Laparoscopic Revision Gastric Bypass for Weight Recidivism (WR)

University of California San Francisco (UCSF)

Status: Completed

Conditions: Weight Regain; Weight Recidivism; Clinically Severe Obesity; Obesity Recidivism

Study type: Observational

Funder types: Other

Identifiers

NCT01040572

CMC IRB No. 2009078

U1111-1113-0216 (Other Identifier)

Details and patient eligibility

About

The main aim of this study is to analyze and report traditional, patient-centered, and composite intermediate-term outcomes after laparoscopic revision Roux-en-Y gastric bypass surgery for weight recidivism.

Full description

There is lack of standardization of primary and revisional bariatric surgery compounded by a scant long-term outcome data. The treatment of inadequate weight loss, weight recidivism, and most severe technical complications after primary bariatric surgery remains refractory to non-operative treatment. Failure rates have been reported up to 20% and 35% for the morbidly obese (MO) and super obese (SO), respectively at 2 to 3 years after surgery. The indication for further surgical intervention remains controversial, as does what type of revisional procedure, both operative and endoscopic, to recommend. Furthermore, there is no standardization of the limb lengths, pouch size or the use of prosthetic reinforcement. Therefore the approach to these patients must be as individualized as their original operations. We formally analyze our experience with all laparoscopic revisional strategies for weigh regain after failed gastric bypass.

Enrollment: 132 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients that underwent laparoscopic revisional "RYGB" for failed "RYGB" with weight recidivism or weight regain "WR" pattern

Exclusion criteria

• failed RYGB with an Inadequate Initial Weight Loss "IIWL" pattern
• patients with prior major bariatric conversion or esophago-gastric surgeries
• RYGB patients revised by an open surgical approach
• RYGB patients who underwent laparoscopic revisional RYGB surgery somewhere else and continue their follow-up care with our program
• missing records and/or unreachable patients with scant information for analysis

Trial design

132 participants in 1 patient group

Obesity recidivism after gastric bypass