The main aim of this study is to analyze and report traditional, patient-centered, and composite intermediate-term outcomes after laparoscopic revision Roux-en-Y gastric bypass surgery for weight recidivism.
There is lack of standardization of primary and revisional bariatric surgery compounded by a scant long-term outcome data. The treatment of inadequate weight loss, weight recidivism, and most severe technical complications after primary bariatric surgery remains refractory to non-operative treatment. Failure rates have been reported up to 20% and 35% for the morbidly obese (MO) and super obese (SO), respectively at 2 to 3 years after surgery. The indication for further surgical intervention remains controversial, as does what type of revisional procedure, both operative and endoscopic, to recommend. Furthermore, there is no standardization of the limb lengths, pouch size or the use of prosthetic reinforcement. Therefore the approach to these patients must be as individualized as their original operations. We formally analyze our experience with all laparoscopic revisional strategies for weigh regain after failed gastric bypass.
Study Type
OBSERVATIONAL
Enrollment
132
UCSF Fresno Center for Medical Education and Research
Fresno, California, United States
Weight loss expressed as Body Mass Index and Percentage Excess Weight Loss
Time frame: At the lowest weight loss point and at last follow-up
Comorbidity status
Time frame: throughout follow-up
Subjective Satisfaction
Time frame: at last follow-up
Health-Related Quality of Life (HR-QoL).
Time frame: at the last follow-up
Morbidity and mortality
Time frame: throughout follow-up
To assess failures
Time frame: at yearly intervals throughout follow-up
To evaluate the patients´ metabolic and nutritional status
Time frame: throughout follow-up
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