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ISSN 1665-2576 (Print)

2016, Number 3

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Rev Mex Cir Endoscop 2016; 17 (3)

Surgical revision in weight loss failure after vertical gastric sleeve. Experience report from a Mexican medical center

García GM, Islas TD, Cuellar TR, González AD

Language: Spanish
References: 18
Page: 128-131
PDF size: 261.34 Kb.


ABSTRACT

Background: The sleeve gastrectomy was introduced as the initial procedure in highly complex bariatric surgery in the early 2000. Subsequently, it was proposed as the standard treatment due to its safety in generating weight loss. Occasionally failures in weight loss were observed, those were typically treated with conversion to a gastric bypass; in recent years however, there has been evidence of effectiveness of remodeling the sleeve instead (revision surgery) particularly when retention of the fundus is identified. Material and methods: We analyzed sleeve Gastric revision surgeries between 2014 and 2015 with loss of weight failure at 18 months postoperatively. In all patients was identified the retention of gastric fundus using barium swallow. A full sleeve remodeling was performed with removal of the gastric fundus. Results: A total of 10 individuals were included, four men and six women. The Initial body mass index average was 38.2 kg/m2, with a mean weight of 107.0 kg. The average age was 27 years. All patients had undergone a single prior bariatric surgical procedure. Two postoperative cases of atelectasis occurred and their resolution was achieved with conservative treatment. Patients were followed for up to nine months without any losses registered. The mean weight after monitoring was 88.9 kg in (p ≤ 0.001). Conclusions: The gastric sleeve revision is safe and effective in people with weight loss failure caused by the retention of gastric fundus.


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