A Maghiar, G Dejeu, D Ciurtin, M Sfirlea, C Macovei. Spitalul Pelican Oradea
We represent the results of a study we have undertaken in the past 3 years concerning bariatric procedure (sleeve gastrectomy) after a failed bariatric procedure (vertical gastroplasty). Unfortunately in our area there has been a long history of open bariatric procedures, namely vertical gastroplasty. These procedures have a high rate of failure. After a mean time of around 5 years, and a mean excess weight loss of less than 10%, these patients come to our clinic for consultation.
We had a total of 13 patients previously operated with vertical gastroplasty that we performed bariatric surgery on in the last 3 years. For all 13 patients we first performed a laparoscopic vertical gastroplasty reversal, and after a mean period of 65 days (between 30 and 97) we performed sleeve gastrectomy on all patients. We had a conversion to open sleeve gastrectomy because of adherence. One patient had to be reopperated (at 5 days postop) for a fistula, at the place the metal ring had been placed in the previous vertical gastroplasty, we performed a resleeve with the resection of the fistula. All patients had a good progression after surgery, and are loosing weight at a normal rate. The mean postop follow up is of 5 months. No fatalities
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79954
Program Number: P358
Presentation Session: Poster (Non CME)
Presentation Type: Poster
