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Five-year results after resleeve gastrectomy.

Patrick Noel1, Anamaria Nedelcu2, Imane Eddbali3

  • 1Emirates Specialty Hospital, Dubai, United Arab Emirates; ELSAN, Clinique Bouchard, Marseille, France.

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
|June 26, 2020
PubMed
Summary

Resleeve gastrectomy (ReSG) is effective for 53.8% of patients five years after bariatric surgery for weight loss failure or reflux following laparoscopic sleeve gastrectomy (LSG). This procedure is well-tolerated with a low complication rate, particularly for non-super-obese individuals.

Keywords:
BypassLong-term resultsResleeveRevisional surgerySADISleeve gastrectomy

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Area of Science:

  • Bariatric Surgery
  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic sleeve gastrectomy (LSG) is a popular bariatric procedure.
  • Long-term LSG follow-up can reveal weight loss failure and severe acid reflux, necessitating revisional surgery.
  • Resleeve gastrectomy (ReSG) is an option for patients experiencing inadequate results after primary LSG.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of resleeve gastrectomy (ReSG).
  • To assess outcomes 5 years after ReSG in patients with prior LSG failure.

Main Methods:

  • Retrospective analysis of patients who underwent ReSG between 2008 and 2014.
  • Inclusion criteria: patients with weight loss failure or GERD after primary LSG.
  • Outcomes assessed: weight loss (excess BMI loss), complications, and need for further interventions at 5-year follow-up.

Main Results:

  • 52 patients (mean BMI 39.4 kg/m² ) underwent ReSG for weight regain (42.3%) or inadequate weight loss (53.8%).
  • At 5 years, 71.8% of patients achieved >50% excess BMI loss.
  • ReSG demonstrated a low complication rate, including 1 leak, 2 stenoses, and 2 bleeding events; no mortality.

Conclusions:

  • Resleeve gastrectomy (ReSG) is an effective revisional bariatric procedure for selected patients.
  • Outcomes are more favorable in non-super-obese patients and those with primary dilation.
  • ReSG is well-tolerated, but further trials are needed to compare it with other revisional options.