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Systematic Review of Definitions of Failure in Revisional Bariatric Surgery

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Abstract

Background

There are no agreed definitions as to what constitutes a ‘failure’ of the primary bariatric procedure in relation to weight loss.

Methods

The MEDLINE database for primary research articles was searched using obesity [title] or bariatric [title] and revision [title] or revisional [title].

Results

The MEDLINE search retrieved 174 studies. After duplicates and exclusions were removed, 60 articles underwent analysis. Fifty-one studies included inadequate weight loss or weight regain as an indication for revision: 31/51 (61 %) gave no definition of failure, 7/20 quoted <50 % of excess weight loss at 18 months and 6/20 used <25 % excess weight loss.

Conclusions

The majority of published studies do not define failure of bariatric surgery, and <50 % excess weight loss at 18 months was the most frequent definition identified.

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Statement of Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Medical Obesity Clinic, Leeds Teaching Hospitals NHS Trust, Leeds, UK

    Jake P. Mann, Adam D. Jakes & Julian H. Barth

  2. Department of Upper GI & Bariatric Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK

    Jake P. Mann, Adam D. Jakes & Jeremy D. Hayden

Authors
  1. Jake P. Mann
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  2. Adam D. Jakes
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  3. Jeremy D. Hayden
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  4. Julian H. Barth
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Correspondence to Jake P. Mann.

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Mann, J.P., Jakes, A.D., Hayden, J.D. et al. Systematic Review of Definitions of Failure in Revisional Bariatric Surgery. OBES SURG 25, 571–574 (2015). https://doi.org/10.1007/s11695-014-1541-2

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  • DOI: https://doi.org/10.1007/s11695-014-1541-2

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