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Mid-long-term Revisional Surgery After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

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Abstract

This study aimed to make a meta-analysis regarding mid-long-term outcomes (≥ 3-year follow-up) after sleeve gastrectomy (SG), focusing on incidence, reasons, and results of revisional surgery. PubMed, EMBASE, and CENTRAL were searched and 32 studies were included. The overall revision rate was 10.4%, but for patients with ≥ 10-year follow-up, the rate was 22.6%. European studies had a higher revision rate (14.4%) than other studies. The most common reason for revision was failure in weight loss, and the most frequent revisional procedure was gastric bypass. Revisional surgery was favorable for weight reduction and comorbidity resolution. In conclusion, revision rate is not rare after SG, especially when looking at long-term follow-up. Bariatric surgeons and patients need to fully understand and deal with the need for revision after SG.

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Author notes

  1. Bingsheng Guan and Tsz Hong Chong contributed equally to this work.

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, First Affiliated Hospital of Jinan University, Guangzhou, 510630, China

    Bingsheng Guan, Tsz Hong Chong, Juzheng Peng, Cunchuan Wang & Jingge Yang

  2. Department of Nursing Science, School of Nursing, Jinan University, Guangzhou, 510632, China

    Yanya Chen

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  1. Bingsheng Guan
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Correspondence to Jingge Yang.

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Guan, B., Chong, T.H., Peng, J. et al. Mid-long-term Revisional Surgery After Sleeve Gastrectomy: a Systematic Review and Meta-analysis. OBES SURG 29, 1965–1975 (2019). https://doi.org/10.1007/s11695-019-03842-3

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