Revisional Surgeries of Laparoscopic Sleeve Gastrectomy

Figures & data

Table 1 Complications After Laparoscopic Sleeve Gastrectomy and Revision Operations

Complication	Revisional Surgery	Advantage or Indication	Shortcoming
Weight regain	DS	The original operation is the first part of the entire operation.^Citation38,Citation39	Higher incidence rates of postoperative complications than reLSG.^Citation40
	RYGB	GERD
	reLSG	A 250 cm3 threshold measured through the CT scan volume method.^Citation42^–^Citation45
	SADI	Longer common limb length;lower long-term complication rate^Citation46,Citation47	A worse outcome than BPD/DS when the starting BMI is high
T2DM relapse	reLSG	Same remission rates of metabolic syndrome as RYGB.^Citation67^–^Citation69	Inferior to RYGB with regard to the control of hypertension and high-density lipoprotein cholesterol.^Citation68
	RYGB	Improvement in MetS prevalence in T2DM patients with obesity.^Citation59,Citation64,Citation65
GERD	RYGB	Absence of a correctable anatomic factor.^Citation98	Not always effective.
Strictures	RYGB	Creating a gastric pouch proximal to a stenosed gastric lumen
	Seromyotomy	Useful	A high rate of resulting in complications, such as gastric leak.^Citation115
	Median gastrectomy	Persistent stenosis within the gastric sleeve located within the midbody; a low risk of leak in contrast to seromyotomy and preserves the gastric sleeve option without a need to convert to a gastric bypass.^Citation116
Gastric Leak	LRYEJ	After the failure of the endoscopic management of post-sleeve gastrectomy fistula.^Citation133,Citation134,Citation143
	RYGB	A salvage procedure.^Citation142
	Gastrectomy	Intractable GL after LSG^Citation144,Citation145

Marceau P , Biron S , Bourque RA , Potvin M , Hould FS , Simard S . Biliopancreatic diversion with a new type of gastrectomy. Obes Surg . 1993;3(1):29–35. doi:10.1381/096089293765559728 10757900

 PubMed Web of Science ®Google Scholar

Hess DS , Hess DW . Biliopancreatic diversion with a duodenal switch. Obes Surg . 1998;8(3):267–282. doi:10.1381/096089298765554476 9678194

 PubMed Web of Science ®Google Scholar

Saliba C , El Rayes J , Diab S , Nicolas G , Wakim R . Weight regain after sleeve gastrectomy: a look at the benefits of re-sleeve. Cureus . 2018;10(10):e3450.30564529

 PubMed Web of Science ®Google Scholar

Braghetto I , Davanzo C , Korn O , et al. Scintigraphic evaluation of gastric emptying in obese patients submitted to sleeve gastrectomy compared to normal subjects. Obes Surg . 2009;19(11):1515–1521. doi:10.1007/s11695-009-9954-z 19714384

 PubMed Web of Science ®Google Scholar

Rebibo L , Fuks D , Verhaeghe P , Deguines JB , Dhahri A , Regimbeau JM . Repeat sleeve gastrectomy compared with primary sleeve gastrectomy: a single-center, matched case study. Obes Surg . 2012;22(12):1909–1915. doi:10.1007/s11695-012-0779-9 23001573

 PubMed Web of Science ®Google Scholar

Lee Y , Ellenbogen Y , Doumouras AG , Gmora S , Anvari M , Hong D . Single- or double-anastomosis duodenal switch versus Roux-en-Y gastric bypass as a revisional procedure for sleeve gastrectomy: a systematic review and meta-analysis. Surg Obesity Related Dis . 2019;15(4):556–566. doi:10.1016/j.soard.2019.01.022

 Web of Science ®Google Scholar

Sánchez-Pernaute A , Rubio M , Pérez N , Marcuello C , Torres A , Pérez-Aguirre E . Single-anastomosis duodenoileal bypass as a revisional or second-step operation after sleeve gastrectomy. Surg Obesity Related Dis . 2020;16(10):1491–1496. doi:10.1016/j.soard.2020.05.022

 Web of Science ®Google Scholar

Nassour I , Almandoz JP , Adams-Huet B , Kukreja S , Puzziferri N . Metabolic syndrome remission after Roux-en-Y gastric bypass or sleeve gastrectomy. Diabetes Metabol Syndr Obesity . 2017;10:393–402. doi:10.2147/DMSO.S142731

 Web of Science ®Google Scholar

Osland E , Yunus RM , Khan S , Memon B , Memon MA . Diabetes improvement and resolution following laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures: a systematic review of randomized controlled trials. Surg Endosc . 2017;31(4):1952–1963. doi:10.1007/s00464-016-5202-5 27623997

