Highlights:
- •98% of surgeons suggested that WR is multifactorial
- •Conversion of SG to RYGB was the most common RBS (22%)
- •Failure of PBS was defined as EWL<50% by 31%
- •The definition of failure of PBS differed significantly by surgeon gender
Abstract
Background
Objectives
Setting
Methods
Results
Conclusions
Keywords
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Surgery for Obesity and Related DiseasesREFERENCES
- CLINICAL PRACTICE GUIDELINES FOR THE PERIOPERATIVE NUTRITION, METABOLIC, AND NONSURGICAL SUPPORT OF PATIENTS UNDERGOING BARIATRIC PROCEDURES - 2019 UPDATE: COSPONSORED BY AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY, THE OBESITY SOCIETY, AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY, OBESITY MEDICINE ASSOCIATION, AND AMERICAN SOCIETY OF ANESTHESIOLOGISTS - EXECUTIVE SUMMARY.Endocr Pract. 2019 Dec; 25: 1346-1359
- AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY COMPREHENSIVE CLINICAL PRACTICE GUIDELINES FOR MEDICAL CARE OF PATIENTS WITH OBESITY.Endocr Pract. 2016 Jul; 22: 1-203
Obesity is a common, serious, and costly disease. Centers for Disease Control and Prevention (CDC)2021; Available from: https://www.cdc.gov/obesity/data/adult.html.
- Evaluation of metabolic syndrome, insulin secretion and insulin resistance in adolescents with overweight and obesity.Metabolism. 2022 2022/03/01/; 128155011
- Relations between food intake, weight status and cardio-metabolic disturbances in area representative group.Metabolism. 2022 2022/03/01/; 128155022
- Surgery for weight loss in adults.Cochrane Database Syst Rev. 2014 Aug 8; Cd003641
- A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life.Clin Obes. 2017 Oct; 7: 273-289
- Trends in Weight Regain Following Roux-en-Y Gastric Bypass (RYGB) Bariatric Surgery.Obes Surg. 2015 Aug; 25: 1474-1481
- Comparison of the Performance of Common Measures of Weight Regain After Bariatric Surgery for Association With Clinical Outcomes.Jama. 2018 Oct 16; 320: 1560-1569
- Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years.Ann Surg. 2006 Nov; 244: 734-740
- Factors associated with weight regain post-bariatric surgery: a systematic review.Surg Endosc. 2021 Aug; 35: 4069-4084
- Weight Regain After Bariatric Surgery: Prevalence, Etiology, and Treatment.Curr Nutr Rep. 2018 Dec; 7: 329-334
- Seven-Year Weight Trajectories and Health Outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study.JAMA Surgery. 2018; 153: 427-434
- American Society for Metabolic and Bariatric Surgery 2020 estimate of metabolic and bariatric procedures performed in the United States.Surg Obes Relat Dis. 2022 Sep; 18: 1134-1140
- Revision of failed gastric bypass to distal Roux-en-Y gastric bypass: a review of 65 cases.Obes Surg. 2001 Apr; 11: 190-195
- Laparoscopic conversion of Roux-en-Y gastric bypass to distal gastric bypass for weight regain.J Laparoendosc Adv Surg Tech A. 2011 Jan-Feb; 21: 19-23
- Long-Term Effectiveness of Laparoscopic Conversion of Sleeve Gastrectomy to a Biliopancreatic Diversion with a Duodenal Switch or a Roux-en-Y Gastric Bypass due to Weight Loss Failure.Obes Surg. 2018 Jun; 28: 1724-1730
- Reasons and outcomes of reoperative bariatric surgery for failed and complicated procedures (excluding adjustable gastric banding).Obes Surg. 2011; 21: 1209-1219
- Re-operations after Secondary Bariatric Surgery: a Systematic Review.Obes Surg. 2016 Sep; 26: 2237-2247
- Comparison of 30-day outcomes after non-LapBand primary and revisional bariatric surgical procedures from the Longitudinal Assessment of Bariatric Surgery study.Surg Obes Relat Dis. 2010 Jan-Feb; 6: 22-30
- Revisional Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: a Systematic Review of Comparative Outcomes with Respective Primary Procedures.Obes Surg. 2015 Jul; 25: 1271-1280
- Systematic review on reoperative bariatric surgery: American Society for Metabolic and Bariatric Surgery Revision Task Force.Surg Obes Relat Dis. 2014 Sep-Oct; 10: 952-972
- Systematic review of definitions of failure in revisional bariatric surgery.Obes Surg. 2015 Mar; 25: 571-574
- A guide for the design and conduct of self-administered surveys of clinicians.Cmaj. 2008 Jul 29; 179: 245-252
- A review of how to conduct a surgical survey using a questionnaire.Knee. 2011 Aug; 18: 209-213
