Cirugía revisional por estenosis post gastrectomía vertical laparoscópica

Abstract

Introduction: Revisional bariatric surgery is performed to alter or repair one of the many types of weight loss surgery, including laparoscopic sleeve gastrectomy (LSG). The revision of bariatric procedures is required between 10 to 25% of patients operated, either by insufficient weight loss or complications, including stenosis. After a LSG, the Roux- en- Y gastric bypass (RYGBP) is the most requested surgery for conversion. The aim of this study was to describe a series of 5 patients who had revisional surgery for stenosis following LSG. Material and Method: Between January 2006 and March 2013, in 770 consecutive patients was performed LSG. Patients were included in a prospective protocol. Five patients had revisional surgery with conversion to RYGBP for stenosis following LSG. In three patients the initial LSG was performed in our hospital, the other 2 were from other hospitals. Results: In the 5 patients with revisional surgery mean age was 39.8 ± 15.7 years. Four patients were women (80%). The average BMI before LSG was 37.0 ± 2.1 kg/m2 and BMI before RYGBP was 29.4 ± 5.4 kg/m2. The RYGBP was laparoscopic in 3 cases and opened in two. There were no complications, and no mortality. Conclusions: Conversion to RYGBP is an effective treatment for stenosis following a LSG.