PMID- 29616464
OWN - NLM
STAT- MEDLINE
DCOM- 20191004
LR  - 20191007
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 28
IP  - 9
DP  - 2018 Sep
TI  - Practices Concerning Revisional Bariatric Surgery: a Survey of 460 Surgeons.
PG  - 2650-2660
LID - 10.1007/s11695-018-3226-8 [doi]
AB  - BACKGROUND: There is currently little evidence available on various aspects of 
      Revisional Bariatric Surgery (RBS) and no published consensus amongst experts. 
      The purpose of this study was to understand variation in practices concerning 
      RBS. METHODS: Bariatric surgeons from around the world who perform RBS were 
      invited to participate in a questionnaire-based survey on SurveyMonkey(R). RESULTS: 
      A total of 460 respondents from 62 countries took the survey. For revision after 
      gastric banding, Roux-en-Y gastric bypass (RYGB) (75.5%, n = 345) emerged as the 
      commonest choice followed by sleeve gastrectomy (SG) (56.9%, n = 260) and one 
      anastomosis gastric bypass (OAGB) (37.2%, n = 170). For revision after SG, RYGB 
      (77.7%, n = 355) was the commonest option followed by OAGB (42.45%, n = 194) and 
      re-sleeve (22.32%, n = 102). For revision after RYGB, surgical pouch reduction 
      (49.1%, n = 223), prolongation of bilio-pancreatic limb (30.0%, n = 136), and 
      surgical stoma size reduction (26.43%, n = 120) were the most preferred options. 
      Approximately 90.0% of respondents (n = 406/454) routinely perform an upper 
      gastrointestinal endoscopy before an RBS, and 85.6% (n = 388/453) routinely 
      perform a contrast study. Ninety percent (n = 403/445) reported that the demand 
      for RBS was usually patient-driven, and there was wide variation in criteria used 
      to define successful response, non-responders, and significant weight regain. 
      CONCLUSIONS: This survey is the first attempt to understand various aspects of 
      RBS. The findings will help in identifying areas for research and allow consensus 
      building amongst experts.
FAU - Mahawar, Kamal K
AU  - Mahawar KK
AUID- ORCID: 0000-0003-2551-3462
AD  - Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK. 
      kamal_mahawar@hotmail.com.
FAU - Nimeri, Abdelrahman
AU  - Nimeri A
AD  - Sheikh Khalifa Medical City, Abu Dhabi, UAE.
FAU - Adamo, Marco
AU  - Adamo M
AD  - University College London Hospitals NHS Trust, London, UK.
FAU - Borg, Cynthia-Michelle
AU  - Borg CM
AD  - Lewisham and Greenwich NHS Trust, University Hospital Lewisham, London, UK.
FAU - Singhal, Rishi
AU  - Singhal R
AD  - Birmingham Heartlands Hospital, Birmingham, UK.
FAU - Khan, Omar
AU  - Khan O
AD  - St. Georges Hospital, London, UK.
FAU - Small, Peter K
AU  - Small PK
AD  - Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - *Bariatric Surgery/methods/statistics & numerical data
MH  - Humans
MH  - Practice Patterns, Physicians'/*statistics & numerical data
MH  - *Reoperation/methods/statistics & numerical data
MH  - Surgeons/*statistics & numerical data
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Gastric banding
OT  - One anastomosis gastric bypass
OT  - Revisional bariatric surgery
OT  - Roux-en-Y gastric bypass
OT  - Sleeve gastrectomy
EDAT- 2018/04/05 06:00
MHDA- 2019/10/08 06:00
CRDT- 2018/04/05 06:00
PHST- 2018/04/05 06:00 [pubmed]
PHST- 2019/10/08 06:00 [medline]
PHST- 2018/04/05 06:00 [entrez]
AID - 10.1007/s11695-018-3226-8 [pii]
AID - 10.1007/s11695-018-3226-8 [doi]
PST - ppublish
SO  - Obes Surg. 2018 Sep;28(9):2650-2660. doi: 10.1007/s11695-018-3226-8.