Treatment Options for Weight Regain or Insufficient Weight Loss After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Treatment Options for Weight Regain or Insufficient Weight Loss After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Weight failure after sleeve gastrectomy (SG) is frequently observed. Consensus on the most effective treatment is lacking. The aim of this meta-analysis was to assess revisional strategies for weight regain (WR) or insufficient weight loss (IWL) following SG. The included studies reported on endosco...

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Bibliographic Details
Published in:Obesity surgery Vol. 32; no. 6; pp. 2035 - 2046
Main Authors: Franken, Rutger J., Sluiter, Nina R., Franken, Josephine, de Vries, Ralph, Souverein, Dennis, Gerdes, Vitor E. A., de Brauw, Maurits
Format: Journal Article
Language:English
Published: New York Springer US 01-06-2022
Springer Nature B.V
Subjects:
Gastrectomy - adverse effects
Gastrectomy - methods
Gastric Bypass - methods
Gastrointestinal surgery
Humans
Medicine
Medicine & Public Health
Meta-analysis
Obesity, Morbid - surgery
Reoperation
Retrospective Studies
Review
Surgery
Weight Gain
Weight Loss
Insufficient weight loss
Weight regain
Gastric bypass
Duodenal switch
Single-duodeno-ileal bypass
Re-sleeve gastrectomy
One-anastomosis gastric bypass
Sleeve gastrectomy
Gastroplasty
Meta-analysis
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Summary:Weight failure after sleeve gastrectomy (SG) is frequently observed. Consensus on the most effective treatment is lacking. The aim of this meta-analysis was to assess revisional strategies for weight regain (WR) or insufficient weight loss (IWL) following SG. The included studies reported on endoscopic gastroplasty (ESG), re-sleeve gastrectomy (re-SG), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), single-anastomosis duodeno-ileal bypass (SADI), and duodenal switch (DS). All techniques resulted in clinically relevant weight loss. Although our data suggest that revisional OAGB was the most effective procedure, the lack of direct comparisons precludes strong conclusions. All procedures were feasible but differed regarding complication rates. Choice of procedure is depending on patient’s characteristics and surgeons’ expertise. Graphical abstract
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ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-022-06020-0