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. 2023 Jul;33(7):2210-2218.
doi: 10.1007/s11695-023-06630-2. Epub 2023 May 20.

Weight-Related Outcomes After Revisional Bariatric Surgery in Patients with Non-response After Sleeve Gastrectomy-a Systematic Review

Stephan Axer  1   2 , Hans Lederhuber  3 , Franziska Stiede  4 , Eva Szabo  5 , Ingmar Näslund  5
Affiliations

Weight-Related Outcomes After Revisional Bariatric Surgery in Patients with Non-response After Sleeve Gastrectomy-a Systematic Review

Stephan Axer et al. Obes Surg. 2023 Jul.

Abstract

Weight non-response after sleeve gastrectomy is an emerging issue. This systematic review compared revisional procedures for weight-related outcomes. We searched several databases for relevant articles and included adult patients with revisional bariatric procedures after primary sleeve gastrectomy. Twelve trials with 1046 patients were included, covering five revisional procedures. There were no randomised controlled trials, and 10 studies had a critical risk of bias. Significant variations in inclusion criteria, therapy benchmarks, follow-up schemes, and outcome measurements were observed, preventing meaningful comparison of results. Evidence-based treatment strategies for weight non-response after sleeve gastrectomy cannot be deduced from the current literature. Prospective studies with well-defined indications, standardised techniques, and strict adherence to outcome measurements are needed.

Keywords: Conversion; Revisional bariatric surgery; Sleeve gastrectomy.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flow chart
Fig. 2
Fig. 2
Risk of bias assessment according to ROBINS-I tool for non-randomised studies. The shown judgement categories are low risk of bias (the study is comparable to a well-performed randomised trial with regard to this domain); moderate risk of bias (the study is sound for a non-randomised study with regard to this domain but cannot be considered comparable to a well-performed randomised trial); serious risk of bias (the study has some important problems in this domain); critical risk of bias (the study is too problematic in this domain to provide any useful evidence on the effects of intervention)
Fig. 3
Fig. 3
Summary of ROBINS-I assessment per domain across studies
Fig. 4
Fig. 4
Results calculated on basis of weight/BMI at time of revision
See this image and copyright information in PMC

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References

    1. Pollack A. A.M.A. recognizes obesity as a disease. The New York Times; 2013.
    1. Welbourn R, Hollyman M, Kinsman R, et al. Bariatric surgery worldwide: baseline demographic description and one-year outcomes from the fourth IFSO global registry report 2018. Obes Surg. 2019;29(3):782–795. doi: 10.1007/s11695-018-3593-1. - DOI - PubMed
    1. Huang CK, Katakwar A. Sleeve plus procedures: need of time. Surg Today. 2020;50(4):419–422. doi: 10.1007/s00595-019-01895-6. - DOI - PubMed
    1. Felsenreich DM, Ladinig LM, Beckerhinn P, et al. Update: 10 years of sleeve gastrectomy-the first 103 patients. Obes Surg. 2018;28(11):3586–3594. doi: 10.1007/s11695-018-3399-1. - DOI - PubMed
    1. Frieder JS, Aleman R, Gomez CO, et al. Outcomes of reoperative surgery in severely obese patients after sleeve gastrectomy: a single-institution experience. Surg Obes Relat Dis. 2020;16(8):983–990. doi: 10.1016/j.soard.2020.04.036. - DOI - PubMed

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