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Re-operations after Secondary Bariatric Surgery: a Systematic Review

journal contribution
posted on 2023-05-18, 19:56 authored by Alexandr KuzminovAlexandr Kuzminov, Andrew PalmerAndrew Palmer, Wilkinson, S, Khatsiev, B, Alison VennAlison Venn
This paper reviews reoperations rates for short- and long-term complications following secondary bariatric procedures and need for further bariatric surgery. The search revealed 28 papers (1317 secondary cases) following at least 75 % of patients for 12 months or more. For adjustable gastric banding (AGB), rebanding had higher re-revisional rates than conversions into other procedures. Conversion of AGB to Roux-en-Y gastric bypass had the highest number of short- (10.7 %) and long-term (22.0 %) complications. We estimated 194 additional reoperations per 1000 patients having a secondary procedure, 8.8 % needing tertiary surgery. Despite being poorly reported, risks of reoperations for long-term complications and tertiary bariatric surgery are higher than usually reported risks of short-term complications and should be taken into account when choosing a secondary bariatric procedure and for economic evaluations.

History

Publication title

Obesity Surgery

Volume

26

Issue

9

Pagination

2237-2247

ISSN

0960-8923

Department/School

Menzies Institute for Medical Research

Publisher

Springer New York LLC

Place of publication

233 Spring St, New York, NY 10013 United States

Rights statement

Copyright 2016 Springer Science+Business Media New York

Repository Status

  • Restricted

Socio-economic Objectives

Treatment of human diseases and conditions

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