Method of Revision of Sleeve Gastrectomy to OAGB

  • José Sergio Verboonen Sotelo
  • Vicente Lopez Kavanagh


Sleeve gastrectomy (SG) is currently the most frequently performed bariatric operation worldwide. The numbers of patients with weight regain or secondary co-morbidities because of this technique will increase in the coming years, because of dilatation of the sleeve and poor adherence to treatment by the multidisciplinary team. One of the options in the revision of these patients is conversion to MGB-OAGB. In this chapter, we will discuss the method of revising these cases, their preoperative evaluation, and the main tips of the surgical technique, which is fast, safe and has good results.


Sleeve gastrectomy SG Revision surgery Reoperation Weight regain One-anastomosis gastric bypass (OAGB) Type 2 diabetes 


  1. 1.
    Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;(8):CD003641.
  2. 2.
    Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27:1626–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg. 2015;25:1822–32.CrossRefPubMedGoogle Scholar
  4. 4.
    Arman G, Himpens J, Dhaenens J, et al. Long-term (11+ years) outcomes in weight, patient satisfaction, comorbidities, and gastroesophageal reflux treatment after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016;12:1778–86.CrossRefPubMedGoogle Scholar
  5. 5.
    Diamantis T, Apostolou KG, Alexandrou A, et al. Review of long-term weight loss results after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2014;10:177–83.CrossRefPubMedGoogle Scholar
  6. 6.
    Gadiot RP, Biter L, Van Mil S, et al. Long-term results of laparoscopic sleeve gastrectomy for morbid obesity: 5 to 8-year results. Obes Surg. 2017;27:59–63.CrossRefPubMedGoogle Scholar
  7. 7.
    Weigner R, Weigner S, Pomhoff I, et al. Laparoscopic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg. 2007;17:1297–305.CrossRefGoogle Scholar
  8. 8.
    Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve gastrectomy – further procedure? Obes Facts. 2011;1:42–6.Google Scholar
  9. 9.
    AlSabah S, Alharqawi N, Almulla A, et al. Approach to poor weight loss after laparoscopic sleeve gastrectomy: re-sleeve vs gastric bypass. Obes Surg. 2016;26:2302–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Langer F, Bohdjalian A, Shaleri-Leidenmühler S, et al. Conversion from sleeve gastrectomy to Roux-en Y gastric bypass: indications and outcome. Obes Surg. 2010;20:835–40.CrossRefPubMedGoogle Scholar
  11. 11.
    Homan J, Betzel B, Aarts E, et al. Secondary surgery after sleeve gastrectomy: Roux-en-Y gastric bypass or biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 2015;11:771–7.CrossRefPubMedGoogle Scholar
  12. 12.
    Lee WJ, Ser K, Lee Y, et al. Laparoscopic Roux-en-Y vs mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg. 2012;22:1827–34.CrossRefPubMedGoogle Scholar
  13. 13.
    Victorzon M. Single-anastomosis gastric bypass: better, faster, and safer? Scand J Surg. 2014;104:48–53.CrossRefPubMedGoogle Scholar
  14. 14.
    Chevallier J, Arman G, Guenzi M, et al. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015;25:951–8.CrossRefPubMedGoogle Scholar
  15. 15.
    Musella M, Susa A, Manno E, et al. Complications following the mini/one anastomosis gastric bypass (MGB/OAGB): a multi-institutional survey on 2678 patients with a mid-term (5 years) follow-up. Obes Surg. 2017;27(11):2956–67.CrossRefPubMedGoogle Scholar
  16. 16.
    Scozzari G, Trapani R, Toppino M, et al. Esophagogastric cancer after bariatric surgery: systematic review of the literature. Surg Obes Relat Dis. 2013;9:133–42.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • José Sergio Verboonen Sotelo
    • 1
  • Vicente Lopez Kavanagh
    • 1
  1. 1.Department of Bariatric SurgeryObesity Good Bye CenterTijuanaMexico

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