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Zentralbl Chir 2009; 134(1): 50-56
DOI: 10.1055/s-0028-1098805
Übersicht

© Georg Thieme Verlag Stuttgart ˙ New York

Reoperationen nach bariatrischer und metabolischer Chirurgie

Redo Operations after Bariatric and Metabolic SurgeryS. Kuesters1 , G. Marjanovic1 , W. K. Karcz1
  • 1Abteilung für Allgemein- und Visceralchirurgie, Albert-Ludwigs-Universität, Freiburg, Germany
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Publication History

Publication Date:
25 February 2009 (online)

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Zusammenfassung

Aufgrund der zunehmenden Prävalenz der morbiden Adipositas gewinnt die bariatrische und metabolische Chirurgie immer mehr an Bedeutung. Mit der zunehmenden Zahl bariatrischer Operationen steigt natürlich auch die Anzahl an Patienten, die einer Revisionsoperation bedürfen, meist aufgrund eines nicht ausreichenden Gewichtsverlustes. Dieser Artikel gibt einen Überblick über Indikationsstellung, präoperative Diagnostik und mögliche Revisionseingriffe nach einer bariatrischen Operation.

Abstract

Because of the growing prevalence of morbid obesity, bariatric surgery is getting more and more important. According to the growing number of bariatric operations, the number of patients in need of revisionary surgery is also growing, mostly because of insufficient weight loss. This article gives an outline of indications, preoperative diagnostics and revisionary operations in bariatric surgery.

