Best practice approach for redo-surgeries after sleeve gastrectomy, an expert's modified Delphi consensus
Background Sleeve gastrectomy (SG) is the most common metabolic and bariatric surgical (MBS) procedure worldwide. Despite the desired effect of SG on weight loss and remission of obesity-associated medical problems, there are some concerns regarding the need to do revisional/conversional surgeries a...
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| creator | Kermansaravi, Mohammad Parmar, Chetan Chiappetta, Sonja Shikora, Scott Aminian, Ali Abbas, Syed Imran Angrisani, Luigi Bashir, Ahmad Behrens, Estuardo Bhandari, Mohit Clapp, Benjamin Cohen, Ricardo Dargent, Jerome Dilemans, Bruno De Luca, Maurizio Haddad, Ashraf Gawdat, Khaled Elfawal, Mohamed Hayssam Himpens, Jaques Huang, Chih-Kun Husain, Farah Kasama, Kazunori Kassir, Radwan Khan, Amir Kow, Lilian Kroh, Matthew Lakdawala, Muffazal Corvala, Juan Antonio Lopez Miller, Karl Musella, Mario Nimeri, Abdelrahman Noel, Patrick Palermo, Mariano Poggi, Luis Poghosyan, Tigran Prager, Gerhard Prasad, Arun Alqahtani, Aayad Rheinwalt, Karl Ribeiro, Rui Shabbir, Asim Torres, Antonio Villalonga, Ramon Wang, Cunchuan Mahawar, Kamal Zundel, Natan |
| description | Background
Sleeve gastrectomy (SG) is the most common metabolic and bariatric surgical (MBS) procedure worldwide. Despite the desired effect of SG on weight loss and remission of obesity-associated medical problems, there are some concerns regarding the need to do revisional/conversional surgeries after SG. This study aims to make an algorithmic clinical approach based on an expert-modified Delphi consensus regarding redo-surgeries after SG, to give bariatric and metabolic surgeons a guideline that might help for the best clinical decision.
Methods
Forty-six recognized bariatric and metabolic surgeons from 25 different countries participated in this Delphi consensus study in two rounds to develop a consensus on redo-surgeries after SG. An agreement/disagreement ≥ 70.0% on statements was considered to indicate a consensus.
Results
Consensus was reached for 62 of 72 statements and experts did not achieve consensus on 10 statements after two rounds of online voting. Most of the experts believed that multi-disciplinary team evaluation should be done in all redo-procedures after SG and there should be at least 12 months of medical and supportive management before performing redo-surgeries after SG for insufficient weight loss, weight regain, and gastroesophageal reflux disease (GERD). Also, experts agreed that in case of symptomatic GERD in the presence of adequate weight loss, medical treatment for at least 1 to 2 years is an acceptable option and agreed that Roux-en Y gastric bypass is an appropriate option in this situation. There was disagreement consensus on efficacy of omentopexy in rotation and efficacy of fundoplication in the presence of a dilated fundus and GERD.
Conclusion
Redo-surgeries after SG is still an important issue among bariatric and metabolic surgeons. The proper time and procedure selection for redo-surgery need careful considerations. Although multi-disciplinary team evaluation plays a key role to evaluate best options in these situations, an algorithmic clinical approach based on the expert's consensus as a guideline can help for the best clinical decision-making. |
