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Practices Concerning Revisional Bariatric Surgery: a Survey of 460 Surgeons.

Mahawar, Kamal K and Nimeri, Abdelrahman and Adamo, Marco and Borg, Cynthia-Michelle and Singhal, Rishi and Khan, Omar and Small, Peter K (2018) Practices Concerning Revisional Bariatric Surgery: a Survey of 460 Surgeons. Obesity surgery. pp. 1-11. ISSN 1708-0428. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs *Full text delay due to publisher restrictions (with a 12 Month delay) ("embargo")

Full text not available from this repository.
Official URL: https://link.springer.com/article/10.1007/s11695-0...

Abstract

BACKGROUND

There is currently little evidence available on various aspects of Revisional Bariatric Surgery (RBS) and no published consensus amongst experts. The purpose of this study was to understand variation in practices concerning RBS.

METHODS

Bariatric surgeons from around the world who perform RBS were invited to participate in a questionnaire-based survey on SurveyMonkey®.

RESULTS

A total of 460 respondents from 62 countries took the survey. For revision after gastric banding, Roux-en-Y gastric bypass (RYGB) (75.5%, n = 345) emerged as the commonest choice followed by sleeve gastrectomy (SG) (56.9%, n = 260) and one anastomosis gastric bypass (OAGB) (37.2%, n = 170). For revision after SG, RYGB (77.7%, n = 355) was the commonest option followed by OAGB (42.45%, n = 194) and re-sleeve (22.32%, n = 102). For revision after RYGB, surgical pouch reduction (49.1%, n = 223), prolongation of bilio-pancreatic limb (30.0%, n = 136), and surgical stoma size reduction (26.43%, n = 120) were the most preferred options. Approximately 90.0% of respondents (n = 406/454) routinely perform an upper gastrointestinal endoscopy before an RBS, and 85.6% (n = 388/453) routinely perform a contrast study. Ninety percent (n = 403/445) reported that the demand for RBS was usually patient-driven, and there was wide variation in criteria used to define successful response, non-responders, and significant weight regain.

CONCLUSIONS

This survey is the first attempt to understand various aspects of RBS. The findings will help in identifying areas for research and allow consensus building amongst experts.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs *Full text delay due to publisher restrictions (with a 12 Month delay) ("embargo")
Subjects: WO Surgery
Divisions: Planned IP Care > General Surgery
Related URLs:
Depositing User: Mrs Semanti Chakraborty
Date Deposited: 17 Apr 2018 15:46
Last Modified: 17 Apr 2018 15:46
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1632

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