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Revisional Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: a Systematic Review of Comparative Outcomes with Respective Primary Procedures

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Abstract

Though primary bariatric surgery is now firmly established as the first-line treatment for morbid obesity, this is not the case with revisional bariatric surgery. Despite proven benefits and patient demand, revisional bariatric surgery continues to attract controversy. Even though it is widely believed to be riskier and less effective than primary bariatric surgery, there is currently no systematic review in literature addressing this point. This review aims to establish outcomes after revisional bariatric surgery in comparison with those after primary bariatric surgery. Since Roux-en-Y gastric bypass or sleeve gastrectomy is currently the commonest anatomy achieved after revisional bariatric surgery, this review focuses on the outcome of revisional Roux-en-Y gastric bypass and revisional sleeve gastrectomy in comparison with respective primary procedures.

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Abbreviations

RBS:

Revisional bariatric surgery

PBS:

Primary bariatric surgery

AGB:

Adjustable gastric banding

SG:

Sleeve gastrectomy

VBG:

Vertical banded gastroplasty

RYGB:

Roux-en-Y gastric bypass

DS:

Duodenal switch

PRISMA:

Preferred Reporting Items for Systematic Reviews and Meta-Analyses

EWL:

Excess weight loss

NICE:

National Institute for Health and Care Excellence

BPD:

Bilio-pancreatic diversion

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Conflict of Interest

The authors declare that they have no conflict of interest.

Author Contribution

KM conceived the idea for the topic. KM and YG independently collected information and analysed it. All authors participated in departmental discussion on the topic and manuscript writing. All authors have seen the final version and approve it.

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Authors and Affiliations

  1. Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK

    Kamal K. Mahawar, Yitka Graham, William R. J. Carr, Neil Jennings, Norbert Schroeder, Shlok Balupuri & Peter K. Small

  2. Department of Pharmacy, Health and Well-being, University of Sunderland, Sunderland, SR1 3SD, UK

    Yitka Graham

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Correspondence to Kamal K. Mahawar.

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Mahawar, K.K., Graham, Y., Carr, W.R.J. et al. Revisional Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: a Systematic Review of Comparative Outcomes with Respective Primary Procedures. OBES SURG 25, 1271–1280 (2015). https://doi.org/10.1007/s11695-015-1670-2

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