PMID- 35707336 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1895-4588 (Print) IS - 2299-0054 (Electronic) IS - 1895-4588 (Linking) VI - 17 IP - 2 DP - 2022 Jun TI - Revisional operations among patients after surgical treatment of obesity: a multicenter Polish Revision Obesity Surgery Study (PROSS). PG - 372-379 LID - 10.5114/wiitm.2022.114525 [doi] AB - INTRODUCTION: Revisional surgery is more technically challenging and associated with increased morbidity and mortality. Nevertheless, the frequency of revisional bariatric surgery (RBS) is increasing. Therefore, investigating this group of patients appears to be currently valid. AIM: The objective of this multicenter study was to collect, systematize and present the available data on RBS after surgical treatment of morbid obesity among Polish patients. MATERIAL AND METHODS: This multicenter study included a retrospective analysis of a prospectively maintained database. Outcomes included an analysis of the indications for RBS, the type of surgery most frequently chosen as RBS and the course of the perioperative period of treatment among patients undergoing RBS. RESULTS: The group consisted of 799 patients (624 (78.1%) women, 175 (21.9%) men). The mean age was 38.96 +/-9.72 years. Recurrence of obesity was the most common indication for RBS. The most frequently performed RBS procedures were one anastomosis gastric bypass (OAGB) - 294 (36.8%) patients, Roux-en-Y gastric bypass (RYGB) - 289 (36.17%) patients and sleeve gastrectomy (SG) - 172 (21.52%) patients. After primary surgery 63.58% of patients achieved sufficient weight loss, but after RBS only 38.87%. Complications were noted in 222 (27.78%) cases after RBS with GERD being the most common - 117 (14.64%) patients. CONCLUSIONS: RBS most often concerns patients after SG. The main indication for RBS is weight regain. OAGB and RYGB were the two most frequently chosen types of RBS. Secondary operations lead to further weight reduction. However, RBS are associated with a significant risk of complications. CI - Copyright: (c) 2022 Fundacja Videochirurgii. FAU - Major, Piotr AU - Major P AD - 2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland. FAU - Zarzycki, Piotr AU - Zarzycki P AD - 2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland. FAU - Rymarowicz, Justyna AU - Rymarowicz J AD - 2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland. FAU - Wysocki, Michal AU - Wysocki M AD - Department of General Surgery and Surgical Oncology, Ludwik Rydygier Memorial Hospital, Krakow, Poland. FAU - Labul, Michal AU - Labul M AD - Department of General and Endoscopic Surgery, EuroMediCare Specialist Hospital and Clinic, Wroclaw, Poland. FAU - Hady, Hady Razak AU - Hady HR AD - Department of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland. FAU - Gluszynska, Paulina AU - Gluszynska P AD - Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland. FAU - Mysliwiec, Piotr AU - Mysliwiec P AD - Department of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland. FAU - Kowalski, Grzegorz AU - Kowalski G AD - Surgery Clinic Mazan, Katowice, Poland. FAU - Orlowski, Michal AU - Orlowski M AD - Department of General and Oncological Surgery, Ceynowa Hospital, Wejherowo, Poland. FAU - Szeliga, Jacek AU - Szeliga J AD - Department of General, Gastroenterological, and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Torun, Poland. FAU - Kupczyk, Wojciech AU - Kupczyk W AD - Department of General, Gastroenterological, and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Torun, Poland. FAU - Tarnowski, Wieslaw AU - Tarnowski W AD - Department of General, Oncological and Digestive Tract Surgery, Centre of Postgraduate Medical Education, Orlowski Hospital, Warsaw, Poland. FAU - Lech, Pawel AU - Lech P AD - Department of General, Minimally Invasive and Elderly Surgery, University of Warmia and Mazury, Olsztyn, Poland. FAU - Dowgiallo-Gornowicz, Natalia AU - Dowgiallo-Gornowicz N AD - Department of General, Minimally Invasive and Elderly Surgery, University of Warmia and Mazury, Olsztyn, Poland. FAU - Proczko-Stepaniak, Monika AU - Proczko-Stepaniak M AD - Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland. FAU - Waledziak, Maciej AU - Waledziak M AD - Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland. FAU - Szymanski, Pawel AU - Szymanski P AD - Department of General and Vascular Surgery, Polanica Zdroj, Poland. FAU - Stefura, Tomasz AU - Stefura T AD - Jagiellonian University Medical College, Krakow, Poland. FAU - Pedziwiatr, Michal AU - Pedziwiatr M AD - 2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland. LA - eng PT - Journal Article DEP - 20220316 PL - Poland TA - Wideochir Inne Tech Maloinwazyjne JT - Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques JID - 101283175 PMC - PMC9186077 OTO - NOTNLM OT - bariatric surgery OT - obesity OT - revisional surgery COIS- The authors declare no conflict of interest. EDAT- 2022/06/17 06:00 MHDA- 2022/06/17 06:01 PMCR- 2022/06/01 CRDT- 2022/06/16 02:37 PHST- 2021/12/07 00:00 [received] PHST- 2021/12/19 00:00 [accepted] PHST- 2022/06/16 02:37 [entrez] PHST- 2022/06/17 06:00 [pubmed] PHST- 2022/06/17 06:01 [medline] PHST- 2022/06/01 00:00 [pmc-release] AID - 46591 [pii] AID - 10.5114/wiitm.2022.114525 [doi] PST - ppublish SO - Wideochir Inne Tech Maloinwazyjne. 2022 Jun;17(2):372-379. doi: 10.5114/wiitm.2022.114525. Epub 2022 Mar 16.