Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric Bypass
Introduction: According to the high rate of patients requiring a Re-Do surgery after a primary Sleeve Gastrectomy, due to failure on weight loss, this study proposes a comparison between RYGB and OAGB as a secondary intervention for morbidly obese patients. Methods: A retrospective review of patient...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-05-01
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| Series: | Surgeries |
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| Online Access: | https://www.mdpi.com/2673-4095/3/2/14 |
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| author | Pasquale Auricchio Emre Tanay Christopher Kieninger Jörg Köninger Tobias Meile |
| author_facet | Pasquale Auricchio Emre Tanay Christopher Kieninger Jörg Köninger Tobias Meile |
| author_sort | Pasquale Auricchio |
| collection | DOAJ |
| description | Introduction: According to the high rate of patients requiring a Re-Do surgery after a primary Sleeve Gastrectomy, due to failure on weight loss, this study proposes a comparison between RYGB and OAGB as a secondary intervention for morbidly obese patients. Methods: A retrospective review of patients who underwent revisional surgery to convert SG to RYGB or OAGB at our institution from November 2011 to November 2019 was performed. Results: A subset of sixty-three patients with previous SG underwent revisional surgery due to failure of the primary intervention. The OAGB group (n = 17) had a mean BMI at the time of the sleeve of 62 kg/m<sup>2</sup> and a mean BMI of 50.7 kg/m<sup>2</sup>, the length of the Omega was 139.35 cm. The RYGB (n = 46) group showed a mean BMI of 47 kg/m<sup>2</sup> at the time of the sleeve and a BMI of 34.8 kg/m<sup>2</sup> at the time of the revision. The RYGB was performed according to the 70/120 cm standard for all the patients. One patient also had a revision from secondary OAGB to RYGB due to persistent biliary reflux, in this case the biliary branch was settled at 150 cm and the alimentary at 50 cm. Conclusions: The outcomes in the OAGB group showed a 29%WL and a 47%EWL (out of a 17%WL and 28%EWL at the time of the sleeve), on the other side the RYGB group reached a 33%WL and 72%EWL (out of a 25%WL and a 54%EWL at the time of the sleeve). According to our data we assume that RYGB is more effective in terms of weight loss as a revisional surgery after sleeve |
| first_indexed | 2024-03-09T22:28:33Z |
| format | Article |
| id | doaj.art-016865073a24417f8cf22c63caf62638 |
| institution | Directory Open Access Journal |
| issn | 2673-4095 |
| language | English |
| last_indexed | 2024-03-09T22:28:33Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgeries |
| spelling | doaj.art-016865073a24417f8cf22c63caf626382023-11-23T19:00:43ZengMDPI AGSurgeries2673-40952022-05-013212613310.3390/surgeries3020014Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric BypassPasquale Auricchio0Emre Tanay1Christopher Kieninger2Jörg Köninger3Tobias Meile4DISCOG—Dipartimento di Scienze Chirurgiche Oncologiche e Gastroenterologiche, University of Padua, 31100 Padua, ItalyKlinikum Stuttgart, 70374 Stuttgart, GermanyKlinikum Stuttgart, 70374 Stuttgart, GermanyKlinikum Stuttgart, 70374 Stuttgart, GermanyKlinikum Stuttgart, 70374 Stuttgart, GermanyIntroduction: According to the high rate of patients requiring a Re-Do surgery after a primary Sleeve Gastrectomy, due to failure on weight loss, this study proposes a comparison between RYGB and OAGB as a secondary intervention for morbidly obese patients. Methods: A retrospective review of patients who underwent revisional surgery to convert SG to RYGB or OAGB at our institution from November 2011 to November 2019 was performed. Results: A subset of sixty-three patients with previous SG underwent revisional surgery due to failure of the primary intervention. The OAGB group (n = 17) had a mean BMI at the time of the sleeve of 62 kg/m<sup>2</sup> and a mean BMI of 50.7 kg/m<sup>2</sup>, the length of the Omega was 139.35 cm. The RYGB (n = 46) group showed a mean BMI of 47 kg/m<sup>2</sup> at the time of the sleeve and a BMI of 34.8 kg/m<sup>2</sup> at the time of the revision. The RYGB was performed according to the 70/120 cm standard for all the patients. One patient also had a revision from secondary OAGB to RYGB due to persistent biliary reflux, in this case the biliary branch was settled at 150 cm and the alimentary at 50 cm. Conclusions: The outcomes in the OAGB group showed a 29%WL and a 47%EWL (out of a 17%WL and 28%EWL at the time of the sleeve), on the other side the RYGB group reached a 33%WL and 72%EWL (out of a 25%WL and a 54%EWL at the time of the sleeve). According to our data we assume that RYGB is more effective in terms of weight loss as a revisional surgery after sleevehttps://www.mdpi.com/2673-4095/3/2/14Re-Do surgeryRYGBOAGB |
| spellingShingle | Pasquale Auricchio Emre Tanay Christopher Kieninger Jörg Köninger Tobias Meile Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric Bypass Surgeries Re-Do surgery RYGB OAGB |
| title | Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric Bypass |
| title_full | Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric Bypass |
| title_fullStr | Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric Bypass |
| title_full_unstemmed | Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric Bypass |
| title_short | Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric Bypass |
| title_sort | re do surgery after sleeve gastrectomy a single center comparison between roux en y gastric bypass and one anastomosis gastric bypass |
| topic | Re-Do surgery RYGB OAGB |
| url | https://www.mdpi.com/2673-4095/3/2/14 |
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