| doi_str_mv | 10.1007/s00464-023-09879-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2769589455</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2769589455</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-ffac53f6ff19d505aacd5c160b1f8a019ce02077bc1585da3a2c7dd4a6d69f33</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EoreFF2CBLLGABYaxHSfxEsqvVIlN95avPW5TJXHwJNXt22O4BSQWrGYx35yZOYexZxLeSIDuLQE0bSNAaQG276w4PGA72WgllJL9Q7YDq0GozjYn7JToBipvpXnMTnTbWm1lv2PDe6SVL8WHdQjI_bKU7MM1T7nwgjEL2soVlgGJ-7Ri4TQi3iK_8rQWDGue7l5zP3M8LFjWl8SnHIc0YOQfcFyuBx7yTDjTRk_Yo-RHwqf39Yxdfvp4ef5FXHz7_PX83YUIjbSrSMkHo1ObkrTRgPE-RBNkC3uZeg_SBgQFXbcP0vQmeu1V6GJsfBtbm7Q-Y6-OsvWR71t9zk0DBRxHP2PeyKmutaa3jTEVffEPepO3MtfjKtV31SxoVKXUkQolExVMbinD5Mudk-B-5uCOObiag_uVgzvUoef30tt-wvhn5LfxFdBHgGprrg7_3f0f2R9M8pWP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2787049042</pqid></control><display><type>article</type><title>Best practice approach for redo-surgeries after sleeve gastrectomy, an expert's modified Delphi consensus</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Kermansaravi, Mohammad ; Parmar, Chetan ; Chiappetta, Sonja ; Shikora, Scott ; Aminian, Ali ; Abbas, Syed Imran ; Angrisani, Luigi ; Bashir, Ahmad ; Behrens, Estuardo ; Bhandari, Mohit ; Clapp, Benjamin ; Cohen, Ricardo ; Dargent, Jerome ; Dilemans, Bruno ; De Luca, Maurizio ; Haddad, Ashraf ; Gawdat, Khaled ; Elfawal, Mohamed Hayssam ; Himpens, Jaques ; Huang, Chih-Kun ; Husain, Farah ; Kasama, Kazunori ; Kassir, Radwan ; Khan, Amir ; Kow, Lilian ; Kroh, Matthew ; Lakdawala, Muffazal ; Corvala, Juan Antonio Lopez ; Miller, Karl ; Musella, Mario ; Nimeri, Abdelrahman ; Noel, Patrick ; Palermo, Mariano ; Poggi, Luis ; Poghosyan, Tigran ; Prager, Gerhard ; Prasad, Arun ; Alqahtani, Aayad ; Rheinwalt, Karl ; Ribeiro, Rui ; Shabbir, Asim ; Torres, Antonio ; Villalonga, Ramon ; Wang, Cunchuan ; Mahawar, Kamal ; Zundel, Natan</creator><creatorcontrib>Kermansaravi, Mohammad ; Parmar, Chetan ; Chiappetta, Sonja ; Shikora, Scott ; Aminian, Ali ; Abbas, Syed Imran ; Angrisani, Luigi ; Bashir, Ahmad ; Behrens, Estuardo ; Bhandari, Mohit ; Clapp, Benjamin ; Cohen, Ricardo ; Dargent, Jerome ; Dilemans, Bruno ; De Luca, Maurizio ; Haddad, Ashraf ; Gawdat, Khaled ; Elfawal, Mohamed Hayssam ; Himpens, Jaques ; Huang, Chih-Kun ; Husain, Farah ; Kasama, Kazunori ; Kassir, Radwan ; Khan, Amir ; Kow, Lilian ; Kroh, Matthew ; Lakdawala, Muffazal ; Corvala, Juan Antonio Lopez ; Miller, Karl ; Musella, Mario ; Nimeri, Abdelrahman ; Noel, Patrick ; Palermo, Mariano ; Poggi, Luis ; Poghosyan, Tigran ; Prager, Gerhard ; Prasad, Arun ; Alqahtani, Aayad ; Rheinwalt, Karl ; Ribeiro, Rui ; Shabbir, Asim ; Torres, Antonio ; Villalonga, Ramon ; Wang, Cunchuan ; Mahawar, Kamal ; Zundel, Natan</creatorcontrib><description>Background
Sleeve gastrectomy (SG) is the most common metabolic and bariatric surgical (MBS) procedure worldwide. Despite the desired effect of SG on weight loss and remission of obesity-associated medical problems, there are some concerns regarding the need to do revisional/conversional surgeries after SG. This study aims to make an algorithmic clinical approach based on an expert-modified Delphi consensus regarding redo-surgeries after SG, to give bariatric and metabolic surgeons a guideline that might help for the best clinical decision.
Methods
Forty-six recognized bariatric and metabolic surgeons from 25 different countries participated in this Delphi consensus study in two rounds to develop a consensus on redo-surgeries after SG. An agreement/disagreement ≥ 70.0% on statements was considered to indicate a consensus.
Results
Consensus was reached for 62 of 72 statements and experts did not achieve consensus on 10 statements after two rounds of online voting. Most of the experts believed that multi-disciplinary team evaluation should be done in all redo-procedures after SG and there should be at least 12 months of medical and supportive management before performing redo-surgeries after SG for insufficient weight loss, weight regain, and gastroesophageal reflux disease (GERD). Also, experts agreed that in case of symptomatic GERD in the presence of adequate weight loss, medical treatment for at least 1 to 2 years is an acceptable option and agreed that Roux-en Y gastric bypass is an appropriate option in this situation. There was disagreement consensus on efficacy of omentopexy in rotation and efficacy of fundoplication in the presence of a dilated fundus and GERD.
