Re-operations after Secondary Bariatric Surgery: a Systematic Review

被引：31

作者：

Kuzminov, Alexandr ^{[1
]}

Palmer, Andrew J. ^{[1
]}

Wilkinson, Stephen ^{[2
]}

Khatsiev, Bekkhan ^{[3
]}

Venn, Alison J. ^{[1
]}

机构：

[1] Univ Tasmania, Menzies Inst Med Res, Private Bag 23, Hobart, Tas 7000, Australia

[2] Royal Hobart Hosp, Hobart, Tas, Australia

[3] Stavropol State Med Univ, Stavropol, Russia

来源：

OBESITY SURGERY | 2016年 / 26卷 / 09期

基金：

英国医学研究理事会;

关键词：

Reoperations; Complications; Secondary surgery; VERTICAL BANDED GASTROPLASTY; Y GASTRIC BYPASS; SLEEVE GASTRECTOMY; WEIGHT-LOSS; COST-EFFECTIVENESS; CONVERSION; FAILURE; MORBIDITIES; SLIPPAGE; REVISION;

D O I：

10.1007/s11695-016-2252-7

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：2237 / 2247

页数：11

共 45 条

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