Mid-long-term Revisional Surgery After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

This study aimed to make a meta-analysis regarding mid-long-term outcomes (≥ 3-year follow-up) after sleeve gastrectomy (SG), focusing on incidence, reasons, and results of revisional surgery. PubMed, EMBASE, and CENTRAL were searched and 32 studies were included. The overall revision rate was 10.4%...

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Bibliographic Details
Published in:Obesity surgery 2019-06, Vol.29 (6), p.1965-1975
Main Authors: Guan, Bingsheng, Chong, Tsz Hong, Peng, Juzheng, Chen, Yanya, Wang, Cunchuan, Yang, Jingge
Format: Article
Language:English
Subjects:
Comorbidity
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrectomy - statistics & numerical data
Gastric Bypass - methods
Gastric Bypass - statistics & numerical data
Humans
Laparoscopy - adverse effects
Laparoscopy - methods
Laparoscopy - statistics & numerical data
Medicine
Medicine & Public Health
Meta-analysis
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Postoperative Complications - epidemiology
Postoperative Complications - surgery
Reoperation - methods
Reoperation - statistics & numerical data
Retrospective Studies
Review Article
Surgery
Systematic review
Time Factors
Treatment Outcome
Weight Loss
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Summary:This study aimed to make a meta-analysis regarding mid-long-term outcomes (≥ 3-year follow-up) after sleeve gastrectomy (SG), focusing on incidence, reasons, and results of revisional surgery. PubMed, EMBASE, and CENTRAL were searched and 32 studies were included. The overall revision rate was 10.4%, but for patients with ≥ 10-year follow-up, the rate was 22.6%. European studies had a higher revision rate (14.4%) than other studies. The most common reason for revision was failure in weight loss, and the most frequent revisional procedure was gastric bypass. Revisional surgery was favorable for weight reduction and comorbidity resolution. In conclusion, revision rate is not rare after SG, especially when looking at long-term follow-up. Bariatric surgeons and patients need to fully understand and deal with the need for revision after SG.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-019-03842-3