Reoperation After Loop Duodenojejunal Bypass with Sleeve Gastrectomy: A 9-Year Experience

Area of Science:

• Bariatric Surgery
• Metabolic Surgery
• Gastrointestinal Surgery

Background:

• Loop duodenojejunal bypass with sleeve gastrectomy (LDJBSG) is an effective bariatric procedure for weight loss and managing obesity-related comorbidities.
• Limited data exists on the reoperative surgery required after LDJBSG.

Purpose of the Study:

• To analyze surgical complications and reoperation rates following LDJBSG.
• To describe conversion and revision procedures for LDJBSG complications.

Main Methods:

• Retrospective analysis of 337 patients who underwent LDJBSG between 2011 and 2019.
• Evaluation of reoperative surgery (conversion or revision) for early and late complications.

Main Results:

• Reoperative surgery was required in 3% (10/337) of patients.
• Common conversion procedures included Roux-en-Y gastric bypass (RYGB).
• Perioperative complications occurred in 4 patients post-conversion, including multiorgan failure and marginal ulcers.

Conclusions:

• LDJBSG demonstrates a low reoperative rate.
• Conversion to RYGB is an effective treatment for LDJBSG complications.
• Conversion surgery demands technical expertise and should be performed by experienced bariatric surgical teams due to potential perioperative risks.