Conclusion
Redo-surgeries after SG is still an important issue among bariatric and metabolic surgeons. The proper time and procedure selection for redo-surgery need careful considerations. Although multi-disciplinary team evaluation plays a key role to evaluate best options in these situations, an algorithmic clinical approach based on the expert's consensus as a guideline can help for the best clinical decision-making.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-023-09879-x</identifier><identifier>PMID: 36693918</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Consensus Statement ; Delphi method ; Delphi Technique ; Gastrectomy - methods ; Gastric Bypass - methods ; Gastroenterology ; Gastroesophageal reflux ; Gastroesophageal Reflux - etiology ; Gastroesophageal Reflux - surgery ; Gastrointestinal surgery ; Gynecology ; Hepatology ; Humans ; Medicine ; Medicine & Public Health ; Metabolism ; Obesity, Morbid - surgery ; Proctology ; Reoperation - methods ; Retrospective Studies ; Surgeons ; Surgery ; Treatment Outcome ; Weight Loss</subject><ispartof>Surgical endoscopy, 2023-03, Vol.37 (3), p.1617-1628</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-ffac53f6ff19d505aacd5c160b1f8a019ce02077bc1585da3a2c7dd4a6d69f33</citedby><cites>FETCH-LOGICAL-c419t-ffac53f6ff19d505aacd5c160b1f8a019ce02077bc1585da3a2c7dd4a6d69f33</cites><orcidid>0000-0003-3240-5849</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-023-09879-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-023-09879-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36693918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kermansaravi, Mohammad</creatorcontrib><creatorcontrib>Parmar, Chetan</creatorcontrib><creatorcontrib>Chiappetta, Sonja</creatorcontrib><creatorcontrib>Shikora, Scott</creatorcontrib><creatorcontrib>Aminian, Ali</creatorcontrib><creatorcontrib>Abbas, Syed Imran</creatorcontrib><creatorcontrib>Angrisani, Luigi</creatorcontrib><creatorcontrib>Bashir, Ahmad</creatorcontrib><creatorcontrib>Behrens, Estuardo</creatorcontrib><creatorcontrib>Bhandari, Mohit</creatorcontrib><creatorcontrib>Clapp, Benjamin</creatorcontrib><creatorcontrib>Cohen, Ricardo</creatorcontrib><creatorcontrib>Dargent, Jerome</creatorcontrib><creatorcontrib>Dilemans, Bruno</creatorcontrib><creatorcontrib>De Luca, Maurizio</creatorcontrib><creatorcontrib>Haddad, Ashraf</creatorcontrib><creatorcontrib>Gawdat, Khaled</creatorcontrib><creatorcontrib>Elfawal, Mohamed Hayssam</creatorcontrib><creatorcontrib>Himpens, Jaques</creatorcontrib><creatorcontrib>Huang, Chih-Kun</creatorcontrib><creatorcontrib>Husain, Farah</creatorcontrib><creatorcontrib>Kasama, Kazunori</creatorcontrib><creatorcontrib>Kassir, Radwan</creatorcontrib><creatorcontrib>Khan, Amir</creatorcontrib><creatorcontrib>Kow, Lilian</creatorcontrib><creatorcontrib>Kroh, Matthew</creatorcontrib><creatorcontrib>Lakdawala, Muffazal</creatorcontrib><creatorcontrib>Corvala, Juan Antonio Lopez</creatorcontrib><creatorcontrib>Miller, Karl</creatorcontrib><creatorcontrib>Musella, Mario</creatorcontrib><creatorcontrib>Nimeri, Abdelrahman</creatorcontrib><creatorcontrib>Noel, Patrick</creatorcontrib><creatorcontrib>Palermo, Mariano</creatorcontrib><creatorcontrib>Poggi, Luis</creatorcontrib><creatorcontrib>Poghosyan, Tigran</creatorcontrib><creatorcontrib>Prager, Gerhard</creatorcontrib><creatorcontrib>Prasad, Arun</creatorcontrib><creatorcontrib>Alqahtani, Aayad</creatorcontrib><creatorcontrib>Rheinwalt, Karl</creatorcontrib><creatorcontrib>Ribeiro, Rui</creatorcontrib><creatorcontrib>Shabbir, Asim</creatorcontrib><creatorcontrib>Torres, Antonio</creatorcontrib><creatorcontrib>Villalonga, Ramon</creatorcontrib><creatorcontrib>Wang, Cunchuan</creatorcontrib><creatorcontrib>Mahawar, Kamal</creatorcontrib><creatorcontrib>Zundel, Natan</creatorcontrib><title>Best practice approach for redo-surgeries after sleeve gastrectomy, an expert's modified Delphi consensus</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Sleeve gastrectomy (SG) is the most common metabolic and bariatric surgical (MBS) procedure worldwide. Despite the desired effect of SG on weight loss and remission of obesity-associated medical problems, there are some concerns regarding the need to do revisional/conversional surgeries after SG. This study aims to make an algorithmic clinical approach based on an expert-modified Delphi consensus regarding redo-surgeries after SG, to give bariatric and metabolic surgeons a guideline that might help for the best clinical decision.
