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Re-operations after Secondary Bariatric Surgery: a Systematic Review

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Abstract

This paper reviews reoperations rates for short- and long-term complications following secondary bariatric procedures and need for further bariatric surgery. The search revealed 28 papers (1317 secondary cases) following at least 75 % of patients for 12 months or more. For adjustable gastric banding (AGB), rebanding had higher re-revisional rates than conversions into other procedures. Conversion of AGB to Roux-en-Y gastric bypass had the highest number of short- (10.7 %) and long-term (22.0 %) complications. We estimated 194 additional reoperations per 1000 patients having a secondary procedure, 8.8 % needing tertiary surgery. Despite being poorly reported, risks of reoperations for long-term complications and tertiary bariatric surgery are higher than usually reported risks of short-term complications and should be taken into account when choosing a secondary bariatric procedure and for economic evaluations.

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Authors and Affiliations

  1. Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania, 7000, Australia

    Alexandr Kuzminov, Andrew J. Palmer & Alison J. Venn

  2. Royal Hobart Hospital, Hobart, Tasmania, Australia

    Stephen Wilkinson

  3. Stavropol State Medical University, Stavropol, Russia

    Bekkhan Khatsiev

Authors
  1. Alexandr Kuzminov
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  2. Andrew J. Palmer
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  3. Stephen Wilkinson
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  4. Bekkhan Khatsiev
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  5. Alison J. Venn
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Correspondence to Alison J. Venn.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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This work was supported by the Australian National Health and Medical Research Council.

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Kuzminov, A., Palmer, A.J., Wilkinson, S. et al. Re-operations after Secondary Bariatric Surgery: a Systematic Review. OBES SURG 26, 2237–2247 (2016). https://doi.org/10.1007/s11695-016-2252-7

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  • DOI: https://doi.org/10.1007/s11695-016-2252-7

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