux-en-Y gastric bypass (RYGB) in 17 cases, vertical banded gastroplasty in 4 cases, and biliopancreatic diversion in 2 cases. Although technically demanding, laparoscopic conversion to RYGB was possible in all cases. Mean operative time was 100 min. Mean hospital stay was 77 h. There were no intraoperative or postoperative complications. A good body mass index reduction after the revisional procedure was observed with a 24 month follow-up period.

Conclusions

Laparoscopic revisional bariatric surgery is safe and effective. However, it should be performed only by experienced bariatric and laparoscopic surgeons.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

References

  1. KE Behrns CD Smith KA Kelly et al. (1993) ArticleTitleReoperative bariatric surgery: lessons learned to improve patient selection and results Ann Surg 218 646–653 Occurrence Handle8239779

    PubMed  Google Scholar 

  2. P Benotti RA Forse (1996) ArticleTitleSafety and long-term efficacy of revisional surgery in severe obesity Am J Surg 172 232–235 Occurrence Handle10.1016/S0002-9610(96)00160-2 Occurrence Handle8862073

    Article  PubMed  Google Scholar 

  3. RE Brolin HA Kenler JH Gorman RP Cody (1992) ArticleTitleLong-limb gastric bypass in the super obese: a prospective randomized study Ann Surg 215 387–395 Occurrence Handle1558421

    PubMed  Google Scholar 

  4. GB Cadiere J Himpens M vertruyen et al. (2000) ArticleTitleLaparoscopic gastroplasty (adjustable gastric banding) Semin Laparosc Surg 7 55–65 Occurrence Handle10735916

    PubMed  Google Scholar 

  5. JF Capella RF Capella (1996) ArticleTitleThe weight reduction operation of choice: vertical banded gastroplasty or gastric bypass Am J Surg 171 74–79 Occurrence Handle10.1016/S0002-9610(99)80077-4 Occurrence Handle8554155

    Article  PubMed  Google Scholar 

  6. R Cohen JS Pinheiro C Schiavon J Correa (2002) ArticleTitleLaparoscopic Roux-en-Y gastric bypass for the treatment of morbid obesity Rev Mex Cir Endosc 3 62–65

    Google Scholar 

  7. DR Cottam SG Mattar PR Schauer (2003) ArticleTitleLaparoscopic era of operations for morbid obesity Arch Surg 138 367–375 Occurrence Handle10.1001/archsurg.138.4.367 Occurrence Handle12686522

    Article  PubMed  Google Scholar 

  8. DA Amo Particledel (2004) ArticleTitleVertical banded gastroplasty: is it a durable operation for morbid obesity? Obes Surg 14 536–538 Occurrence Handle10.1381/096089204323013578 Occurrence Handle15130234

    Article  PubMed  Google Scholar 

  9. EJ DeMaria HJ Sugerman BSN Meador et al. (2001) ArticleTitleHigh failure rate after laparoscopic adjustable silicone gastric banding for the treatment of morbid obesity Ann Surg 233 809–818 Occurrence Handle10.1097/00000658-200106000-00011 Occurrence Handle11371739

    Article  PubMed  Google Scholar 

  10. MAL Fobi H Lee R Holness et al. (1998) ArticleTitleGastric bypass operation for obesity World J Surg 22 925–935 Occurrence Handle10.1007/s002689900496 Occurrence Handle9717418

    Article  PubMed  Google Scholar 

  11. M Gagner P Gentileschi J Csepel et al. (2002) ArticleTitleLaparoscopic reoperative bariatric surgery: experience from 27 consecutive patients Obes Surg 12 254–260 Occurrence Handle10.1381/096089202762552737 Occurrence Handle11975224

    Article  PubMed  Google Scholar 

  12. InstitutionalAuthorNameGastrointestinal surgery for severe obesity (1992) ArticleTitleNational Institutes of Health Consensus Development Statement Am J Clin Nutr 55 615–619

    Google Scholar 

  13. DJ Goldstein (1992) ArticleTitleBeneficial health effects of modest weight loss Int J Obesity 4 16–23

    Google Scholar 

  14. RJ Greenstein G Rabner Y Taler (1994) ArticleTitleBariatric surgery vs conventional dieting in the morbid obese Obes Surg 4 16–23 Occurrence Handle10.1381/096089294765558845 Occurrence Handle10742758

    Article  PubMed  Google Scholar 

  15. KD Higa KB Boone T Ho (2000) ArticleTitleComplications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients: what have we learned? Obes Surg 10 509–513 Occurrence Handle10.1381/096089200321593706 Occurrence Handle11175957

