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- Title
The Trajectory of Revisional Bariatric Surgery: Open to Laparoscopic to Robotic.
- Authors
Jawhar, Noura; Sample, Jack W.; Salame, Marita; Marrero, Katie; Tomey, Daniel; Puvvadi, Suraj; Ghanem, Omar M.
- Abstract
Metabolic and bariatric surgery (MBS) is the most effective therapeutic intervention for patients with obesity, with sleeve gastrectomy (SG) being the most commonly performed primary MBS procedure. Long-term studies have demonstrated that 15–20% of patients require revisional bariatric surgery (RBS) due to weight-related issues or surgical complications. Despite the gold standard being laparoscopic revision, there are other available approaches such as open or robotic-assisted. An extensive literature review was performed for articles from their inception to February 2024. A descriptive review of MBS procedures (SG, Roux-en-Y gastric bypass (RYGB), single anastomosis duodeno-ileostomy (SADI) and biliopancreatic diversion-duodenal switch (BPD-DS)) was carried out to report and compare outcomes between primary and revisional bariatric surgery. A similar review was conducted to compare outcomes of revisional approaches (open, laparoscopic, robotic). RYGB remains the dominant RBS with a similar safety profile compared to revisional SADI and BPD-DS. In terms of the RBS surgical approach, all three options showed comparable short and long-term outcomes, with robotic RBS being associated with longer operative time and variable length of stay. Additional long-term studies are required to further validate our conclusions.
- Subjects
BARIATRIC surgery; GASTRIC bypass; LAPAROSCOPIC surgery; SLEEVE gastrectomy; LITERATURE reviews; LENGTH of stay in hospitals
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 7, p1878
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13071878