Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures

INTRODUCTION: Revisional surgery must be considered when insufficient weight loss is attained or weight is subsequently regained. This study aimed to investigate the value of Roux-en-Y gastric bypass (RYGB) as a revisional procedure after restrictive surgery.; MATERIALS AND METHODS: An observational...

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Autores: Marti-Fernandez, Rosa, Cassinello-Fernandez, Norberto, Cuenca-Ramirez, Maria Desamparados, Lapena-Rodriguez, Maria, Fernandez-Moreno, Maria Carmen, Alfonso-Ballester, Raquel, Ortega-Serrano, Joaquin
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2020
País:España
Recursos:INCLIVA
Repositório:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p4583
Acesso em linha:https://incliva.portalinvestigacion.com/publicaciones/4583
Access Level:Acceso aberto
Palavra-chave:Bariatric surgery
Conversion surgery
Gastric bypass
Insufficient weight loss
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spelling Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive ProceduresMarti-Fernandez, RosaCassinello-Fernandez, NorbertoCuenca-Ramirez, Maria DesamparadosLapena-Rodriguez, MariaFernandez-Moreno, Maria CarmenAlfonso-Ballester, RaquelOrtega-Serrano, JoaquinBariatric surgeryConversion surgeryGastric bypassInsufficient weight lossINTRODUCTION: Revisional surgery must be considered when insufficient weight loss is attained or weight is subsequently regained. This study aimed to investigate the value of Roux-en-Y gastric bypass (RYGB) as a revisional procedure after restrictive surgery.; MATERIALS AND METHODS: An observational, retrospective study including patients initially operated on for morbid obesity with restrictive techniques (vertical-banded gastroplasty [VBG], adjustable gastric band [AGB], and sleeve gastrectomy) and reoperated with RYGB in our centre between December 1994 and January 2019. Demographic and anthropometric data, associated comorbidities (diabetes mellitus type II, arterial hypertension, dyslipidaemia, and chronic obstructive pulmonary disease) and surgery-related data (approach, complications, and hospital stay) were evaluated at 5 different time points: initial (prior to first intervention), after the first surgical intervention, before the second intervention (gastric bypass), after the gastric bypass, and at present.; RESULTS: A total of 63 patients were included. VBG was the most frequent initial procedure (n = 33). The mean age was 39 ± 9.52 years, and the average initial weight was 143.53 ± 28.6 kg. Weight loss was achieved in all groups, with a median excess weight loss of 58% after the first surgery and 40.3% after gastric bypass. In terms of weight loss, the best results after the second surgery were obtained when the first surgery was AGB, with statistically significant differences.; CONCLUSIONS: RYGB is effective as a conversion procedure after a previous restrictive surgery, obtaining a significant reduction in weight and BMI. It has an acceptable morbidity rate and is more effective after an AGB. © 2020 The Author(s) Published by S. Karger AG, Basel.KARGER2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/4583Obesity FactsISSN: 16624025ISSNe: 16624033reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p45832026-06-07T16:35:31Z
dc.title.none.fl_str_mv Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
title Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
spellingShingle Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
Marti-Fernandez, Rosa
Bariatric surgery
Conversion surgery
Gastric bypass
Insufficient weight loss
title_short Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
title_full Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
title_fullStr Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
title_full_unstemmed Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
title_sort Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
dc.creator.none.fl_str_mv Marti-Fernandez, Rosa
Cassinello-Fernandez, Norberto
Cuenca-Ramirez, Maria Desamparados
Lapena-Rodriguez, Maria
Fernandez-Moreno, Maria Carmen
Alfonso-Ballester, Raquel
Ortega-Serrano, Joaquin
author Marti-Fernandez, Rosa
author_facet Marti-Fernandez, Rosa
Cassinello-Fernandez, Norberto
Cuenca-Ramirez, Maria Desamparados
Lapena-Rodriguez, Maria
Fernandez-Moreno, Maria Carmen
Alfonso-Ballester, Raquel
Ortega-Serrano, Joaquin
author_role author
author2 Cassinello-Fernandez, Norberto
Cuenca-Ramirez, Maria Desamparados
Lapena-Rodriguez, Maria
Fernandez-Moreno, Maria Carmen
Alfonso-Ballester, Raquel
Ortega-Serrano, Joaquin
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Bariatric surgery
Conversion surgery
Gastric bypass
Insufficient weight loss
topic Bariatric surgery
Conversion surgery
Gastric bypass
Insufficient weight loss
description INTRODUCTION: Revisional surgery must be considered when insufficient weight loss is attained or weight is subsequently regained. This study aimed to investigate the value of Roux-en-Y gastric bypass (RYGB) as a revisional procedure after restrictive surgery.; MATERIALS AND METHODS: An observational, retrospective study including patients initially operated on for morbid obesity with restrictive techniques (vertical-banded gastroplasty [VBG], adjustable gastric band [AGB], and sleeve gastrectomy) and reoperated with RYGB in our centre between December 1994 and January 2019. Demographic and anthropometric data, associated comorbidities (diabetes mellitus type II, arterial hypertension, dyslipidaemia, and chronic obstructive pulmonary disease) and surgery-related data (approach, complications, and hospital stay) were evaluated at 5 different time points: initial (prior to first intervention), after the first surgical intervention, before the second intervention (gastric bypass), after the gastric bypass, and at present.; RESULTS: A total of 63 patients were included. VBG was the most frequent initial procedure (n = 33). The mean age was 39 ± 9.52 years, and the average initial weight was 143.53 ± 28.6 kg. Weight loss was achieved in all groups, with a median excess weight loss of 58% after the first surgery and 40.3% after gastric bypass. In terms of weight loss, the best results after the second surgery were obtained when the first surgery was AGB, with statistically significant differences.; CONCLUSIONS: RYGB is effective as a conversion procedure after a previous restrictive surgery, obtaining a significant reduction in weight and BMI. It has an acceptable morbidity rate and is more effective after an AGB. © 2020 The Author(s) Published by S. Karger AG, Basel.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/4583
url https://incliva.portalinvestigacion.com/publicaciones/4583
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv KARGER
publisher.none.fl_str_mv KARGER
dc.source.none.fl_str_mv Obesity Facts
ISSN: 16624025
ISSNe: 16624033
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
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