Related Experiment Videos
Laparoscopic revision of failed open bariatric procedures
J T McCormick1, P K Papasavas, P F Caushaj
1Department of Surgery, Temple University School of Medicine Clinical Campus at the Western Pennsylvania Hospital, 4800 Friendship Ave., Pittsburgh, PA 15224, USA.
Surgical Endoscopy
|November 29, 2002
Summary
Laparoscopic revision of prior open bariatric surgery is a safe option for patients with morbid obesity who regain weight. This revision procedure, while longer, leads to successful weight loss in patients.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Obesity Management
Background:
- Roux-en-Y gastric bypass (RYGB) is a leading surgical option for morbid obesity.
- Revision bariatric surgery is an option for patients not meeting weight loss goals.
- This study focuses on laparoscopic revision of previous open bariatric procedures.
Observation:
- Five patients underwent laparoscopic revision after weight regain post-bariatric surgery.
- Average preoperative BMI was 46 kg/m2.
- One patient developed a gastrojejunostomy stricture requiring endoscopic dilation.
Findings:
- Laparoscopic revision operative time averaged 344 minutes, longer than primary RYGB (206 minutes).
- No deaths or other complications were reported.
- All patients achieved weight loss at 6-month follow-up.
Implications:
- Laparoscopic revision of failed open bariatric procedures is feasible and safe.
- Experienced minimally invasive surgeons can perform these complex revisions.
- Successful weight loss can be achieved through revisionary bariatric surgery.