Better Results in Weight Loss after the Second Gastrectomy in Re-Sleeve Gastrectomy

Abstract

Background: Sleeve gastrectomy (SG) has been rapidly accepted as a valuable bariatric procedure before its effectiveness on weight loss in the long-term is clearly demonstrated. Re-sleeve gastrectomy (RSG) has been shown to provide promising results for patients with insufficient weight loss after SG. Methods: Seven patients underwent a re-sleeve gastrectomy procedure for insufficient weight loss after a mean 30±10 month follow-up associated with a dilated gastric pouch seen in upper gastro-intestinal contrast study. Results:Before SG, mean initial weight was 151 41 kg, mean Body Mass Index (BMI) was 55.4±12.5 kg/m2, 4 had a BMI more than 60 kg/m2 and 3 had a gastric banding before their SG. At follow-up of 12 months after SG, mean weight was 131 ±31 Kg, mean BMI was 48±9 kg/m2, mean %Excess Weight Loss (EWL) was 30 5%, and mean %Excess BMI Loss (EBL) 23 ±3%. At a follow-up of 12 months after RSG, final mean weight was 92 ±10 Kg, final mean BMI was 34±4 kg/m2, and mean %EBL since the second operation (RSG) was 58±17% (mean %EBL since the first operation (SG) was 6618%), and mean %EWL since the second operation (RSG) was 4217%(mean %EWL since the first operation (SG) was 6618%). The RSG resulted in significant mean %EBL (p<0,001) and in significant mean %EWL (p=0,029), compared to the initial SG results. Conclusion:In patients with insufficient weight loss after SG, RSG resulted in successful extra weight loss.