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Re-sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibility study
Antonio Iannelli1, Anne Sophie Schneck, Patrick Noel
1Service de Chirurgie Digestive et Transplantation d'Hépatique, Hôpital Archet 2, 151 route Saint Antoine de Ginestière, BP 3079, 06202, Nice, France. antonio_iannelli@hotmail.com
Obesity Surgery
|October 7, 2010
Summary
Redo laparoscopic sleeve gastrectomy (LSG) is a safe and effective bariatric procedure for patients experiencing insufficient weight loss or weight regain. This revision surgery leads to significant weight reduction and comorbidity improvement in the short term.
Area of Science:
- Bariatric surgery
- Gastrointestinal surgery
- Obesity management
Background:
- Laparoscopic sleeve gastrectomy (LSG) is a popular bariatric procedure, but long-term effectiveness requires further demonstration.
- This study investigates the feasibility of redo LSG for weight regain or insufficient weight loss.
Purpose of the Study:
- To assess the safety and efficacy of revision laparoscopic sleeve gastrectomy (redo LSG).
- To evaluate weight loss and comorbidity improvement following redo LSG.
Main Methods:
- A feasibility study involving 13 patients who underwent redo LSG between October 2005 and April 2010.
- Indications for redo LSG included progressive weight regain or insufficient weight loss (<50% EW).
- Persistence of the gastric fundus was noted on upper gastrointestinal series in patients requiring revision.
Main Results:
- The mean initial BMI was 44.6 kg/m(2), with a mean excess weight (EW) of 61.8 kg.
- At 12 months post-revision, mean BMI decreased to 27.5 kg/m(2), with a mean excess weight loss (%EWL) of 71.4% and excess BMI loss (%EBL) of 82.8%.
- No morbidity was reported during the study period.
Conclusions:
- Laparoscopic revision of LSG (redo LSG) is a safe procedure.
- Redo LSG is effective in achieving substantial short-term weight loss.
- Improvement in comorbidities was observed following laparoscopic revision of LSG.
