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Short-Term Results of Revisional Single-Anastomosis Gastric Bypass After Sleeve Gastrectomy for Weight Regain

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Abstract

Introduction

Laparoscopic sleeve gastrectomy (LSG) has become the most performed bariatric procedure as of 2015. However, inadequate weight loss may present the need for revisional procedures.

Objectives

The objective of this study was to analyze the efficacy of single-anastomosis gastric bypass (SAGB) in attaining successful weight loss following an initial LSG.

Methods

A retrospective analysis was performed on all patients who underwent LSG at Amiri Hospital, Kuwait from 2008 to 2017. A list was obtained of those who underwent revisional SAGB surgery after initial LSG, and their demographics were analyzed.

Results

A total of 31 patients underwent revisional SAGB bariatric surgery after initial LSG, of which 87.1% were female. Prior to LSG, the mean weight of the patients was 127.5 kg and the mean BMI was 49.0 kg/m2. The mean weight loss after initial LSG was 43.8 kg, while the average duration until patients underwent revisional SAGB was 5.1 years. The cause for revision was weight regain (86.2%), inadequate weight loss (10.3%), or the development of a complication (reflux) (6.5%). Prior to undergoing revisional SAGB, the weight and BMI of the patients were 110.9 kg and 42.6 kg/m2, respectively. This demonstrated a %excess weight loss of 14.5, 31.9, 48.0, and 58.9% 2 weeks, 3 months, 6 months, and 1-year post-SAGB, respectively. Three (10.3%) morbidities were reported and thereafter successfully resolved.

Conclusion

Revisional SAGB bariatric surgery is a safe and effective method in the short-term basis for the management of inadequate primary LSG.

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Author information

Authors and Affiliations

  1. Kuwait University, Kuwait City, Kuwait

    Salman AlSabah

  2. Al Amiri Hospital, Kuwait City, Kuwait

    Eliana Al Haddad, Saud Al-Subaie, Shehab Ekrouf, Khaled Alenezi, Ahmad Almulla & Mohannad Alhaddad

Authors
  1. Salman AlSabah
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  2. Eliana Al Haddad
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  3. Saud Al-Subaie
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  4. Shehab Ekrouf
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  5. Khaled Alenezi
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  6. Ahmad Almulla
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  7. Mohannad Alhaddad
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Corresponding author

Correspondence to Salman AlSabah.

Ethics declarations

Ethical approval to conduct the study was obtained from the Ministry of Health and Kuwait Institute for Medical Specialization Ethical Approval Board.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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AlSabah, S., Al Haddad, E., Al-Subaie, S. et al. Short-Term Results of Revisional Single-Anastomosis Gastric Bypass After Sleeve Gastrectomy for Weight Regain. OBES SURG 28, 2197–2202 (2018). https://doi.org/10.1007/s11695-018-3158-3

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