 PubMed Web of Science ®Google Scholar

Du X , Fu XH , Peng BQ , Luo R , Hu JK , Cheng Z . Resolution of metabolic syndrome and related metabolic disorders after bariatric surgery: comparison of sleeve gastrectomy and gastric bypass. Surg Obesity Related Dis . 2018;14(9):1348–1356. doi:10.1016/j.soard.2018.05.016

 Web of Science ®Google Scholar

Yu H , Zhang L , Bao Y , et al. Metabolic syndrome after Roux-en-Y gastric bypass surgery in Chinese obese patients with type 2 diabetes. Obes Surg . 2016;26(9):2190–2197. doi:10.1007/s11695-016-2074-7 26809584

 PubMed Web of Science ®Google Scholar

Guerreiro V , Neves JS , Salazar D , et al. Long-term weight loss and metabolic syndrome remission after bariatric surgery: the effect of sex, age, metabolic parameters and surgical technique – a 4-year follow-up study. Obes Facts . 2019;12(6):639–652. doi:10.1159/000503753 31747662

 PubMed Web of Science ®Google Scholar

Batsis JA , Romero-Corral A , Collazo-Clavell ML , Sarr MG , Somers VK , Lopez-Jimenez F . Effect of bariatric surgery on the metabolic syndrome: a population-based, long-term controlled study. Mayo Clin Proc . 2008;83(8):897–907. doi:10.1016/S0025-6196(11)60766-0 18674474

 PubMed Web of Science ®Google Scholar

Iannelli A , Debs T , Martini F , Benichou B , Ben Amor I , Gugenheim J . Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y gastric bypass: indications and preliminary results. Surg Obesity Related Dis . 2016;12(8):1533–1538. doi:10.1016/j.soard.2016.04.008

 Web of Science ®Google Scholar

Vilallonga R , Himpens J , van de Vrande S . Laparoscopic management of persistent strictures after laparoscopic sleeve gastrectomy. Obes Surg . 2013;23(10):1655–1661. doi:10.1007/s11695-013-0993-0 23702907

 PubMed Web of Science ®Google Scholar

Kalaiselvan R , Ammori BJ . Laparoscopic median gastrectomy for stenosis following sleeve gastrectomy. Surg Obesity Related Dis . 2015;11(2):474–477. doi:10.1016/j.soard.2014.06.021

 Web of Science ®Google Scholar

Amor IB , Debs T , Dalmonte G , et al. Laparoscopic Roux-En-Y fistulo-jejunostomy, a preferred technique after failure of endoscopic and radiologic management of fistula post sleeve gastrectomy. Obes Surg . 2019;29(2):749–750. doi:10.1007/s11695-018-03644-z 30547278

 PubMed Web of Science ®Google Scholar

Mahmoud M , Maasher A , Al Hadad M , Salim E , Nimeri AA . Laparoscopic Roux En Y esophago-jejunostomy for chronic leak/fistula after laparoscopic sleeve gastrectomy. Obes Surg . 2016;26(3):679–682. doi:10.1007/s11695-015-2018-7 26729280

 PubMed Web of Science ®Google Scholar

Chouillard E , Younan A , Alkandari M , et al. Roux-en-Y fistulo-jejunostomy as a salvage procedure in patients with post-sleeve gastrectomy fistula: mid-term results. Surg Endosc . 2016;30(10):4200–4204. doi:10.1007/s00464-015-4700-1 26659244

 PubMed Web of Science ®Google Scholar

Lin S , Guan W , Hans P , Liang H . Status of laparoscopic sleeve gastrectomy in China: a national survey. Obes Surg . 2017;27(11):2968–2973. doi:10.1007/s11695-017-2727-1 28527155

 PubMed Web of Science ®Google Scholar

McHeimeche H , Dbouk SH , Saheli R , Lichaa D , Chalaby LS . Double baltazar procedure for repair of gastric leakage post-sleeve gastrectomy from two sites: case report of new surgical technique. Obes Surg . 2018;28(7):2092–2095. doi:10.1007/s11695-018-3241-9 29667024

 PubMed Web of Science ®Google Scholar

Oshiro T , Sato Y , Nabekura T , et al. Proximal gastrectomy with double tract reconstruction is an alternative revision surgery for intractable complications after sleeve gastrectomy. Obes Surg . 2017;27(12):3333–3336. doi:10.1007/s11695-017-2935-8 28965309

 PubMed Web of Science ®Google Scholar