Weight Regain After Sleeve Gastrectomy: A Look at the Benefits of Re-sleeve

被引:16
|
作者
Saliba, Christian [1 ]
El Reyes, Johnny [2 ]
Diab, Samer [1 ]
Nicolas, Gregory [1 ]
Wakim, Raja [3 ]
机构
[1] Lebanese Amer Univ, Med Ctr, Gen Surg, Beirut, Lebanon
[2] St Joseph Univ, Orthoped, Beirut, Lebanon
[3] Mt Lebanon Hosp, Gen Surg Dept, Beirut, Lebanon
来源
CUREUS | 2018年 / 10卷 / 10期
关键词
revision laparoscopic sleeve gastrectomy; residual fundus; weight regain; estimated weight loss;
D O I
10.7759/cureus.3450
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction Laparoscopic sleeve gastrectomy (LSG) has become one of the most commonly performed weight loss procedures due to its simpler technique and lower complication rate as compared to the Roux-en-Y gastric bypass and duodenal switch. However, weight regain is seen in patients with a large gastric fundus. In these cases, a revision laparoscopic sleeve gastrectomy (reLSG) aiming at resecting the excess pouch is a promising option for correction. Methods From April 2013 to March 2016, six patients underwent a reLSG for a failure of weight loss after the demonstration of a large gastric fundus on the upper gastrointestinal (UGI) series. Results One patient out of six (16.7%) suffered from a gastric leak and was lost to subsequent follow-up. The rest (83.3%) had a smooth recovery and were followed up for a mean of 18 months. Mean excess weight loss (EWL) was 68%, with a minimum of 48% and a maximum of 75%. Conclusion reLSG is a promising option for failed weight loss after LSG in patients who demonstrate the presence of a large gastric pouch. It carries a higher complication rate than the initial procedure. Further trials and meta-analyses are needed to prove the efficacy of this procedure.
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页数:7
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