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Revisionary bariatric surgery: indications and outcome of 100 consecutive operations at a single center
Surgical Endoscopy, 01/03/2012
Kuesters S et al. – Insufficient weight loss is the most frequent indication for revisionary bariatric surgery. The surgery can be performed laparoscopically in most cases, and a significant EWL (> 50%) can be achieved in 1 year if the right revisionary procedure is chosen.
Methods- At the Centre of Obesity and Metabolic Surgery (University of Freiburg, Germany), 100 consecutive revisionary bariatric operations performed between March 2007 and September 2009 were analyzed concerning indications and outcomes.
- Only 9 of the 100 revisions were due to early complications (<30 days after the primary operation).
- The indication for most revisions was poor weight loss (n = 55).
- A mean body mass index reduction of 10 points could be achieved in 1 year, which equals a 56% excess weight loss (EWL).
- No significant difference in weight reduction between restrictive and malabsorptive revisions was observed.
- Revisions due to implant–related problems also were frequent (n = 25).
- Laparoscopic revision was possible in 95% of the cases.