367 Persistent Functional Deficits and Symptoms Among Long-Term Survivors of Colorectal Cancer Treated With Surgery and Multimodality Therapy: Differences by Age at Initial Diagnosis

Abstract

S A T A b st ra ct s reoperations per year increased steadily from 3.1% in 2007 to 6.3% in 2012. Among patients undergoing reoperations 10,139 (50%) had previously undergone a laparoscopic adjustable band (LAGB) placement, 6411 (31%) a Roux-en-Y gastric bypass (RYGB), 444 (2%) a sleeve gastrectomy (SG), 1685 (8%) a vertical banded gastroplasty (VBG), and 236 (1.2%) a duodenal switch (DS). The operations were most commonly revised to a RYGB in 6801 (33.3%), LAGB (24.8%), SG 1684 (8.1%), DS 393 (1.9%), distal gastric bypass 259 (1.3%) and a group of other operations 6229 (30.6%). EWL at 1-year to RYGB was 27%, LAGB (15.4%), SG (16.5%) and DS (30.9%). The 30-day and 1-year morbidity and mortality rates of the four most common primary and reoperative bariatric operations are low and are shown in Table 1. Conclusions: Although, the rate of reoperations has steadily increased over the last five years to 6.3% per year, most bariatric surgery patients do not need reoperations. Among those who do, the complication rate is low and with satisfactory weight loss. These findings from a large database are critical to convince all stake-holders that outcomes after reoperative bariatric surgery are better than previously believed and are needed to help increase access of patients who need reoperations. Morbidity and Mortality Rates of Primary Bariatric Operations versus Reoperations