Treatment Options for Weight Regain or Insufficient Weight Loss After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

被引：38
作者：
Franken, Rutger J. [1 ]
Sluiter, Nina R. [1 ]
Franken, Josephine [1 ]
de Vries, Ralph [2 ]
Souverein, Dennis [3 ]
Gerdes, Vitor E. A. [4 ,5 ]
de Brauw, Maurits [1 ]
机构：
[1] Spaarne Gasthuis Hoofddorp, Dept Surg, Spaarnepoort 1, NL-2134 TM Hoofddorp, Netherlands
[2] AUMC, Med Lib, Locat VUMC,De Boelelaan 1117, NL-1081 HV Amsterdam, Netherlands
[3] Reg Publ Hlth Lab Kennemerland, Dept Epidemiol, Boerhaavelaan 26, NL-2035 RC Haarlem, Netherlands
[4] Spaarne Gasthuis Hoofddorp, Dept Internal Med, Spaarnepoort 1, NL-2134 TM Hoofddorp, Netherlands
[5] AUMC, Dept Vasc Med, Locat AMC,Meibergdreef 9,2134, NL-1105 AZ Amsterdam, Netherlands
来源：
OBESITY SURGERY | 2022年 / 32卷 / 06期
关键词：
Sleeve gastrectomy; Weight regain; Insufficient weight loss; Gastroplasty; Re-sleeve gastrectomy; Gastric bypass; One-anastomosis gastric bypass; Single-duodeno-ileal bypass; Duodenal switch; Meta-analysis; Y GASTRIC BYPASS; BILIOPANCREATIC DIVERSION; SURGERY; OUTCOMES; GASTROPLASTY; CONVERSION; QUALITY; OBESITY; TRIALS; VOLUME;
D O I：
10.1007/s11695-022-06020-0
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Weight failure after sleeve gastrectomy (SG) is frequently observed. Consensus on the most effective treatment is lacking. The aim of this meta-analysis was to assess revisional strategies for weight regain (WR) or insufficient weight loss (IWL) following SG. The included studies reported on endoscopic gastroplasty (ESG), re-sleeve gastrectomy (re-SG), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), single-anastomosis duodeno-ileal bypass (SADI), and duodenal switch (DS). All techniques resulted in clinically relevant weight loss. Although our data suggest that revisional OAGB was the most effective procedure, the lack of direct comparisons precludes strong conclusions. All procedures were feasible but differed regarding complication rates. Choice of procedure is depending on patient's characteristics and surgeons' expertise.
引用
收藏
页码：2035 / 2046
页数：12
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