Revisional Bariatric Surgery in Israel: Findings from the Israeli Bariatric Surgery Registry

Background Bariatric surgery (BS) is a proven sustainable approach for obesity, and its frequency is increasing worldwide. However, the frequency of revision surgery (RS) is also increasing. This study aimed to evaluate the RS rate in Israel and compare RS to primary surgery (PS). Methods Data were...

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Bibliographic Details
Published in:Obesity surgery 2019-11, Vol.29 (11), p.3514-3522
Main Authors: Keren, D., Romano-Zelekha, O., Rainis, T., Sakran, N.
Format: Article
Language:English
Subjects:
Adult
Bariatric Surgery - adverse effects
Bariatric Surgery - methods
Bariatric Surgery - statistics & numerical data
Body Mass Index
Comorbidity
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - surgery
Female
Gastrointestinal surgery
Humans
Israel - epidemiology
Laparoscopy - adverse effects
Laparoscopy - methods
Laparoscopy - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity - complications
Obesity - epidemiology
Obesity - surgery
Obesity, Morbid - complications
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Original Contributions
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - surgery
Registries
Reoperation - adverse effects
Reoperation - methods
Reoperation - statistics & numerical data
Retrospective Studies
Socioeconomic Factors
Surgery
Weight Loss
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Summary:Background Bariatric surgery (BS) is a proven sustainable approach for obesity, and its frequency is increasing worldwide. However, the frequency of revision surgery (RS) is also increasing. This study aimed to evaluate the RS rate in Israel and compare RS to primary surgery (PS). Methods Data were obtained from the Israeli Bariatric Surgery Registry. All patients aged > 18 years who underwent BS between June 2013 and December 2016 were considered for inclusion. Sociodemographic and clinical data were analyzed. Results PS was performed in 28,707 patients and RS was performed in 4026 patients. The mean body mass index values were 42.1 ± 5.0 and 41.3 ± 7.0 kg/m 2 in the PS and RS groups, respectively. Hypertension, type 2 diabetes mellitus, dyslipidemia, and fatty liver were less frequent in the RS group than in the PS group. The percentage total weight loss (%TWL) values 6 months and 1 year postoperatively were 25.1 ± 8.1% and 30.5 ± 9.5%, respectively, in the PS group and 18.5 ± 8.9% and 23.12 ± 11.4%, respectively, in the RS group ( P  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-019-04018-9