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- Title
Enhanced Recovery After Revisional Bariatric Surgery: a Retrospective Study of 321 Patients with Laparoscopic Conversion of Failed Gastric Banding or Failed Mason Gastroplasty to Roux-en-Y Gastric Bypass.
- Authors
Ruyssers, Michael; Gys, Ben; Jawad, Rami; Mergeay, Matthias; Janssen, Luc; Van Houtert, Cathy; Gys, Tobie; Lafullarde, Thierry
- Abstract
Purpose: With the rising incidence of failed bariatric procedures, the importance of revisional surgery has been increasing. These revisional procedures come with a higher risk of complications leading to longer hospital stays. We believe though that enhanced recovery after revisional bariatric surgery is possible and needs to be advocated. Materials and Methods: We retrospectively analyzed our laparoscopic conversions of failed gastric banding and failed Mason gastroplasty to Roux-en-Y gastric bypass. A total of 321 patients was included in the study, from February 2010 until December 2019. The primary endpoints were length of stay (LoS), in-hospital complication rate, and early readmission rate (< 30 days). Logistic regression was used to investigate the impact of several independent variables on complication and readmission rates. Results: Fifty-four patients were male and 267 female. The mean age was 44.2 years and mean BMI at the time of conversion was 37.9 kg/m2. We converted 273 failed adjustable gastric bandings (85,0%) and 48 failed Mason gastroplasties (15.0%). The main reason for conversion was the recurrence of obesity. A mean LoS of 2.10 days was calculated. We had an overall in-hospital complication rate of 3.73% and the overall early readmission rate was 3.43%. The odds ratio for LoS on early readmission is 1.52 (p=0.0079; CI 95% [1.12–2.07]). Conclusion: The above data imply that the implementation of advanced ERAS principles for revisional surgery in our center is safe and does not lead to a higher risk of early readmission.
- Subjects
GASTRIC bypass; GASTRIC banding; BARIATRIC surgery; PATIENT readmissions; LAPAROSCOPIC surgery; LOGISTIC regression analysis; ODDS ratio
- Publication
Obesity Surgery, 2021, Vol 31, Issue 5, p2136
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05235-x