ArticleObesity surgery2017
Revisional Surgery After Failed Laparoscopic Sleeve Gastrectomy: Retrospective Analysis of Causes, Results, and Technical Considerations.
Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Laparoscopic Single Anastomosis Duodeno-Ileal Bypass Versus One Anastomosis Gastric Bypass as Revisional Procedures after Sleeve Gastrectomy: Meta-analysis and Systematic Review.Obesity surgery · 2024Pooled it
- Gastroesophageal Reflux Disease as an Indication of Revisional Bariatric Surgery-Indication and Results-a Systematic Review and Metanalysis.Obesity surgery · 2022Pooled it
- Indications and Outcomes of Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass: a Systematic Review and a Meta-analysis.Obesity surgery · 2021Pooled it
- Relationship Between Bariatric Surgery and Gastroesophageal Reflux Disease: a Systematic Review and Meta-analysis.Obesity surgery · 2019Pooled it
- Mid-long-term Revisional Surgery After Sleeve Gastrectomy: a Systematic Review and Meta-analysis.Obesity surgery · 2019Pooled it
- Challenges in Transition of Care for Pediatric Patients after Weight-Reduction Surgery: a Systematic Review and Recommendations for Comprehensive Care.Obesity surgery · 2018Pooled it
- The Safety and Efficacy of Laparoscopic One Anastomosis Gastric Bypass as a Revision for Laparoscopic Adjustable Gastric Banding and Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2025Article
- Enhancing nutritional health and patient satisfaction five years after metabolic bariatric surgery with targeted supplementation.Journal of translational medicine · 2025Observational
- Revisional one-anastomosis gastric bypass for failed laparoscopic sleeve gastrectomy.Updates in surgery · 2024Article
- Outcomes following reoperative bariatric surgery following laparoscopic sleeve gastrectomy at a tertiary care centre.Journal of minimal access surgery · 2024Article
- Indications and Long-Term Outcomes of Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass.Obesity surgery · 2021Article
- Laparoscopic Conversion of Sleeve Gastrectomy to One Anastomosis Gastric Bypass in a Hostile Abdomen.Obesity surgery · 2021Article
- Review
- Multidisciplinary Approach for Weight Regain-how to Manage this Challenging Condition: an Expert Review.Obesity surgery · 2021Review
- Cardiovascular Effects of Metabolic Surgery on Type 2 Diabetes.Current cardiology reviews · 2020Review
- Revisional Bariatric Surgery in Israel: Findings from the Israeli Bariatric Surgery Registry.Obesity surgery · 2019Article
- Secondary Bariatric Procedures in a High-Volume Centre: Prevalence, Indications and Outcomes.Obesity surgery · 2019Article
- Update: 10 Years of Sleeve Gastrectomy-the First 103 Patients.Obesity surgery · 2018Article
- Short-term outcomes of sleeve gastrectomy conversion to R-Y gastric bypass: multi-center retrospective study.Langenbeck's archives of surgery · 2018Article
- Resectional One Anastomosis Gastric Bypass/Mini Gastric Bypass as a Novel Option for Revision of Restrictive Procedures: Preliminary Results.Journal of obesity · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA failed laparoscopic sleeve gastrectomy (LSG) presents a challenging problem for bariatric surgeons. The aim of this study was to evaluate the indications, treatment strategies, and surgical outcomes of patients who underwent a revisional surgery after a failed LSG.
methodsThis retrospective study included the outcomes of 32 patients who required a revisional surgery from a series of 500 primary LSGs. The patients' demographic data, indications for revisional surgery, perioperative complications, and postoperative outcomes were recorded.
resultsA total of 500 patients underwent primary LSGs during the study period, and 32 of these patients were subjected to revisional bariatric surgery after a failed LSG. Weight regain, poor weight loss, and gastroesophageal reflux disease (GERD) were the most common causes of revision. A revisional LSG (r-LSG) was performed in 23 patients, while 9 patients received a revisional laparoscopic Roux-en-Y gastric bypass (r-LRYGB). There were complete sleeve pouch dilations in 10 patients. A residual fundus and antrum dilation was detected in 5 and 8 patients, respectively. The r-LRYGB procedure was performed for GERD-related symptoms in 6 patients and 3 other patients underwent r-LRYGB due to the intake of high-caloric foods. The mean operative time, length of hospital stay, and complication rates of revisional surgeries were significantly higher than the total cohort.
conclusionsAlthough r-LSG and r-LRYGB seem to be safe and effective treatment options after a failed LSG, revisional procedures were associated with an increased complication rate. Attention to technical details of the primary LSG may reduce the revision requirements.
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