PMID- 37061437
OWN - NLM
STAT- MEDLINE
DCOM- 20230904
LR  - 20230905
IS  - 1878-7533 (Electronic)
IS  - 1550-7289 (Linking)
VI  - 19
IP  - 9
DP  - 2023 Sep
TI  - Bariatric Surgeon Perspective on Revisional Bariatric Surgery (RBS) for Weight 
      Recurrence.
PG  - 972-979
LID - S1550-7289(23)00121-1 [pii]
LID - 10.1016/j.soard.2023.02.027 [doi]
AB  - BACKGROUND: Weight recurrence (WR) after bariatric surgery occurs in nearly 20% 
      of patients. Revisional bariatric surgery (RBS) may benefit this population but 
      remains controversial among surgeons. OBJECTIVES: Explore surgeon perspectives 
      and practices for patients with WR after primary bariatric surgery (PBS). 
      SETTING: Web-based survey of bariatric surgeons. METHODS: A 21-item survey was 
      piloted and posted on social media closed groups (Facebook) utilized by bariatric 
      surgeons. Survey items included demographic information, questions pertaining to 
      the definition of suboptimal and satisfactory response to bariatric surgery, and 
      general questions related to different WR management options. RESULTS: One 
      hundred ten surgeons from 19 countries responded to the survey. Ninety-eight 
      percent responded that WR was multifactorial, including behavioral and biological 
      factors. Failure of PBS was defined as excess weight loss < 50% by 31.4%, as 
      excess weight loss <25% by 12.8%, and as comorbidity recurrence by 17.4%. Surgeon 
      responses differed significantly by gender (P = .036). 29.4% believed RBS was not 
      successful, while 14.1% were unsure. Nevertheless, 73% reported that they would 
      perform RBS if sufficient evidence of benefit existed. Most frequently performed 
      revisional procedures included conversion of sleeve gastrectomy to Roux-en-Y 
      gastric bypass (RYGB), adjustable gastric band to RYGB, and RYGB revision (21.9% 
      versus 18.2% versus 15.3%, respectively). CONCLUSIONS: This survey demonstrates 
      significant variability in surgeon perception regarding causes and the 
      effectiveness of RBS. Moreover, they disagree on what constitutes a 
      nonsatisfactory response to PBS and to whom they offer RBS. These findings may 
      relate to limited available clinical evidence on best management options for this 
      patient population. Clinical trials investigating the comparative effectiveness 
      of various treatment options are needed.
CI  - Copyright (c) 2023 American Society for Metabolic and Bariatric Surgery. Published 
      by Elsevier Inc. All rights reserved.
FAU - Giannopoulos, Spyridon
AU  - Giannopoulos S
AD  - Department of Surgery, Indiana University School of Medicine, Indianapolis, 
      Indiana.
FAU - Kapsampelis, Panagiotis
AU  - Kapsampelis P
AD  - Department of Surgery, Kingston Hospital NHS Foundation Trust, 
      Kingston-upon-Thames, UK.
FAU - Pokala, Bhavani
AU  - Pokala B
AD  - Department of Surgery, Indiana University School of Medicine, Indianapolis, 
      Indiana.
FAU - Nault Connors, Jill D
AU  - Nault Connors JD
AD  - Department of Surgery, Indiana University School of Medicine, Indianapolis, 
      Indiana.
FAU - Hilgendorf, William
AU  - Hilgendorf W
AD  - Indiana University Health North Hospital, Carmel, Indiana.
FAU - Timsina, Lava
AU  - Timsina L
AD  - Department of Surgery, Center for Outcomes Research in Surgery, Indiana 
      University School of Medicine, Indianapolis, IN.
FAU - Clapp, Benjamin
AU  - Clapp B
AD  - Paul Foster School of Medicine, Texas Tech HSC, El Paso, Texas.
FAU - Ghanem, Omar
AU  - Ghanem O
AD  - Department of Surgery, Mayo Clinic, Rochester, Minnesota.
FAU - Kindel, Tammy L
AU  - Kindel TL
AD  - Department of Surgery, Medical College of Wisconsin, Wauwatosa, WI.
FAU - Stefanidis, Dimitrios
AU  - Stefanidis D
AD  - Department of Surgery, Indiana University School of Medicine, Indianapolis, 
      Indiana. Electronic address: dimstefa@iu.edu.
LA  - eng
PT  - Journal Article
DEP - 20230315
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. 2023 Sep;19(9):979-980. PMID: 37380543
MH  - Humans
MH  - *Gastroplasty/methods
MH  - *Obesity, Morbid/surgery/epidemiology
MH  - Reoperation
MH  - Retrospective Studies
MH  - *Bariatric Surgery/methods
MH  - *Surgeons
MH  - Weight Loss/physiology
OTO - NOTNLM
OT  - Revisional bariatric surgery
OT  - Surgeon perspectives
OT  - Survey
OT  - Weight recurrence
EDAT- 2023/04/16 06:00
MHDA- 2023/09/04 06:42
CRDT- 2023/04/15 22:00
PHST- 2022/10/17 00:00 [received]
PHST- 2023/02/14 00:00 [revised]
PHST- 2023/02/24 00:00 [accepted]
PHST- 2023/09/04 06:42 [medline]
PHST- 2023/04/16 06:00 [pubmed]
PHST- 2023/04/15 22:00 [entrez]
AID - S1550-7289(23)00121-1 [pii]
AID - 10.1016/j.soard.2023.02.027 [doi]
PST - ppublish
SO  - Surg Obes Relat Dis. 2023 Sep;19(9):972-979. doi: 10.1016/j.soard.2023.02.027. 
      Epub 2023 Mar 15.