PMID- 26093768
OWN - NLM
STAT- MEDLINE
DCOM- 20160419
LR  - 20150623
IS  - 1878-7533 (Electronic)
IS  - 1550-7289 (Linking)
VI  - 11
IP  - 3
DP  - 2015 May-Jun
TI  - Worthy or not? Six-year experience of revisional bariatric surgery from an Asian 
      center of excellence.
PG  - 612-20
LID - S1550-7289(14)00421-3 [pii]
LID - 10.1016/j.soard.2014.04.033 [doi]
AB  - BACKGROUND: Revisional bariatric surgery (RBS) is increasing. The various primary 
      operations with their distinctive complications make this group of patients quite 
      heterogeneous, and treatment has to be individualized. There are concerns 
      regarding the safety profile and efficacy of these procedures. The objective of 
      the present study was to analyze the indications, safety, and efficacy of RBS at 
      a high-volume Asian center and provide insight into the different treatment 
      options. METHODS: Of a total of 1578 bariatric surgeries from July 2006 to June 
      2012, 52 patients underwent revisional bariatric procedures. The primary 
      operations included 6 different procedures. The indications for surgery were 
      grouped into weight loss failure (n = 21) or complications related to the primary 
      operation (n = 31). The revisional operations performed were conversion to 
      another procedure (n = 22), revision of existing anatomy (n = 29), or reversal to 
      normal anatomy (n = 1). RESULTS: 96% of revisional surgeries were performed 
      laparoscopically. The median operating time was 72 minutes (25-240 min), and the 
      median duration of hospital stay was 4 days (3-25 d). The mean body mass index 
      for weight loss failure decreased significantly from 36.3 to 29.6 kg/m(2) after 1 
      year of revisional surgery (P<.01). However, revision of RYGB was only associated 
      with a body mass index loss of 3.2 kg/m(2) and percentage of excess weight loss 
      of 31.8%. More than 90% of the patients with complications had complete 
      resolution of their preoperative symptoms. There were 3 major complications with 
      an overall morbidity rate of 5.8%. There was no mortality. CONCLUSIONS: RBS is 
      well-tolerated, with satisfactory early outcomes, in high-volume centers. 
      However, larger studies with longer follow-up periods are needed to determine the 
      long-term efficacy of these procedures.
CI  - Copyright (c) 2015. Published by Elsevier Inc.
FAU - Vij, Anirudh
AU  - Vij A
AD  - Bariatric and Metabolic International Surgery Centre, E-Da Hospital, Taiwan, 
      Republic of China.
FAU - Malapan, Kirubakaran
AU  - Malapan K
AD  - Bariatric and Metabolic International Surgery Centre, E-Da Hospital, Taiwan, 
      Republic of China.
FAU - Tsai, Ching-Chung
AU  - Tsai CC
AD  - Department of Pediatrics, E-Da Hospital, Taiwan, Republic of China.
FAU - Hung, Kuo-Chung
AU  - Hung KC
AD  - Department of Anesthesia, E-Da Hospital, Taiwan, Republic of China.
FAU - Chang, Po-Chi
AU  - Chang PC
AD  - Bariatric and Metabolic International Surgery Centre, E-Da Hospital, Taiwan, 
      Republic of China; Department of General Surgery, E-Da Hospital, Taiwan, Republic 
      of China.
FAU - Huang, Chih-Kun
AU  - Huang CK
AD  - Bariatric and Metabolic International Surgery Centre, E-Da Hospital, Taiwan, 
      Republic of China; Department of General Surgery, E-Da Hospital, Taiwan, Republic 
      of China. Electronic address: dr.ckhuang@hotmail.com.
LA  - eng
PT  - Journal Article
DEP - 20141104
PL  - United States
TA  - Surg Obes Relat Dis
JT  - Surgery for obesity and related diseases : official journal of the American 
      Society for Bariatric Surgery
JID - 101233161
SB  - IM
CIN - Surg Obes Relat Dis. 2015 Nov-Dec;11(6):1413. PMID: 25595918
MH  - Adolescent
MH  - Adult
MH  - *Bariatric Surgery
MH  - Body Mass Index
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - *Laparoscopy
MH  - Male
MH  - Middle Aged
MH  - Obesity, Morbid/*surgery
MH  - Operative Time
MH  - Reoperation
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
MH  - Weight Loss/*physiology
MH  - Young Adult
OTO - NOTNLM
OT  - Bariatric
OT  - Morbid obesity
OT  - Revisional surgery
EDAT- 2015/06/22 06:00
MHDA- 2016/04/20 06:00
CRDT- 2015/06/22 06:00
PHST- 2013/09/13 00:00 [received]
PHST- 2014/04/21 00:00 [revised]
PHST- 2014/04/28 00:00 [accepted]
PHST- 2015/06/22 06:00 [entrez]
PHST- 2015/06/22 06:00 [pubmed]
PHST- 2016/04/20 06:00 [medline]
AID - S1550-7289(14)00421-3 [pii]
AID - 10.1016/j.soard.2014.04.033 [doi]
PST - ppublish
SO  - Surg Obes Relat Dis. 2015 May-Jun;11(3):612-20. doi: 10.1016/j.soard.2014.04.033. 
      Epub 2014 Nov 4.