Background

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.

Methods

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.

Results

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.

Conclusions

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.