Laparoscopic Conversion of Sleeve Gastrectomy to One Anastomosis Gastric Bypass for Weight Loss Failure: Mid-Term Result
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ORIGINAL CONTRIBUTIONS
Laparoscopic Conversion of Sleeve Gastrectomy to One Anastomosis Gastric Bypass for Weight Loss Failure: Mid-Term Results Tarek Debs 1 & Niccolò Petrucciani 2 & Radwan Kassir 3 & Gildas Juglard 4 & Jean Gugenheim 1 & Antonio Iannelli 1 & Francesco Martini 4 & Arnaud Liagre 4
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background Laparoscopic sleeve gastrectomy (SG) became the most performed surgical intervention for treating population with morbid obesity. However, revisional surgery after SG has been increasingly performed due to weight loss failure. We describe the results of a single surgeon’s experience with conversion of SG to one anastomosis gastric bypass (OAGB) in patients with previous SG and weight loss failure. The aim of the study is to analyze the short- and mid-term results of conversion of SG to OAGB for failure of weight loss. Methods Conversion of SG to OAGB was performed in 77 patients from May 2010 to June 2018. Vertical resleeving of the gastric tube was done in all patients. A chart review was conducted to determine the weight loss mid-term results and the occurrence of postoperative complications. Results Revisional surgery was completed by laparoscopy in all cases. The mean operative time was 42.0 ± 8.0 min, and mean blood loss was 56.8 ± 56.7 mL. A total complication rate of 3.9% was observed. Ninety-day mortality rate was 0%. Patients mean %EWL was 80.2 (36–128) at 12-month follow-up, mean percent total weight loss (%TWL) was 0.74 (range 0.03–1.8), and mean percent excess BMI loss (%EBMIL) was 70.7%. At 24-month follow-up, mean %EWL was 84.1 (41–128), mean %TWL 0.79 (range 0.32–1.6), and mean %EBMIL 79.9%. Conclusion In patients with history of SG and weight loss failure, conversion from SG to OAGB is effective in terms of weight loss and has a low risk of surgical complications. Keywords Sleeve gastrectomy . Weight regain . One anastomosis gastric bypass . Complications
* Niccolò Petrucciani [email protected] Tarek Debs [email protected] Radwan Kassir [email protected]
Arnaud Liagre [email protected]
1
Digestive Surgery and Liver Transplantation Unit, Centre Hospitalier Universitaire de Nice, Archet 2 Hospital, Nice, France
2
Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, Sant’Andrea Hospital, via di Grottarossa 1035-1039, 00189 Rome, Italy
3
Department of Digestive Surgery, CHU Félix Guyon, Saint Denis, La Réunion, France
4
Digestive and Bariatric Surgery Unit, Clinique des Cedres, Cornebarrieu, France
Gildas Juglard [email protected] Jean Gugenheim [email protected] Antonio Iannelli [email protected] Francesco Martini [email protected]
OBES SURG
Introduction In France and worldwide, the number of sleeve gastrectomies per year has progressively increased in the last 15 years. Since 2011, laparoscopic sleeve gastrectomy (SG) represents the most performed bariatric interventi
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