Salman Alsabah, Eliana Al Haddad, Ahmad Almulla, Khaled Alenezi, Shehab Akrouf, Waleed Buhamid, Mohannad Alhaddad, Saud Al-Subaie. Amiri Hospital
Introduction: Bariatric surgery has been shown to produce the most predictable weight loss results, with laparoscopic sleeve gastrectomy (LSG) being the most performed procedure as of 2014. However, inadequate weight-loss may present the need for a revisional procedure. The aim of this study is to compare the efficacy of laparoscopic re-sleeve gastrectomy (LRSG), laparoscopic Roux-en-Y gastric bypass (LRYGB) and gastric mini-bypass surgery (MGBP) in attaining successful weight loss following initial LSG.
Methods: A retrospective analysis was performed on all patients who underwent LSG at Amiri and Royale Hayat Hospital, Kuwait from 2008-2017. A list was obtained of those who underwent revisional bariatric surgery after initial LSG, and their demographics were analyzed.
Results: A total of 109 patients underwent revisional bariatric surgery, of which 37.6% underwent LRYGB, 33.9% underwent LRSG, and 28.4% underwent MGBP. 84% of the patients were female. The mean weight and BMI prior to LSG for the LRSG, LRYGB and MGBP patients were 137.1Kg and 49.9Kg/m2, 135.2Kg and 50.5Kg/m2, and 126.2Kg and 48.3Kg/m2 respectively. The mean BMI showed a drop from 42.03 to 31.69(p=0.000) 1 year post revisional surgery for the LRSG group, 42.67 to 34.74(p=0.000) for the LRYGB group, and from 41.58 to 35.19 in the MGBP group, correlating to an excess weight loss(EWL) of 62.09%, 47.18% and 40.51% respectively. At 2 years post-revisional, LRSG patients showed an increase in BMI to 32.85 (EWL=57.11%), while those that underwent LRYGB continued to show a decrease to 30.83 (EWL=67.16%)
Conclusion: Revisional bariatric surgery is a safe and effective method for the management of failed primary LSG. Revisional bariatric surgery has also shown to help with the management of comorbidities associated with obesity.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87412
Program Number: P546
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster