Laparoscopic Revision Gastric Bypass Surgery for Weight Recidivism: Our Experience in 170 Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 132
- 试验地点
- 1
- 主要终点
- Weight loss expressed as Body Mass Index and Percentage Excess Weight Loss
研究概览
简要总结
The main aim of this study is to analyze and report traditional, patient-centered, and composite intermediate-term outcomes after laparoscopic revision Roux-en-Y gastric bypass surgery for weight recidivism.
详细描述
There is lack of standardization of primary and revisional bariatric surgery compounded by a scant long-term outcome data. The treatment of inadequate weight loss, weight recidivism, and most severe technical complications after primary bariatric surgery remains refractory to non-operative treatment. Failure rates have been reported up to 20% and 35% for the morbidly obese (MO) and super obese (SO), respectively at 2 to 3 years after surgery. The indication for further surgical intervention remains controversial, as does what type of revisional procedure, both operative and endoscopic, to recommend. Furthermore, there is no standardization of the limb lengths, pouch size or the use of prosthetic reinforcement. Therefore the approach to these patients must be as individualized as their original operations. We formally analyze our experience with all laparoscopic revisional strategies for weigh regain after failed gastric bypass.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients that underwent laparoscopic revisional "RYGB" for failed "RYGB" with weight recidivism or weight regain "WR" pattern
排除标准
- •failed RYGB with an Inadequate Initial Weight Loss "IIWL" pattern
- •patients with prior major bariatric conversion or esophago-gastric surgeries
- •RYGB patients revised by an open surgical approach
- •RYGB patients who underwent laparoscopic revisional RYGB surgery somewhere else and continue their follow-up care with our program
- •missing records and/or unreachable patients with scant information for analysis
结局指标
主要结局
Weight loss expressed as Body Mass Index and Percentage Excess Weight Loss
时间窗: At the lowest weight loss point and at last follow-up
Comorbidity status
时间窗: throughout follow-up
Subjective Satisfaction
时间窗: at last follow-up
Health-Related Quality of Life (HR-QoL).
时间窗: at the last follow-up
Morbidity and mortality
时间窗: throughout follow-up
次要结局
- To assess failures(at yearly intervals throughout follow-up)
- To evaluate the patients´ metabolic and nutritional status(throughout follow-up)