Trends in bariatric surgery revisions: a 25-year single-institution experience
- 05.05.2025
Erschienen in:
- Verfasst von
- Jack W. Sample
- Noura Jawhar
- Sara Bocchinfuso
- Tala Abedalqader
- Richard S. Betancourt
- Simon Laplante
- Eric J. Vargas
- Andrew C. Storm
- Michael L. Kendrick
- Barham K. Abu Dayyeh
- Omar M. Ghanem
- Erschienen in
- Surgical Endoscopy | Ausgabe 6/2025
Abstract
Background
Revisional bariatric surgery (RBS) is now the third most performed metabolic and bariatric surgery (MBS) in the USA. This study aims to describe trends in MBS revisions at a single large academic institution over 25 years.
Methods
We identified patients who underwent an MBS revision between 2000 and 2024 at a single large quaternary referral center from a prospectively maintained database. We retrospectively reviewed the electronic medical records to collect pertinent data related to MBS history and conducted a descriptive review of the data to evaluate trends.
Results
A total of 667 patients underwent a first-time bariatric surgery revision; 364 (54.5%) performed surgically and 303 (45.5%) endoscopically. There was a noticeable trend toward endoscopic revisions indicated for weight-related indications, particularly over the past decade. For surgical revisions, Roux-en-Y gastric bypass (RYGB) was the most revised primary MBS operation overall, surpassed by sleeve gastrectomy (SG) in recent years. A greater diversity of indications was observed for surgical compared with endoscopic revisions. Additionally, 14.9% of patients required more than one bariatric revision procedure.
Conclusion
Bariatric surgery revisions are increasingly common, highlighting the chronicity of obesity and the need for long-term management. We identified general trends over time toward therapeutic interventions increasingly utilizing minimally invasive surgery and transoral endoscopic techniques. Transoral endoscopic revisions were primarily used for weight-related indications after RYGB, with many other indications managed exclusively through surgery.
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- Titel
- Trends in bariatric surgery revisions: a 25-year single-institution experience
- Verfasst von
-
Jack W. Sample
Noura Jawhar
Sara Bocchinfuso
Tala Abedalqader
Richard S. Betancourt
Simon Laplante
Eric J. Vargas
Andrew C. Storm
Michael L. Kendrick
Barham K. Abu Dayyeh
Omar M. Ghanem
- Publikationsdatum
- 05.05.2025
- Verlag
- Springer US
- Erschienen in
-
Surgical Endoscopy / Ausgabe 6/2025
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218 - DOI
- https://doi.org/10.1007/s00464-025-11765-7
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