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Revisional Bariatric Surgery.

Noah J Switzer1, Shahzeer Karmali2, Richdeep S Gill3

  • 1Department of Surgery, University of Alberta, Room 405 CSC, 10240 Kingsway Avenue, Edmonton, Alberta T5H 3V9, Canada.

The Surgical Clinics of North America
|July 31, 2016
PubMed
Summary

Revisional bariatric surgery is becoming more common due to primary procedure failure. This review covers reasons for revision, surgical options, and outcomes for bariatric surgery patients.

Keywords:
ConversionFailed gastric bandFailed gastric bypassFailed sleeve gastrectomyRevisional surgeryWeight recividism

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Area of Science:

  • Bariatric Surgery
  • Surgical Revision
  • Obesity Management

Background:

  • Revisional bariatric procedures are increasingly common.
  • 5% to 8% of primary bariatric procedures fail, necessitating revisional surgery.
  • Indications include inadequate weight loss or weight recidivism.

Purpose of the Study:

  • To review the history of primary bariatric procedures.
  • To outline indications for revisional bariatric surgery.
  • To discuss surgical options and outcomes for revision.

Main Methods:

  • Literature review of primary bariatric procedures.
  • Analysis of indications for revisional surgery.
  • Synthesis of surgical techniques and patient outcomes.

Main Results:

  • Primary inadequate weight loss (<25% excess body weight loss) is a key indication.
  • Weight recidivism (>10 kg gain from nadir) is another major reason for revision.
  • Specific complications inherent to each primary procedure also necessitate revision.

Conclusions:

  • Understanding the history and indications for revisional bariatric surgery is crucial.
  • Various surgical options exist for revision, each with specific outcomes.
  • Effective management of failed primary bariatric procedures requires careful patient selection and surgical planning.