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Revision of Failed Bariatric Procedures to Roux-en-Y Gastric Bypass (RYGB)

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Abstract

Bariatric surgery for morbid obesity has been established as an effective treatment method and has been shown to be associated with resolution of co-morbidities. Despite its success, some patients may require revision because of weight regain or mechanical complications. From September 2005 to December 2009, 42 patients underwent revisional Roux-en-Y gastric bypass (RYGB). All procedures were performed by one surgeon. Demographics, indications for revision, complications, and weight loss were reviewed. Thirty-seven patients were treated with laparoscopic (n = 36) or open (n = 1) RYGB after failed laparoscopic adjustable gastric banding. Four patient were treated with laparoscopic (n = 3) or open (n-1) RYGB after failed vertical banded gastroplasty, and one patient underwent open redo RYGB due to large gastric pouch. Conversion rate from laparoscopy to open surgery was 2.5% (one patient). Mean operative time was 145.83 ± 35.19 min, and hospital stay was 3.36 ± 1.20 days. There was no mortality. Early and late complications occurred in six patients (14.2%). The mean follow-up was 15.83 ± 13.43 months. Mean preoperative body mass index was 45.15 ± 7.95 that decreased to 35.23 ± 6.7, and mean percentage excess weight loss was 41.19 ± 20.22 after RYGB within our follow-up period. RYGB as a revisional bariatric procedure is effective to treat complications of restrictive procedures and to further reduce weight in morbidly obese patients.

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Conflicts of interest

The authors declare that they have no conflicts of interest and no financial support.

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Authors and Affiliations

  1. Department of Surgery, Faculty of Medicine, Kuwait University, Safat, P.O. Box 24923, 13110, Kuwait

    Mousa A. Khoursheed, Fahad S. Al-asfar & Hussain M. Dashti

  2. Department of Surgery, Mubarak Al-Kabeer Hospital, Safat, P.O. Box 24923, 13110, Kuwait

    Ibtisam A. Al-Bader & Ali I. Mohammad

  3. Department of Community Medicine, Faculty of Medicine, Kuwait University, Safat, P.O. Box 24923, 13110, Kuwait

    Mumtaz Shukkur

Authors
  1. Mousa A. Khoursheed
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  2. Ibtisam A. Al-Bader
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  3. Fahad S. Al-asfar
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  4. Ali I. Mohammad
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  5. Mumtaz Shukkur
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  6. Hussain M. Dashti
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Correspondence to Mousa A. Khoursheed.

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Khoursheed, M.A., Al-Bader, I.A., Al-asfar, F.S. et al. Revision of Failed Bariatric Procedures to Roux-en-Y Gastric Bypass (RYGB). OBES SURG 21, 1157–1160 (2011). https://doi.org/10.1007/s11695-010-0229-5

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  • DOI: https://doi.org/10.1007/s11695-010-0229-5

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