Schlüsselwörter

Bariatrische Chirurgie - Revisions­eingriffe - unzureichender Gewichts­verlust

Key words

bariatric surgery - revisionary operations - poor weight loss

Literatur

  • 1 Gagner M, Gentileschi P, de Csepel J et al. Laparoscopic reoperative bariatric surgery: experience from 27 consecutive patients.  Obes Surg. 2002;  12 254-260
    CrossrefPubMedGoogle Scholar
  • 2 Calmes J M, Giusti V, Suter M. Reoperative laparoscopic Roux-en-Y gastric bypass: an experience with 49 cases.  Obes Surg. 2005;  15 316-322
    CrossrefPubMedGoogle Scholar
  • 3 Gavert N, Szold A, bu-Abeid S. Safety and feasibility of revisional laparoscopic surgery for morbid obesity: conversion of open silastic vertical banded gastroplasty to laparoscopic adjustable gastric banding.  Surg Endosc. 2004;  18 203-206
    CrossrefPubMedGoogle Scholar
  • 4 Khaitan L, van Sickle K, Gonzalez R et al. Laparoscopic revision of bariatric procedures: is it feasible?.  Am Surg. 2005;  71 6-10
    PubMedGoogle Scholar
  • 5 Behrns K E, Smith C D, Kelly K A et al. Reoperative bariatric surgery. Lessons learned to improve patient selection and results.  Ann Surg. 1993;  218 646-653
    CrossrefPubMedGoogle Scholar
  • 6 Wolf A M, Falcone A R, Kortner B et al. BAROS: an effective system to evaluate the results of patients after bariatric surgery.  Obes Surg. 2000;  10 445-450
    CrossrefPubMedGoogle Scholar
  • 7 Forsell P. Pouch volume, stoma diameter and weight loss in Swedish adjustable gastric banding (SAGB).  Obes Surg. 1996;  6 468-473
    CrossrefPubMedGoogle Scholar
  • 8 Madan A K, Tichansky D S, Phillips J C. Does pouch size matter?.  Obes Surg. 2007;  17 317-320
    CrossrefPubMedGoogle Scholar
  • 9 Roberts K, Duffy A, Kaufman J et al. Size matters: gastric pouch size correlates with weight loss after laparoscopic Roux-en-Y gastric bypass.  Surg Endosc. 2007;  21 1397-1402
    CrossrefPubMedGoogle Scholar
  • 10 Nishie A, Brown B, Barloon T et al. Comparison of size of proximal gastric pouch and short-term weight loss following routine upper gastrointestinal contrast study after laparoscopic Roux-en-Y gastric bypass.  Obes Surg. 2007;  17 1183-1188
    PubMedGoogle Scholar
  • 11 Karcz W K, Kuesters S, Marjanovic G et al. 3D-MSCT gastric pouch volumetry in bariatric surgery – preliminary clinical results.  Obes Surg. 2008;  ,  [Epub ahead of print]
    PubMedGoogle Scholar
  • 12 van Gemert W G, van Wersch M M, Greve J W et al. Revisional surgery after failed vertical banded gastroplasty: restoration of vertical banded gastroplasty or conversion to gastric bypass.  Obes Surg. 1998;  8 21-28
    CrossrefPubMedGoogle Scholar
  • 13 Marsk R, Jonas E, Gartzios H et al. High revision rates after laparoscopic vertical banded gastroplasty.  Surg Obes Relat Dis. 2008;  ,  [Epub ahead of print]
    PubMedGoogle Scholar
  • 14 Schouten R, van Dielen F M, van Gemert W G et al. Conversion of vertical banded gastroplasty to Roux-en-Y gastric bypass results in restoration of the positive effect on weight loss and co-morbidities: evaluation of 101 patients.  Obes Surg. 2007;  17 622-630
    CrossrefPubMedGoogle Scholar
  • 15 Sanchez H, Cabrera A, Cabrera K et al. Laparoscopic Roux-en-Y gastric bypass as a revision procedure after restrictive bariatric surgery.  Obes Surg. 2008;  18 1539-1543
    CrossrefPubMedGoogle Scholar
  • 16 Elazary R, Hazzan D, Appelbaum L et al. Feasibility of sleeve gastrectomy as a revision operation for failed silastic ring vertical gastroplasty.  Obes Surg. 2008;  ,  [Epub ahead of print]
    PubMedGoogle Scholar
  • 17 DeMaria E J, Sugerman H J, Meador J G et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity.  Ann Surg. 2001;  233 809-818
    CrossrefPubMedGoogle Scholar
  • 18 Angrisani L, Furbetta F, Doldi S B et al. Results of the Italian multicenter study on 239 super-obese patients treated by adjustable gastric banding.  Obes Surg. 2002;  12 846-850
    CrossrefPubMedGoogle Scholar
  • 19 Weiner R, Blanco-Engert R, Weiner S et al. Outcome after laparoscopic adjustable gastric banding – 8 years experience.  Obes Surg. 2003;  13 427-434
    CrossrefPubMedGoogle Scholar
  • 20 O'Brien P E, Dixon J B. Lap-band: outcomes and results.  J Laparoendosc Adv Surg Tech A. 2003;  13 265-270
    CrossrefPubMedGoogle Scholar
  • 21 Suter M, Calmes J M, Paroz A et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates.  Obes Surg. 2006;  16 829-835
    CrossrefPubMedGoogle Scholar
  • 22 Weiss H G, Kirchmayr W, Klaus A et al. Surgical revision after failure of laparoscopic adjustable gastric banding.  Br J Surg. 2004;  91 235-241
