PMID- 38057540
OWN - NLM
STAT- MEDLINE
DCOM- 20240202
LR  - 20240207
IS  - 1432-2218 (Electronic)
IS  - 0930-2794 (Print)
IS  - 0930-2794 (Linking)
VI  - 38
IP  - 2
DP  - 2024 Feb
TI  - ReSleeve or revisional one anastomosis gastric bypass for failed primary sleeve 
      gastrectomy with dilated gastric tube: a retrospective study.
PG  - 787-798
LID - 10.1007/s00464-023-10609-6 [doi]
AB  - BACKGROUND: Revisional bariatric surgery (RBS) has been increasingly performed 
      due to weight loss failure (WLF). Many revisional procedures have been proposed 
      after primary laparoscopic sleeve gastrectomy (pLSG) failure, including ReSleeve 
      gastrectomy (ReLSG), and laparoscopic one anastomosis gastric bypass (LOAGB). 
      Choosing the RBS post-pLSG failure represents a challenge. WLF without gastric 
      tube (GT) dilation is undoubtedly converted to a malabsorptive procedure, but the 
      presence of GT dilation makes it more difficult to select a RBS. This study aimed 
      to compare two relatively simple revisional procedures after pLSG failure with 
      dilated GT to help decision making on which procedure better done to which 
      patient. METHODS: Data of 52 patients who completed one year follow-up (FU) after 
      their RBS (ReLSG: 27 or LOAGB: 25) for their failed pLSG were collected, 
      assessed, correlated to weight loss (WL) and compared. RESULTS: Mean operative 
      time was 97 +/- 18.4 min. with revisional LOAGB (RLOAGB) and 62 +/- 11 min. with 
      ReLSG. Six patients (11.5%) had seven postoperative procedure-specific 
      complications. Significant hemorrhage occurred in three patients. Two cases of 
      leakage were encountered with each procedure. LOAGB Patients had lower mean final 
      weight (76.2 +/- 10.5 vs 85.3 +/- 13), lower mean Final BMI (26.4 +/- 2.5 vs 
      29.7 +/- 2.9) and higher mean percentage of excess weight loss (EWL%) (83.6 +/- 13.5% 
      vs 60.29 +/- 14.6%). All RLOAGB patients and 77.8% of ReLSG patients had 
      EWL% > 50%. RLOAGB patients had higher EWL% compared to ReLSG (p < 0.001). 
      Insufficient WL (IWL) patients had higher EWL% compared to weight regain (WR) 
      patients (p = 0.034). CONCLUSION: Both procedures (RLOAGB and ReLSG) were 
      relatively safe and effective in terms of WL. RLOAGB led to higher WL compared to 
      ReLSG in all types of patients despite higher Caloric intake. IWL patients had 
      more WL compared to WR patients. WL was not related to GT dilation type. 
      Large-scale longer-FU studies are still needed. TRIAL REGISTRATION: 
      PACTR202310644487566 (retrospectively registered).
CI  - (c) 2023. The Author(s).
FAU - Gerges, Wadie Boshra
AU  - Gerges WB
AUID- ORCID: 0000-0001-7029-1200
AD  - Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, 
      Egypt. wadie.boshra@med.asu.edu.eg.
FAU - Omar, Ahmed S M
AU  - Omar ASM
AD  - Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, 
      Egypt.
FAU - Shoka, Ahmed Ain
AU  - Shoka AA
AD  - Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, 
      Egypt.
FAU - Hamed, Mohammed Abdalmegeed
AU  - Hamed MA
AD  - Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, 
      Egypt.
FAU - Abdelrahim, Hossam S
AU  - Abdelrahim HS
AD  - Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, 
      Egypt.
FAU - Makram, Fady
AU  - Makram F
AD  - Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, 
      Egypt.
LA  - eng
PT  - Journal Article
DEP - 20231206
PL  - Germany
TA  - Surg Endosc
JT  - Surgical endoscopy
JID - 8806653
SB  - IM
MH  - Humans
MH  - *Gastric Bypass/methods
MH  - *Obesity, Morbid/surgery
MH  - Retrospective Studies
MH  - *Laparoscopy/methods
MH  - Reoperation/methods
MH  - Gastrectomy/methods
MH  - Weight Loss
MH  - Postoperative Complications/etiology/surgery
MH  - Treatment Outcome
PMC - PMC10830658
OTO - NOTNLM
OT  - Dilated gastric tube
OT  - LSG
OT  - Laparoscopic one anastomosis gastric bypass
OT  - Resleeve
OT  - Revisional bariatric surgery
OT  - Weight loss failure
COIS- Wadie Boshra Gerges, Ahmed S.M. Omar, Ahmed Ain Shoka, Mohammed Abdalmegeed 
      Hamed, Hossam S. Abdelrahim and Fady Makram have no conflicts of interest or 
      financial ties to disclose.
EDAT- 2023/12/07 00:42
MHDA- 2024/02/02 06:43
PMCR- 2023/12/06
CRDT- 2023/12/06 23:41
PHST- 2023/10/11 00:00 [received]
PHST- 2023/11/17 00:00 [accepted]
PHST- 2024/02/02 06:43 [medline]
PHST- 2023/12/07 00:42 [pubmed]
PHST- 2023/12/06 23:41 [entrez]
PHST- 2023/12/06 00:00 [pmc-release]
AID - 10.1007/s00464-023-10609-6 [pii]
AID - 10609 [pii]
AID - 10.1007/s00464-023-10609-6 [doi]
PST - ppublish
SO  - Surg Endosc. 2024 Feb;38(2):787-798. doi: 10.1007/s00464-023-10609-6. Epub 2023 
      Dec 6.