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Revisional Bariatric Surgery

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Abstract

The World Health Organization (WHO) determined that obesity is a disease in need of long-term management in 1996. Obesity is closely related to various medical conditions including hypertension, diabetes, sleep apnea, dyslipidemia, gastroesophageal reflux disorder (GERD), arthropathy, and infertility, as well as malignancies such as breast and colorectal cancers. These conditions could be significantly improved or cured by losing weight. However, conventional conservative management with behavioral or medical options was unsatisfactory for achieving effective and sustained weight loss. Bariatric surgery is accepted as the only effective treatment for morbidly obese patients to reduce weight in the long term and improve obesity-related comorbidities at the same time [1, 2]. At present, there is no ideal bariatric procedure, and all bariatric surgical procedures have an associated failure rate requiring revisional surgery. As the bariatric surgery is becoming more and more prevalent, the number of patients asking for a solution for weight regain or intolerable side effects after primary bariatric surgery is going to increase. Recently, revisional bariatric surgery comprises 10–25 % of total bariatric surgery [2, 3]. We here reviewed the preoperative evaluation before revisional surgery and proper choice among various reoperative options.

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Correspondence to Yong Jin Kim MD, PhD .

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Park, J.Y., Kim, Y.J. (2014). Revisional Bariatric Surgery. In: Choi, S., Kasama, K. (eds) Bariatric and Metabolic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35591-2_11

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  • DOI: https://doi.org/10.1007/978-3-642-35591-2_11

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