    Article  PubMed  Google Scholar 

  16. Jones (2001) ArticleTitleRevisional bariatric surgery: safe and effective Obes Surg 11 183–189 Occurrence Handle10.1381/096089201321577857 Occurrence Handle11355024

    Article  PubMed  Google Scholar 

  17. LD MacLean B Rhode CW Nohr (2000) ArticleTitleLate outcome of isolated gastric bypass Ann Surg 231 524–528 Occurrence Handle10.1097/00000658-200004000-00011 Occurrence Handle10749613

    Article  PubMed  Google Scholar 

  18. LD MacLean BM Rhode RA Forse (1990) ArticleTitleLate results of vertical banded gastroplasty for morbid obesity and super obesity Surgery 107 20–27 Occurrence Handle2296754

    PubMed  Google Scholar 

  19. MJ Martin PS Mullenix SR Steele et al. (2004) ArticleTitleA case-match analysis of failed prior bariatric procedures converted to ressectional gastric bypass Am J Surg 187 666–670 Occurrence Handle10.1016/j.amjsurg.2004.02.002 Occurrence Handle15135688

    Article  PubMed  Google Scholar 

  20. EE Mason S Tang KE Renquist et al. (1997) ArticleTitleA decade of change in obesity surgery Obes Surg 7 189–197 Occurrence Handle10.1381/096089297765555719 Occurrence Handle9730547

    Article  PubMed  Google Scholar 

  21. NT Nguyen C Goldman CJ Rosenquist et al. (2001) ArticleTitleLaparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs Ann Surg 234 279–291 Occurrence Handle10.1097/00000658-200109000-00002 Occurrence Handle11524581

    Article  PubMed  Google Scholar 

  22. PE O’Brien WA Brown A Smith et al. (1999) ArticleTitleProspective study of a laparoscopically placed adjustable gastric band in the treatment of morbid obesity Br J Surg 86 113–118 Occurrence Handle10.1046/j.1365-2168.1999.00964.x Occurrence Handle10027373

    Article  PubMed  Google Scholar 

  23. Ortega (2004) ArticleTitleVertical banded gastroplasty converted to Roux-en-Y gastric bypass: little impact on nutritional status after 5-year follow-up Obes Surg 14 638–643 Occurrence Handle10.1381/096089204323093417 Occurrence Handle15186631

    Article  PubMed  Google Scholar 

  24. PR Schauer S Ikramuddin W Gourash et al. (2000) ArticleTitleOutcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity Ann Surg 232 515–529 Occurrence Handle10.1097/00000658-200010000-00007 Occurrence Handle10998650

    Article  PubMed  Google Scholar 

  25. RW Schwartz WE Strodel WS Simpson et al. (1988) ArticleTitleGastric bypass revisions: lessons learned from 920 cases Surgery 104 806–812 Occurrence Handle3051478

    PubMed  Google Scholar 

  26. N Scopinaro E Gianetta D Friedman et al. (1987) ArticleTitleSurgical revision of biliopancreatic diversion Gastroenterol Clin North Am 16 529 Occurrence Handle3436660

    PubMed  Google Scholar 

  27. WG Gemert ParticleVan MM Wersch ParticleVan JWM Greve et al. (1998) ArticleTitleRevisional surgery after failed vertical banded gastroplasty: restoration of vertical banded gastroplasty or conversion to gastric bypass Obes Surg 8 21–28 Occurrence Handle10.1381/096089298765555006 Occurrence Handle9562482

    Article  PubMed  Google Scholar 

  28. A Wittgrove W Clark (2000) ArticleTitleLaparoscopic Roux en-Y gastric bypass, 500 patients: technique and results, with 3–60 month follow-up Obes Surg 10 233–239 Occurrence Handle10.1381/096089200321643511 Occurrence Handle10929154

    Article  PubMed  Google Scholar 

  29. CE Yale (1989) ArticleTitleConversion surgery for morbid obesity: complications and long-term weight control Surgery 106 474–480 Occurrence Handle2772823

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Center for the Surgical Treatment of Morbid Obesity, Hospital São Camilo, São Paulo, SP, Brazil

    R. Cohen, J. S. Pinheiro, J. L. Correa & C. Schiavon

Authors
  1. R. Cohen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. S. Pinheiro
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. L. Correa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Schiavon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Cohen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cohen, R., Pinheiro, J.S., Correa, J.L. et al. Laparoscopic revisional bariatric surgery: myths and facts. Surg Endosc 19, 822–825 (2005). https://doi.org/10.1007/s00464-004-8826-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-004-8826-9

Keywords

Search

Navigation