    CrossrefPubMedGoogle Scholar
  • 23 Weber M, Muller M K, Michel J M et al. Laparoscopic Roux-en-Y gastric bypass, but not rebanding, should be proposed as rescue procedure for patients with failed laparoscopic gastric banding.  Ann Surg. 2003;  238 827-833
    CrossrefPubMedGoogle Scholar
  • 24 Lanthaler M, Mittermair R, Erne B et al. Laparoscopic gastric re-banding versus laparoscopic gastric bypass as a rescue operation for patients with pouch dilatation.  Obes Surg. 2006;  16 484-487
    CrossrefPubMedGoogle Scholar
  • 25 Frezza E E, Torre E J, Enriquez C et al. Laparoscopic sleeve gastrectomy after gastric banding removal: A feasibility study.  Surg Innov. 2008;  ,  [Epub ahead of print]
    PubMedGoogle Scholar
  • 26 Gracia J A, Martinez M, Elia M et al. Obesity surgery results depending on technique performed: long-term outcome.  Obes Surg. 2008;  ,  [Epub ahead of print]
    PubMedGoogle Scholar
  • 27 Christou N V, Look D, Maclean L D. Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years.  Ann Surg. 2006;  244 734-740
    CrossrefPubMedGoogle Scholar
  • 28 Fobi M, Lee H, Igwe D et al. Gastric bypass in patients with BMI < 40 but > 32 without life-threatening co-morbidities: preliminary report.  Obes Surg. 2002;  12 52-56
    CrossrefPubMedGoogle Scholar
  • 29 Pories W J, Swanson M S, MacDonald K G et al. Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus.  Ann Surg. 1995;  222 339-350
    CrossrefPubMedGoogle Scholar
  • 30 Schwartz R W, Strodel W E, Simpson W S et al. Gastric bypass revision: lessons learned from 920 cases.  Surgery. 1988;  104 806-812
    PubMedGoogle Scholar
  • 31 Fobi M A. Placement of the GaBP ring system in the banded gastric bypass operation.  Obes Surg. 2005;  15 1196-1201
    CrossrefPubMedGoogle Scholar
  • 32 Gumbs A A, Margolis B, Bessler M. Laparoscopic banded-Roux-en-Y gastric bypass.  Surg Obes Relat Dis. 2006;  2 408-409
    CrossrefPubMedGoogle Scholar
  • 33 Muller M K, Wildi S, Scholz T et al. Laparoscopic pouch resizing and redo of gastro-jejunal anastomosis for pouch dilatation following gastric bypass.  Obes Surg. 2005;  15 1089-1095
    CrossrefPubMedGoogle Scholar
  • 34 Parikh M, Pomp A, Gagner M. Laparoscopic conversion of failed gastric bypass to duodenal switch: technical considerations and preliminary outcomes.  Surg Obes Relat Dis. 2007;  3 611-618
    CrossrefPubMedGoogle Scholar
  • 35 Hess D S, Hess D W, Oakley R S. The biliopancreatic diversion with the duodenal switch: results beyond 10 years.  Obes Surg. 2005;  15 408-416
    CrossrefPubMedGoogle Scholar
  • 36 Felberbauer F X, Langer F, Shakeri-Manesch S et al. Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate-term results from a large series in three Austrian centers.  Obes Surg. 2008;  18 814-818
    CrossrefPubMedGoogle Scholar
  • 37 Nocca D, Krawczykowsky D, Bomans B et al. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years.  Obes Surg. 2008;  18 560-565
    CrossrefPubMedGoogle Scholar
  • 38 Langer F B, Bohdjalian A, Felberbauer F X et al. Does gastric dilatation limit the success of sleeve gastrectomy as a sole operation for morbid obesity?.  Obes Surg. 2006;  16 166-171
    CrossrefPubMedGoogle Scholar
  • 39 Pareja J C, Pilla V F, Callejas-Neto F et al. Gastric bypass Roux-en-Y gastrojejunostomy – conversion to distal gastrojejunoileostomy for weight loss failure – experience in 41 patients.  Arq Gastroenterol. 2005;  42 196-200
    PubMedGoogle Scholar
  • 40 Fobi M A, Lee H, Igwe Jr D et al. Revision of failed gastric bypass to distal Roux-en-Y gastric bypass: a review of 65 cases.  Obes Surg. 2001;  11 190-195
    CrossrefPubMedGoogle Scholar
  • 41 Slater G H, Fielding G A. Combining laparoscopic adjustable gastric banding and biliopancreatic diversion after failed bariatric surgery.  Obes Surg. 2004;  14 677-682
    CrossrefPubMedGoogle Scholar
  • 42 Sugerman H J, Kellum J M, DeMaria E J. Conversion of proximal to distal gastric bypass for failed gastric bypass for superobesity.  J Gastrointest Surg. 1997;  1 517-524
    CrossrefPubMedGoogle Scholar
  • 43 Gagner M, Rogula T. Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch.  Obes Surg. 2003;  13 649-654
    CrossrefPubMedGoogle Scholar

Dr. W. Karcz

Abteilung Allgemein- und Viszeralchirurgie · Chirurgische Universitätsklinik Freiburg

Hugstetter Str. 55

79106 Freiburg

Phone: 07 61 / 2 70 26 44

Fax: 07 61 / 2 70 28 04

Email: wojciech.karcz@uniklinik-freiburg.de

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