PMID- 37530989 OWN - NLM STAT- MEDLINE DCOM- 20230927 LR - 20231006 IS - 1432-2218 (Electronic) IS - 0930-2794 (Linking) VI - 37 IP - 10 DP - 2023 Oct TI - Revisional surgery after restrictive surgery: midterm outcomes of a tertiary center. PG - 7686-7697 LID - 10.1007/s00464-023-10274-9 [doi] AB - INTRODUCTION: Revisional bariatric surgery (RBS) is a challenging type of procedure for the surgeons due to its specific morbidity and efficiency. The RBS has a higher prevalence nowadays and this study may help to improve scarce data upon this specific topic. METHODS: Data from 252 patients undergoing RBS after laparoscopic adjustable gastric banding (LAGB) or laparoscopic sleeve gastrectomy (LSG) between 2005 and 2019, were analyzed at 2 years of follow up. A subgroup analysis of third procedure was also performed. RESULTS: Overall morbidity occurred in 35 patients (37%) in the LSG group and 40 patients (25%) in the LAGB group (p = 0.045). At 2 years of RBS, mean weight was 92.8 +/- 26.7 kg, BMI was 33.1 +/- 8.56 kg/m(2) for patients who had RBS after LSG. When RBS was performed after LAGB, mean weight at 2 years was 90.1 +/- 20.7 kg and BMI was 32.5 +/- 6.45 kg/m(2). TWL for RBS performed after LSG was 12.7 +/- 16.4% versus 25.5 +/- 10.3% after LAGB (p < 0.001). CONCLUSION: RBS after LSG seems to lead to higher overall morbidity whereas RBS after LAGB lead to more perioperative issues. CI - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Gelly, Gautier AU - Gelly G AD - Department of Digestive Surgery, University Hospital of Caen, Avenue de la Cote de Nacre, 14033, Caen Cedex, France. FAU - Meunier, Hugo AU - Meunier H AD - Department of Digestive Surgery, University Hospital of Caen, Avenue de la Cote de Nacre, 14033, Caen Cedex, France. FAU - Bion, Adrien Lee AU - Bion AL AD - Department of Digestive Surgery, University Hospital of Caen, Avenue de la Cote de Nacre, 14033, Caen Cedex, France. FAU - Zamparini, Marion AU - Zamparini M AD - Department of Anesthesia, University Hospital of Caen, Caen, France. FAU - Fiant, Anne-Lise AU - Fiant AL AD - Department of Anesthesia, University Hospital of Caen, Caen, France. FAU - Savey, Veronique AU - Savey V AD - Department of Nutrition, University Hospital of Caen, Caen, France. FAU - Alves, Arnaud AU - Alves A AD - Department of Digestive Surgery, University Hospital of Caen, Avenue de la Cote de Nacre, 14033, Caen Cedex, France. AD - UNICAEN, INSERM, ANTICIPE, Normandie Universite, 14000, Caen, France. FAU - Menahem, Benjamin AU - Menahem B AUID- ORCID: 0000-0001-8452-5346 AD - Department of Digestive Surgery, University Hospital of Caen, Avenue de la Cote de Nacre, 14033, Caen Cedex, France. menahem-b@chu-caen.fr. AD - UNICAEN, INSERM, ANTICIPE, Normandie Universite, 14000, Caen, France. menahem-b@chu-caen.fr. LA - eng PT - Journal Article DEP - 20230802 PL - Germany TA - Surg Endosc JT - Surgical endoscopy JID - 8806653 SB - IM MH - Humans MH - *Obesity, Morbid/surgery MH - *Gastroplasty/methods MH - Treatment Outcome MH - *Laparoscopy/methods MH - Weight Loss MH - Reoperation/methods MH - Retrospective Studies MH - *Gastric Bypass/methods MH - Gastrectomy/methods OTO - NOTNLM OT - Bariatric surgery OT - Obesity OT - Resolution of comorbidities OT - Revisional bariatric surgery OT - Total weight loss EDAT- 2023/08/02 13:09 MHDA- 2023/09/27 06:42 CRDT- 2023/08/02 11:11 PHST- 2023/04/04 00:00 [received] PHST- 2023/07/02 00:00 [accepted] PHST- 2023/09/27 06:42 [medline] PHST- 2023/08/02 13:09 [pubmed] PHST- 2023/08/02 11:11 [entrez] AID - 10.1007/s00464-023-10274-9 [pii] AID - 10.1007/s00464-023-10274-9 [doi] PST - ppublish SO - Surg Endosc. 2023 Oct;37(10):7686-7697. doi: 10.1007/s00464-023-10274-9. Epub 2023 Aug 2.