Cirugía de revisión en cirugía bariátrica¿Estamos preparados?

  1. R. Vilallonga-Puy 1
  2. A. García-Ruiz de Gordejuela 1
  3. M. R. Rodríguez-Luna 1
  4. Ó. González 1
  5. E. Caubet 1
  6. A. Ciudin 1
  7. M. Pérez 1
  8. M. Armengol 1
  9. J. M. Fort 1
  1. 1 Endocrine, metabolic and bariatric Unit. General Surgery Department. Hospital Universitario Vall d'Hebron. Barcelona.
Aldizkaria:
Cirugía Andaluza

ISSN: 2695-3811,  1130-3212

Argitalpen urtea: 2019

Alea: 30

Zenbakia: 4

Orrialdeak: 486-493

Mota: Artikulua

DOI: 10.37351/2019304.9 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Beste argitalpen batzuk: Cirugía Andaluza

Garapen Iraunkorreko Helburuak

Laburpena

Introduction: obesity in the XXI Century continues being a global problem. Nowadays, bariatric surgery remains to be the most successful long treatment for obesity-associated diseases. It has been an increase in bariatric procedures, and consequently in complications and dysfunctions derived from the surgery, this field corresponds to revisional surgery. Objective: the present article exposes the primary revisional surgeries in bariatrics along or experience in the unit. Materials and Methods: statistic descriptive analysis of a retrospective cohort in patients with revisional surgery at Hospital Universitario Vall d'Hebron of Barcelona, Spain EAC-BS Center of Excellence. Results: 1,890 bariatric surgeries have been made since the beginning in the bariatric surgery in our Unit until July 31st 2019 143 (7.56%) required revisional surgery, the most frequent was sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGP) 30.76% and to single anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) in 20.97%. The most frequent indications for revisional surgery in these cases was gastroesophageal reflux in 30.76% and inadequate weight loss in 20.97% after SG. The RYGB required conversion to GS in 12.58% and revision in 7.69% mainly due to hypoglycemia. Conclusions: the increasing number of primary bariatric procedures inevitably lead to the need for revisional surgery. The type of revisional procedure will be dictated with a meticulous evaluation in every patient that allows efficient long term outcomes.

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