Abstract
Abstract Background Overweight and obesity represent a rapidly growing threat to the health of populations in an increasing number of countries. Indeed they are now so common that they are replacing more traditional problems such as undernutrition and infectious diseases as the most significant causes of ill-health. Aim of the Work The aim of this retrospective study is to compare between re-sleeve gastrectomy (RSG) and mini-gastric bypass (MGB) in patients who had previous failed sleeve gastrectomy in the last year concerning time required for operation and hospital stay, complications, and effect on weight loss and comorbidities for each operation. Patients and Methods This study is a retrospective cohart study which included 20 patients 10 of them underwent resleeve gastrectomy and 10 underwent minigastric bypass at Ain-Shams University El-Demerdash Hospital, Cairo, Egypt, From November 2019 to April 2020 with 6 months of postoperative follow up till October 2020. Results In our study we compared between re-sleeve gastrectomy and mini-gastric bypass as a revisional procedure for failed sleeve gastrectomy. MGB had longer mean operative time 103.5 mins. and longer mean postoperative hospital stay 3.6 days versus 91.9 mins. and 2.8 days respectively for RSG. Intraoperatively, bowel injury was reported in 20% of MGB cases versus bleeding which was reported in 20% of RSG cases. Conclusion Mini-gastric bypass and re-sleeve gastrectomy are efficient operations for reducing weight in morbidly obese patients and also in diabetic control. In patients who had previous failed sleeve gastrectomy; mini-gastric bypass had longer operative duration and postoperative hospital stay, more frequent bowel injury and leak in comparison with re-sleeve gastrectomy but improvements of weight loss, BMI, hypertension and DM were better with mini-gastric bypass. The less technically challenging nature of re-sleeve gastrectomy may be more widely applicable.
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