Laparoscopic sleeve gastrectomy (LSG) became the most popular procedure in bariatric surgery. However, in the long-term follow-up, weight loss failure and intractable severe reflux after LSG can necessitate further interventions. OBJECTIVES:The aim of our study was to evaluate long term results (5 years) following resleeve gastrectomy (ReSG) and to identify the good indication.
Fifty two patients underwent ReSG between October2008-January2014. All patients with failure after primary LSG underwent radiological evaluation and an algorithm of treatment was proposed. We have analyzed the 5-year outcome concerning weight loss and long-term complication after ReSG.
Fifty two patients (46 women;mean age-40.2 years) with a mean BMI of 39.4 Kg/m² underwent ReSG. One patient died from gynecological cancer. Of the remainder, 3 patient underwent SADI, 5 patients underwent a RYGB, 1 patient underwent a second ReSG for reflux. 39 out of 42 patients without reoperation had available data at 5 years-follow-up. The mean percentage of excess BMI loss was 63.7%. Of the 39 patients, 28 patients (71.8 % of patients) had >50% EBMIL at 5 years. All cases were completed by laparoscopy with no intraoperative incidents.
At 5 years postoperative, the ReSG as a definitive bariatric procedure remained effective for 58.3 %. The results appear to be more favorable especially for the non-super-obese patients and for primary dilatation.