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17 Sleeve Gastrectomy as a Revisional Procedure

  • Raul J. RosenthalEmail author
Chapter

Abstract

Laparoscopic sleeve gastrectomy (LSG) has been an acceptable revisional option for previously failed bariatric surgeries, especially gastric banding (GB). While feasibility of performing LSG as a revisional procedure for failed GB, a purely restrictive procedure, has been controversial, it has been demonstrated to have nonrestrictive benefits reported, such as hormonal level changes and rapid gastric emptying time. Revisional LSG has potential to gain popularity according to the increasing number of failed GB due to its level of technical ease and relative safety.

In this chapter, we review general aspects of LSG as a revisional treatment modality, particularly after failed GB. We also describe the rationale, indications, technique, short-term results for feasibility, and recent debates surrounding revisional LSG.

Keywords

Failed bariatric surgery Laparoscopic sleeve gastrectomy Revision 

Supplementary material

Video 1

LSG to BP chronic fistula (MPG 786142 kb)

References

  1. 1.
    Jacobs M, Gomez E, Romero R, Jorge I, Fogel R, Celaya C. Failed restrictive surgery: is sleeve gastrectomy a good revisional procedure? Obes Surg. 2011;21(2):157–60. PMID: 21113685, Epub 2010/11/30. eng.CrossRefPubMedGoogle Scholar
  2. 2.
    Rosenthal RJ, Diaz AA, Arvidsson D, Baker RS, Basso N, Bellanger D, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19. PMID: 22248433, Epub 2012/01/18. eng.CrossRefPubMedGoogle Scholar
  3. 3.
    Patel S, Eckstein J, Acholonu E, Abu-Jaish W, Szomstein S, Rosenthal RJ. Reasons and outcomes of laparoscopic revisional surgery after laparoscopic adjustable gastric banding for morbid obesity. Surg obes Relat Dis. 2010;6(4):391–8. PMID: 20655021.CrossRefPubMedGoogle Scholar
  4. 4.
    Acholonu E, McBean E, Court I, Bellorin O, Szomstein S, Rosenthal RJ. Safety and short-term outcomes of laparoscopic sleeve gastrectomy as a revisional approach for failed laparoscopic adjustable gastric banding in the treatment of morbid obesity. Obes Surg. 2009;19(12):1612–6. PMID: 19711138, Epub 2009/08/28. eng.CrossRefPubMedGoogle Scholar
  5. 5.
    Updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2012;8(3):e21–6. PMID: 22417852.Google Scholar
  6. 6.
    Baltasar A, Serra C, Perez N, Bou R, Bengochea M, Ferri L. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15(8):1124–8. PMID: 16197783, Epub 2005/10/04. eng.CrossRefPubMedGoogle Scholar
  7. 7.
    Melissas J, Daskalakis M, Koukouraki S, Askoxylakis I, Metaxari M, Dimitriadis E, et al. Sleeve gastrectomy-a “food limiting” operation. Obes Surg. 2008;18(10):1251–6. PMID: 18663545, Epub 2008/07/30. eng.CrossRefPubMedGoogle Scholar
  8. 8.
    Tzovaras G, Papamargaritis D, Sioka E, Zachari E, Baloyiannis I, Zacharoulis D, et al. Symptoms suggestive of dumping syndrome after provocation in patients after laparoscopic sleeve gastrectomy. Obes Surg. 2012;22(1):23–8. PMID: 21647622, Epub 2011/06/08. eng.CrossRefPubMedGoogle Scholar
  9. 9.
    Langer FB, Reza Hoda MA, Bohdjalian A, Felberbauer FX, Zacherl J, Wenzl E, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005;15(7):1024–9. PMID: 16105401, Epub 2005/08/18. eng.CrossRefPubMedGoogle Scholar
  10. 10.
    Basso N, Capoccia D, Rizzello M, Abbatini F, Mariani P, Maglio C, et al. First-phase insulin secretion, insulin sensitivity, ghrelin, GLP-1, and PYY changes 72 h after sleeve gastrectomy in obese diabetic patients: the gastric hypothesis. Surg Endosc. 2011;25(11):3540–50. PMID: 21638183, Epub 2011/06/04. eng.CrossRefPubMedGoogle Scholar
  11. 11.
    Dimitriadis E, Daskalakis M, Kampa M, Peppe A, Papadakis JA, Melissas J. Alterations in gut hormones after laparoscopic sleeve gastrectomy: prospective clinical and laboratory investigational study. Ann Surg. 2012;26. PMID: 23108120, Epub 2012/10/31. Eng.Google Scholar
  12. 12.
    Iannelli A, Schneck AS, Ragot E, Liagre A, Anduze Y, Msika S, et al. Laparoscopic sleeve gastrectomy as revisional procedure for failed gastric banding and vertical banded gastroplasty. Obes Surg. 2009;19(9):1216–20. PMID: 19562420, Epub 2009/06/30. eng.CrossRefPubMedGoogle Scholar
