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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Related Experiment Video

Updated: Mar 23, 2026

Sleeve Gastrectomy in Mice using Surgical Clips
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Current trends in reoperative bariatric surgery using MBSAQIP database 2020-2023.

Cody M Crnkovic1, Maria Raye Anne Ng1, Noah Jordan1

  • 1Department of Surgery, University of Kentucky, Lexington, Kentucky.

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
|March 21, 2026
PubMed
Summary

Reoperative bariatric surgery is stable, with sleeve gastrectomy (SG) most common for reoperation. While complications are low, careful patient selection and counseling are crucial for successful outcomes.

Keywords:
Bariatric surgeryConversionOutcomesReoperationsRevisionsTrends

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Area of Science:

  • Bariatric Surgery
  • Surgical Outcomes
  • Metabolic Surgery Trends

Background:

  • Reoperative bariatric surgeries are increasing annually, with evolving indications and outcomes.
  • Understanding current trends in these complex procedures is essential.

Purpose of the Study:

  • To analyze trends in elective reoperative metabolic and bariatric surgeries (MBS) from 2020 to 2023.
  • To evaluate 30-day outcomes associated with these reoperations.

Main Methods:

  • Utilized the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database (2020-2023).
  • Included elective reoperations, excluding emergent procedures.
  • Performed descriptive statistics and compared preoperative variables and postoperative outcomes.

Main Results:

  • Elective reoperations constituted 10.9% (90,410 of 828,481) of MBS between 2020-2023.
  • Sleeve gastrectomy (SG) was the most common primary procedure requiring reoperation, often converted to Roux-en-Y gastric bypass (RYGB).
  • Weight recurrence and gastroesophageal reflux were primary indications; conversion from laparoscopic adjustable gastric band (LAGB) to RYGB showed higher complication rates.

Conclusions:

  • Reoperative bariatric surgery rates remain stable.
  • SG is the most frequent primary MBS and the most common procedure requiring reoperation.
  • Low complication rates persist, but thorough patient evaluation and counseling are vital for informed decision-making.