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Results of gastric bypass as revision bariatric surgery
6th Global Gastroenterologists Meeting
Hussein Faour
Royale Hayat Hospital, Kuwait
Posters & Accepted Abstracts: J Gastrointest Dig Syst
Abstract
Background: Gastric bypass is one of the most effective procedures for treatment of morbid obesity. The conversion to Roux en Y gastric bypass can rescue weight loss failure in purely restrictive bariatric procedures such as adjustable gastric banding and vertical banded gastroplasty and in failed of primary gastric bypass procedure. Materials & Methods: A retrospective review off all gastric banding (AGB) and vertical banded gastroplasty (VBG), sleeve and gastric bypass (GBP) that were revised to Roux en Y gastric bypass due to inadequate weight loss, was performed. Results: A total of 75 revisions to gastric bypass for failure to loose weight were undertaken between 2009 and 2013. The conversions to gastric bypass included: 47 AGB, 9 sleeve, 7 VBG and 12 GBP. Revision surgery was performed laparoscopically. Major morbidities included one anastomotic leak. No mortality was recorded. Mean EWL was 36% after six months and 61% after 12 months, 64% after 18 months, and 68% after 24 months. Conclusion: Gastric bypass is an effective revision procedure for inadequate weight loss following gastric band, vertical banded gastroplasty, sleeve and gastric bypass.Biography
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