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- Title
Revisional Bariatric Surgery due to Complications: Indications and Outcomes.
- Authors
Khalaj, Alireza; Barzin, Maryam; Ebadinejad, Amir; Mahdavi, Maryam; Ebrahimi, Navid; Valizadeh, Majid; Hosseinpanah, Farhad
- Abstract
Background: The increasing prevalence of bariatric procedures has led to a surge in revisional surgeries. Failure of bariatric surgery can be attributed to inadequate weight loss or complications necessitating revisional surgery. In this study, we investigated the indications and outcomes of revisional surgery due to complications following primary bariatric surgery. Materials and Methods: A retrospective study was conducted using data from the Tehran Obesity Treatment Study, which included patients who underwent revisional bariatric surgery between March 2013 and September 2021 due to complications following primary bariatric surgery. Results: Of the 5382 patients who underwent primary bariatric surgery (sleeve gastrectomy, one-anastomosis gastric bypass, and Roux-en-Y gastric bypass), 203 (3.70%) required revisional surgery, with 37 cases performed due to surgical complications. The indications of revisional operations were gastroesophageal reflux disease (GERD) (n=17, 45.9%), protein-calorie malnutrition (PCM) (n=14, 37.8%), unexplained abdominal pain (n=5, 13.5%), and phytobezoar (n=1, 0.03%). In the postoperative follow-up, most patients exhibited improvement in signs and symptoms related to underlying causes. However, eight patients experienced early or late complications of grade III or higher according to the Clavien-Dindo classification, with one death resulting from liver failure. Conclusion: Revisional bariatric surgery may effectively address complications from primary bariatric surgery, with the majority of patients experiencing improvements in symptoms. While the overall incidence of revisional surgery due to complications is relatively low, our findings suggest that GERD and PCM are the most common indications for revisional surgery.
- Subjects
GASTRIC bypass; SURGICAL complications; BARIATRIC surgery; SLEEVE gastrectomy; PROTEIN-energy malnutrition; PATIENT experience
- Publication
Obesity Surgery, 2023, Vol 33, Issue 11, p3463
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-023-06832-8