Saurabh Sharma, MBBS, MS, Dina Corjuc, Ninan Koshy, MBBS, Koji Park, MD, E John Harvey, MD, MRCS, James McGinty, MD. IBMIS Mount Sinai St. Luke’s Hospital
INTRODUCTION: Thirty percent of revision bariatric surgeries are conversions. With younger population undergoing bariatric and metabolic procedures, revision surgeries are practical challenge. Here we present the safety and outcome data of conversion surgeries in our institute.
METHODS AND PROCEDURE: Institutional dataset was reviewed for patients from January 2010 to June 2016 for revision bariatric surgeries with conversion only. Data was analyzed for morbidity , mortality and pre and post-revision body mass index(BMI). Statistical analysis was done using SPSS software. Means were compared using t test. One way ANOVA was used to see difference between groups.
RESULTS: Seventy nine patients were identified to have revision bariatric surgeries with conversions. Female constituted 89% of the group. Average age was 45 years(25-65) . Mean pre-revision BMI was 41 kg/m2. All procedures were started laparoscopically and 8% were converted to open. Seventy six percent of procedures were adjustable band conversions (48% to bypass and 29% to sleeve). Mean postoperative length of stay was 2.7 days. There was no mortality within 30 days after surgery and morbidity was 11% with pulmonary embolism(1.3%), small bowel obstruction (3.8%). Weight loss in terms of BMI was not significant among different conversion surgeries. Pre-revision BMI was 41 kg/m2 and decreased to 30 kg/m2 at one year (p<0.05).
CONCLUSION: Bariatric revision surgeries with conversion are safe and have acceptable outcomes with increase incidence of morbidity.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80823
Program Number: P524
Presentation Session: Poster (Non CME)
Presentation Type: Poster