Conversion of sleeve Gastrectomy to Roux-en-Y Gastric bypass for weight loss failure
Background: Obesity is a global health issue. Laparoscopic sleeve gastrectomy has progressively become the most popular procedure among the surgical community as a definitive bariatric operation. The increasing number of surgeries performed will be likely be followed by increasing reports of patient...
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| Format: | Article |
| Language: | English |
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College of Medicine University of Baghdad
2018-04-01
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| Series: | مجلة كلية الطب |
| Subjects: | |
| Online Access: | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/31 |
| _version_ | 1797369493828141056 |
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| author | Mohammed Q. Abdul Jabbar Ramiz S. Mukhtar Mustafa A. Abbas |
| author_facet | Mohammed Q. Abdul Jabbar Ramiz S. Mukhtar Mustafa A. Abbas |
| author_sort | Mohammed Q. Abdul Jabbar |
| collection | DOAJ |
| description | Background: Obesity is a global health issue. Laparoscopic sleeve gastrectomy has progressively become the most popular procedure among the surgical community as a definitive bariatric operation. The increasing number of surgeries performed will be likely be followed by increasing reports of patients experiencing weight loss failure.
Objectives: To determine the effectiveness of conversion from laparoscopic sleeve gastrectomy to Roux-en-Y gastric bypass in cases with weight loss failure.
Patient &methods: The retrospective review of patients who had operated with laparoscopic sleeve gastrectomy from October 2009 to January 2016 at Saint Raphael hospital, 21 patients included in this study had insufficient weight loss after Sleeve Gastrectomy and converted to Roux-en-Y gastric bypass.
Results: Fifteen patients (71.4%) had LSG as their single bariatric operation before conversion to roux en Y gastric bypass, 2 patients (9.5%) had Intragastric balloon and 4 (19.1%) patients had the laparoscopic adjustable gastric band before to their sleeve gastrectomy. Fourteen patients (66.6%) were female and 7 (33.4%) were males, At 6, 12, 18 months after bypass ,mean BMI was 37.2 (32.7-44.3),32.5(28.7-39.1) and 30.2 kg/m2 (24.3-37.9 kg/m2) respectively , reflecting a %EWL (percentage weight loss) at 18 month of 61.7%.
Conclusion: insufficient weight loss after Sleeve Gastrectomy can be safely and effectively treated by conversion to Roux-en-Y gastric bypass to control weight loss failure or weight regain.
Keywords: weight loss failure, weight regain, failed Sleeve Gastrectomy. |
| first_indexed | 2024-03-08T17:47:34Z |
| format | Article |
| id | doaj.art-eebfa85ed9a544578a1c90f72858ad46 |
| institution | Directory Open Access Journal |
| issn | 0041-9419 2410-8057 |
| language | English |
| last_indexed | 2024-03-08T17:47:34Z |
| publishDate | 2018-04-01 |
| publisher | College of Medicine University of Baghdad |
| record_format | Article |
| series | مجلة كلية الطب |
| spelling | doaj.art-eebfa85ed9a544578a1c90f72858ad462024-01-02T10:16:36ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572018-04-0160110.32007/jfacmedbagdad.v60i1.31Conversion of sleeve Gastrectomy to Roux-en-Y Gastric bypass for weight loss failureMohammed Q. Abdul Jabbar0Ramiz S. Mukhtar1Mustafa A. Abbas2AL-Karkh general HospitalDept. of surgery, college of Medicine, University of Baghdad.AL-Yarmook teaching HospitalBackground: Obesity is a global health issue. Laparoscopic sleeve gastrectomy has progressively become the most popular procedure among the surgical community as a definitive bariatric operation. The increasing number of surgeries performed will be likely be followed by increasing reports of patients experiencing weight loss failure. Objectives: To determine the effectiveness of conversion from laparoscopic sleeve gastrectomy to Roux-en-Y gastric bypass in cases with weight loss failure. Patient &methods: The retrospective review of patients who had operated with laparoscopic sleeve gastrectomy from October 2009 to January 2016 at Saint Raphael hospital, 21 patients included in this study had insufficient weight loss after Sleeve Gastrectomy and converted to Roux-en-Y gastric bypass. Results: Fifteen patients (71.4%) had LSG as their single bariatric operation before conversion to roux en Y gastric bypass, 2 patients (9.5%) had Intragastric balloon and 4 (19.1%) patients had the laparoscopic adjustable gastric band before to their sleeve gastrectomy. Fourteen patients (66.6%) were female and 7 (33.4%) were males, At 6, 12, 18 months after bypass ,mean BMI was 37.2 (32.7-44.3),32.5(28.7-39.1) and 30.2 kg/m2 (24.3-37.9 kg/m2) respectively , reflecting a %EWL (percentage weight loss) at 18 month of 61.7%. Conclusion: insufficient weight loss after Sleeve Gastrectomy can be safely and effectively treated by conversion to Roux-en-Y gastric bypass to control weight loss failure or weight regain. Keywords: weight loss failure, weight regain, failed Sleeve Gastrectomy.http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/31weight loss failure, weight regain, failed Sleeve Gastrectomy |
| spellingShingle | Mohammed Q. Abdul Jabbar Ramiz S. Mukhtar Mustafa A. Abbas Conversion of sleeve Gastrectomy to Roux-en-Y Gastric bypass for weight loss failure مجلة كلية الطب weight loss failure, weight regain, failed Sleeve Gastrectomy |
| title | Conversion of sleeve Gastrectomy to Roux-en-Y Gastric bypass for weight loss failure |
| title_full | Conversion of sleeve Gastrectomy to Roux-en-Y Gastric bypass for weight loss failure |
| title_fullStr | Conversion of sleeve Gastrectomy to Roux-en-Y Gastric bypass for weight loss failure |
| title_full_unstemmed | Conversion of sleeve Gastrectomy to Roux-en-Y Gastric bypass for weight loss failure |
| title_short | Conversion of sleeve Gastrectomy to Roux-en-Y Gastric bypass for weight loss failure |
| title_sort | conversion of sleeve gastrectomy to roux en y gastric bypass for weight loss failure |
| topic | weight loss failure, weight regain, failed Sleeve Gastrectomy |
| url | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/31 |
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