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30-day morbidity and mortality of revisional bariatric surgery: an international multi-centre collaborative (BROAD) study

Introduction - Revisional bariatric surgery (RBS) for insufficient weight loss/weight regain or metabolic relapse is increasing worldwide. There is currently no large multinational, prospective data on 30-day morbidity and mortality of RBS. In this study, we aimed to evaluate the 30-day morbidity an...

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Main Authors: Nasta, Amrit Manik (Author) , Goel, Ramen (Author) , Singhal, Rishi (Author) , Lemmens, Luc (Author) , Baig, Sarfaraz (Author) , Seki, Yosuke (Author) , Prasad, Arun (Author) , Chiappetta, Sonja (Author) , Kermansaravi, Mohammad (Author) , Vertruyen, Marc (Author) , Pascotto, Beniamino (Author) , Azagra, Juan Santiago (Author) , Al-Khyatt, Waleed (Author) , Martines, Gennaro (Author) , Villao, Diva Y (Author) , Revello, Leandro (Author) , Rioseco, Marco (Author) , Martini, Francesco (Author) , Liagre, Arnaud (Author) , Juglard, Gildas (Author) , Dapri, Giovanni (Author) , Proczko-Stepaniak, Monika A (Author) , Abou-mrad, Adel K (Author) , Elghadban, Hosam M (Author) , Stier, Christine (Author)
Format: Article (Journal)
Language:English
Published: May–June 2024
In: Obesity research & clinical practice
Year: 2024, Volume: 18, Issue: 3, Pages: 195-200
ISSN:1878-0318
DOI:10.1016/j.orcp.2024.06.001
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.orcp.2024.06.001
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1871403X24000607
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Author Notes:Amrit Manik Nasta, Ramen Goel, Rishi Singhal, Luc Lemmens, Sarfaraz Baig, Yosuke Seki, Arun Prasad, Sonja Chiappetta, Mohammad Kermansaravi, Marc Vertruyen, Beniamino Pascotto, Juan Santiago Azagra, Waleed Al-Khyatt, Gennaro Martines, Diva Y Villao, Leandro Revello, Marco Rioseco, Francesco Martini, Arnaud Liagre, Gildas Juglard, Giovanni Dapri, Monika A Proczko-Stepaniak, Adel K Abou-mrad, Hosam M Elghadban, Christine Stier, Jasper LE Van Herck, Safwan Abdulrahman Taha, Ozan Şen, Bruno Dillemans, Stijn Van Hoef, Mathieu Vandeputte, Sofie Viskens, Paolo Gentileschi, Raj Palaniappan, Nasser Sakran, Thomas H Shin, Ali Aminian, Matteo Uccelli, Stefano Olmi, Giovanni C Cesana, Marco Anselmino, Nicolas PA Debergh, Daniel Gärtner, Wah Yang, Digvijay S Bedi, Kamal Mahawar, BROAD study collaborative group
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Summary:Introduction - Revisional bariatric surgery (RBS) for insufficient weight loss/weight regain or metabolic relapse is increasing worldwide. There is currently no large multinational, prospective data on 30-day morbidity and mortality of RBS. In this study, we aimed to evaluate the 30-day morbidity and mortality of RBS at participating centres. - Methods - An international steering group was formed to oversee the study. The steering group members invited bariatric surgeons worldwide to participate in this study. Ethical approval was obtained at the lead centre. Data were collected prospectively on all consecutive RBS patients operated between 15th May 2021 to 31st December 2021. Revisions for complications were excluded. - Results - A total of 65 global centres submitted data on 750 patients. Sleeve gastrectomy (n = 369, 49.2 %) was the most common primary surgery for which revision was performed. Revisional procedures performed included Roux-en-Y gastric bypass (RYGB) in 41.1 % (n = 308) patients, One anastomosis gastric bypass (OAGB) in 19.3 % (n = 145), Sleeve Gastrectomy (SG) in 16.7 % (n = 125) and other procedures in 22.9 % (n = 172) patients. Indications for revision included weight regain in 615(81.8 %) patients, inadequate weight loss in 127(16.9 %), inadequate diabetes control in 47(6.3 %) and diabetes relapse in 27(3.6 %). 30-day complications were seen in 80(10.7 %) patients. Forty-nine (6.5 %) complications were Clavien Dindo grade 3 or higher. Two patients (0.3 %) died within 30 days of RBS. - Conclusion - RBS for insufficient weight loss/weight regain or metabolic relapse is associated with 10.7 % morbidity and 0.3 % mortality. Sleeve gastrectomy is the most common primary procedure to undergo revisional bariatric surgery, while Roux-en-Y gastric bypass is the most commonly performed revision.
Item Description:Online verfügbar: 1. Juli 2024, Artikelversion: 4. Juli 2024
Gesehen am 26.11.2024
Physical Description:Online Resource
ISSN:1878-0318
DOI:10.1016/j.orcp.2024.06.001

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