- Practices Concerning Revisional Bariatric Surgery: a Survey of 460 Surgeons.Obes Surg. 2018 Sep; 28: 2650-2660
- The first consensus statement on revisional bariatric surgery using a modified Delphi approach.Surg Endosc. 2020 Apr; 34: 1648-1657
- Revisional Surgery After One Anastomosis/Minigastric Bypass: an Italian Multi-institutional Survey.Obes Surg. 2022 Feb; 32: 256-265
- Complex Obesity: Multifactorial Etiologies and Multifaceted Responses.Am J Bioeth. 2018 Jul; 18: 87-89
- Clinical Factors Associated With Remission of Obesity-Related Comorbidities After Bariatric Surgery.JAMA Surgery. 2016; 151: 130-137
- The energy balance model of obesity: beyond calories in, calories out.Am J Clin Nutr. 2022 May 1; 115: 1243-1254
- Biology of obesity and weight regain: Implications for clinical practice.J Am Assoc Nurse Pract. 2017 Oct; 29: S15-s29
- Biological mechanisms that promote weight regain following weight loss in obese humans.Physiol Behav. 2013 Aug 15; 120: 106-113
- From genetics and epigenetics to the future of precision treatment for obesity.Gastroenterol Rep (Oxf). 2017 Nov; 5: 266-270
- Lack of Standard Definitions of Primary and Secondary (Non)responders After Primary Gastric Bypass and Gastric Sleeve: a Systematic Review.Obes Surg. 2019 Feb; 29: 691-697
- Relative outcome measures for bariatric surgery. Evidence against excess weight loss and excess body mass index loss from a series of laparoscopic Roux-en-Y gastric bypass patients.Obes Surg. 2011 Jun; 21: 763-767
- Weight Regain Following Sleeve Gastrectomy-a Systematic Review.Obes Surg. 2016 Jun; 26: 1326-1334
- Five-year results after resleeve gastrectomy.Surg Obes Relat Dis. 2020 Sep; 16: 1186-1191
- Primary and Secondary Nonresponse Following Bariatric Surgery: a Survey Study in Current Bariatric Practice in the Netherlands and Belgium.Obes Surg. 2020 Sep; 30: 3394-3401
- Current state of the definition and terminology related to weight recurrence after metabolic surgery: review by the POWER Task Force of the American Society for Metabolic and Bariatric Surgery.Surg Obes Relat Dis. 2022 Jul; 18: 957-963
Article info
Publication history
Publication stage
In Press Journal Pre-ProofFootnotes
DECLARATIONS
Acknowledgments
Not applicable
Authors’ contributions
The authors confirm contribution to the paper as follows:
Study conception and design: Stefanidis D., Giannopoulos S., Connors J., Hilgendorf W.; Data collection: Giannopoulos S., Stefanidis D., Clapp B., Ghanem O.; Analysis and interpretation of results: Giannopoulos S., Stefanidis D., Timsina L., Kapsampelis P.; Draft preparation: Giannopoulos S., Kapsampelis P., Stefanidis D.;
Critical content revision: Stefanidis D., Clapp B., Ghanem O., Kindel T., Pokala B., Connors J., Hilgendorf W., Timsina L., Kapsampelis P., Giannopoulos S.; Financial support and sponsorship
No financial support was received for this study
Disclosures
Dr. Dimitrios Stefanidis has received institutional research support from Becton Dickinson and Intuitive and is a consultant for Applied medical which are not related to this study. Dr. Tammy Kindel has received institutional research support from NIH, the American College of Surgeons, and the Medical College of Wisconsin CVC. All other authors declared that there have no conflicts of interest.
DECLARATIONS
Acknowledgments
Not applicable.
Authors’ contributions
The authors confirm contribution to the paper as follows:
Study conception and design: Stefanidis D., Giannopoulos S., Connors J., Hilgendorf W.; Data collection: Giannopoulos S., Stefanidis D., Clapp B., Ghanem O.; Analysis and interpretation of results: Giannopoulos S., Stefanidis D., Timsina L., Kapsampelis P.; Draft preparation: Giannopoulos S., Kapsampelis P., Stefanidis D.; Critical content revision: Stefanidis D., Clapp B., Ghanem O., Kindel T., Pokala B., Connors J., Hilgendorf W., Timsina L., Kapsampelis P., Giannopoulos S.; Financial support and sponsorship
No financial support was received for this study
Disclosures
Dr. Dimitrios Stefanidis has received institutional research support from Becton Dickinson and Intuitive and is a consultant for Applied medical which are not related to this study. Dr. Tammy Kindel has received institutional research support from NIH, the American College of Surgeons, and the Medical College of Wisconsin CVC. All other authors declared that there have no conflicts of interest.
