eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2022
vol. 17
 
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abstract:
Original paper

Revisional operations among patients after surgical treatment of obesity: a multicenter Polish Revision Obesity Surgery Study (PROSS)

Piotr Major
1
,
Piotr Zarzycki
1
,
Justyna Rymarowicz
1
,
Michał Wysocki
2
,
Michał Łabul
3
,
Hady Razak Hady
4
,
Paulina Głuszyńska
5
,
Piotr Myśliwiec
4
,
Grzegorz Kowalski
6
,
Michał Orłowski
7
,
Jacek Szeliga
8
,
Wojciech Kupczyk
8
,
Wiesław Tarnowski
9
,
Paweł Lech
10
,
Natalia Dowgiałło-Gornowicz
10
,
Monika Proczko-Stepaniak
5
,
Maciej Walędziak
11
,
Paweł Szymański
12
,
Tomasz Stefura
13
,
Michał Pędziwiatr
1

1.
2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland
2.
Department of General Surgery and Surgical Oncology, Ludwik Rydygier Memorial Hospital, Krakow, Poland
3.
Department of General and Endoscopic Surgery, EuroMediCare Specialist Hospital and Clinic, Wroclaw, Poland
4.
Department of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland
5.
Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland
6.
Surgery Clinic Mazan, Katowice, Poland
7.
Department of General and Oncological Surgery, Ceynowa Hospital, Wejherowo, Poland
8.
Department of General, Gastroenterological, and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Torun, Poland
9.
Department of General, Oncological and Digestive Tract Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, Warsaw, Poland
10.
Department of General, Minimally Invasive and Elderly Surgery, University of Warmia and Mazury, Olsztyn, Poland
11.
Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland
12.
Department of General and Vascular Surgery, Polanica Zdroj, Poland
13.
Jagiellonian University Medical College, Krakow, Poland
Videosurgery Miniinv 2022; 17 (2): 372–379
Online publish date: 2022/03/16
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Introduction
Revisional surgery is more technically challenging and associated with increased morbidity and mortality. Nevertheless, the frequency of revisional bariatric surgery (RBS) is increasing. Therefore, investigating this group of patients appears to be currently valid.

Aim
The objective of this multicenter study was to collect, systematize and present the available data on RBS after surgical treatment of morbid obesity among Polish patients.

Material and methods
This multicenter study included a retrospective analysis of a prospectively maintained database. Outcomes included an analysis of the indications for RBS, the type of surgery most frequently chosen as RBS and the course of the perioperative period of treatment among patients undergoing RBS.

Results
The group consisted of 799 patients (624 (78.1%) women, 175 (21.9%) men). The mean age was 38.96 ±9.72 years. Recurrence of obesity was the most common indication for RBS. The most frequently performed RBS procedures were one anastomosis gastric bypass (OAGB) – 294 (36.8%) patients, Roux-en-Y gastric bypass (RYGB) – 289 (36.17%) patients and sleeve gastrectomy (SG) – 172 (21.52%) patients. After primary surgery 63.58% of patients achieved sufficient weight loss, but after RBS only 38.87%. Complications were noted in 222 (27.78%) cases after RBS with GERD being the most common – 117 (14.64%) patients.

Conclusions
RBS most often concerns patients after SG. The main indication for RBS is weight regain. OAGB and RYGB were the two most frequently chosen types of RBS. Secondary operations lead to further weight reduction. However, RBS are associated with a significant risk of complications.

keywords:

obesity, bariatric surgery, revisional surgery

  
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