  13. 13.
    Berende CA, de Zoete JP, Smulders JF, Nienhuijs SW. Laparoscopic sleeve gastrectomy feasible for bariatric revision surgery. Obes Surg. 2012;22(2):330–4. PMID: 21866377, Pubmed Central PMCID: 3266499, Epub 2011/08/26. eng.CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Gagner M, Rogula T. Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch. Obes Surg. 2003;13(4):649–54. PMID: 12935370, Epub 2003/08/26. eng.CrossRefPubMedGoogle Scholar
  15. 15.
    Bernante P, Foletto M, Busetto L, Pomerri F, Pesenti FF, Pelizzo MR, et al. Feasibility of laparoscopic sleeve gastrectomy as a revision procedure for prior laparoscopic gastric banding. Obes Surg. 2006;16(10):1327–30. PMID: 17059742, Epub 2006/10/25. eng.CrossRefPubMedGoogle Scholar
  16. 16.
    Roa PE, Kaidar-Person O, Pinto D, Cho M, Szomstein S, Rosenthal RJ. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome. Obes Surg. 2006;16(10):1323–6. PMID: 17059741, Epub 2006/10/25. eng.CrossRefPubMedGoogle Scholar
  17. 17.
    Nocca D, Krawczykowsky D, Bomans B, Noel P, Picot MC, Blanc PM, et al. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes Surg. 2008;18(5):560–5. PMID: 18317859, Epub 2008/03/05. eng.CrossRefPubMedGoogle Scholar
  18. 18.
    Dapri G, Cadiere GB, Himpens J. Feasibility and technique of laparoscopic conversion of adjustable gastric banding to sleeve gastrectomy. Surg Obes Relat Dis. 2009;5(1):72–6. PMID: 19161936, Epub 2009/01/24. eng.CrossRefPubMedGoogle Scholar
  19. 19.
    Frezza EE, Jaramillo-de la Torre EJ, Calleja Enriquez C, Gee L, Wachtel MS, Lopez Corvala JA. Laparoscopic sleeve gastrectomy after gastric banding removal: a feasibility study. Surg Innov. 2009;16(1):68–72. PMID: 19074467, Epub 2008/12/17. eng.CrossRefPubMedGoogle Scholar
  20. 20.
    Uglioni B, Wolnerhanssen B, Peters T, Christoffel-Courtin C, Kern B, Peterli R. Midterm results of primary vs. secondary laparoscopic sleeve gastrectomy (LSG) as an isolated operation. Obes Surg. 2009;19(4):401–6.CrossRefPubMedGoogle Scholar
  21. 21.
    Foletto M, Prevedello L, Bernante P, Luca B, Vettor R, Francini-Pesenti F, et al. Sleeve gastrectomy as revisional procedure for failed gastric banding or gastroplasty. Surg Obes Relat Dis. 2010;6(2):146–51. PMID: 19889585, Epub 2009/11/06. eng.CrossRefPubMedGoogle Scholar
  22. 22.
    Sabbagh C, Verhaeghe P, Dhahri A, Brehant O, Fuks D, Badaoui R, et al. Two-year results on morbidity, weight loss and quality of life of sleeve gastrectomy as first procedure, sleeve gastrectomy after failure of gastric banding and gastric banding. Obes Surg. 2010;20(6):679–84. PMID: 19902316, Epub 2009/11/11. eng.CrossRefPubMedGoogle Scholar
  23. 23.
    Goitein D, Feigin A, Segal-Lieberman G, Goitein O, Papa MZ, Zippel D. Laparoscopic sleeve gastrectomy as a revisional option after gastric band failure. Surg Endosc. 2011;25(8):2626–30. PMID: 21416182, Epub 2011/03/19. eng.CrossRefPubMedGoogle Scholar
  24. 24.
    Gagniere J, Slim K, Launay-Savary MV, Raspado O, Flamein R, Chipponi J. Previous gastric banding increases morbidity and gastric leaks after laparoscopic sleeve gastrectomy for obesity. J Visc Surg. 2011;148(3):e205–9. PMID: 21700522, Epub 2011/06/28. eng.CrossRefPubMedGoogle Scholar
  25. 25.
    Rebibo L, Mensah E, Verhaeghe P, Dhahri A, Cosse C, Diouf M, et al. Simultaneous gastric band removal and sleeve gastrectomy: a comparison with front-line sleeve gastrectomy. Obes Surg. 2012;12. PMID: 22790710, Epub 2012/07/14. Eng.Google Scholar
  26. 26.
    Gagner M, Gumbs AA. Gastric banding: conversion to sleeve, bypass, or DS. Surg Endosc. 2007;21(11):1931–5. PMID: 17705071, Epub 2007/08/21. eng.CrossRefPubMedGoogle Scholar
  27. 27.
    Gianos M, Abdemur A, Rosenthal RJ. Understanding the mechanisms of action of sleeve gastrectomy on obesity. Bariatric Times. 2011;8(5 suppl):4–6.Google Scholar
  28. 28.
    Elnahas A, Graybiel K, Farrokhyar F, Gmora S, Anvari M, Hong D. Revisional surgery after failed laparoscopic adjustable gastric banding: a systematic review. Surg Endosc. 2012;31. PMID: 22936440, Epub 2012/09/01. Eng.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Bariatric and Metabolic InstituteCleveland ClinicWestonUSA

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