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Obes Surg. 2011 Jul;21(7):832-5. doi: 10.1007/s11695-010-0290-0.

Re-sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibility study.

Author information

1
Service 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

Abstract

BACKGROUND:

Laparoscopic sleeve gastrectomy (LSG) has been rapidly accepted as a valuable bariatric procedure before its effectiveness on weight loss in the long-term is clearly demonstrated. We report a feasibility study including 13 patients undergoing a redo LSG for either progressive weight regain after initial weight loss of insufficient weight loss.

METHODS:

From October 2005 to April 2010, 13 patients underwent a re-sleeve gastrectomy procedure for progressive weight regain or insufficient weight loss (<50% of excess weight (EW)) associated with the persistence of the gastric fundus on upper gastrointestinal series.

RESULTS:

Mean initial body mass index (BMI) and EW were 44.6 (37-52.9) kg/m(2) and 61.8 (38.2-93.9) kg, respectively. There were ten comorbid conditions in five out of the 13 patients. The revision resulted in a mean BMI, percent of excess weight loss (%EWL), and percentage of excess BMI loss (%EBL) of 32.3 kg/m(2), 50.3%, and 57% at 1 month; 32 kg/m(2), 47.9%, and 54.5 at 6 months; and 27.5 kg/m(2), 71.4%, and 82.8% at 12 months, respectively. There was no morbidity.

CONCLUSIONS:

Laparoscopic revision of LSG is safe and effective in the short term to obtain substantial loss of weight and improvement in comorbidities.

PMID:
20924713
DOI:
10.1007/s11695-010-0290-0
[Indexed for MEDLINE]
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