Methods
Forty-six recognized bariatric and metabolic surgeons from 25 different countries participated in this Delphi consensus study in two rounds to develop a consensus on redo-surgeries after SG. An agreement/disagreement ≥ 70.0% on statements was considered to indicate a consensus.
Results
Consensus was reached for 62 of 72 statements and experts did not achieve consensus on 10 statements after two rounds of online voting. Most of the experts believed that multi-disciplinary team evaluation should be done in all redo-procedures after SG and there should be at least 12 months of medical and supportive management before performing redo-surgeries after SG for insufficient weight loss, weight regain, and gastroesophageal reflux disease (GERD). Also, experts agreed that in case of symptomatic GERD in the presence of adequate weight loss, medical treatment for at least 1 to 2 years is an acceptable option and agreed that Roux-en Y gastric bypass is an appropriate option in this situation. There was disagreement consensus on efficacy of omentopexy in rotation and efficacy of fundoplication in the presence of a dilated fundus and GERD.
Conclusion
Redo-surgeries after SG is still an important issue among bariatric and metabolic surgeons. The proper time and procedure selection for redo-surgery need careful considerations. Although multi-disciplinary team evaluation plays a key role to evaluate best options in these situations, an algorithmic clinical approach based on the expert's consensus as a guideline can help for the best clinical decision-making.</description><subject>Abdominal Surgery</subject><subject>Consensus Statement</subject><subject>Delphi method</subject><subject>Delphi Technique</subject><subject>Gastrectomy - methods</subject><subject>Gastric Bypass - methods</subject><subject>Gastroenterology</subject><subject>Gastroesophageal reflux</subject><subject>Gastroesophageal Reflux - etiology</subject><subject>Gastroesophageal Reflux - surgery</subject><subject>Gastrointestinal surgery</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolism</subject><subject>Obesity, Morbid - surgery</subject><subject>Proctology</subject><subject>Reoperation - methods</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight 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Behrens, Estuardo ; Bhandari, Mohit ; Clapp, Benjamin ; Cohen, Ricardo ; Dargent, Jerome ; Dilemans, Bruno ; De Luca, Maurizio ; Haddad, Ashraf ; Gawdat, Khaled ; Elfawal, Mohamed Hayssam ; Himpens, Jaques ; Huang, Chih-Kun ; Husain, Farah ; Kasama, Kazunori ; Kassir, Radwan ; Khan, Amir ; Kow, Lilian ; Kroh, Matthew ; Lakdawala, Muffazal ; Corvala, Juan Antonio Lopez ; Miller, Karl ; Musella, Mario ; Nimeri, Abdelrahman ; Noel, Patrick ; Palermo, Mariano ; Poggi, Luis ; Poghosyan, Tigran ; Prager, Gerhard ; Prasad, Arun ; Alqahtani, Aayad ; Rheinwalt, Karl ; Ribeiro, Rui ; Shabbir, Asim ; Torres, Antonio ; Villalonga, Ramon ; Wang, Cunchuan ; Mahawar, Kamal ; Zundel, Natan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-ffac53f6ff19d505aacd5c160b1f8a019ce02077bc1585da3a2c7dd4a6d69f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal 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Ramon</creatorcontrib><creatorcontrib>Wang, Cunchuan</creatorcontrib><creatorcontrib>Mahawar, Kamal</creatorcontrib><creatorcontrib>Zundel, Natan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kermansaravi, Mohammad</au><au>Parmar, Chetan</au><au>Chiappetta, Sonja</au><au>Shikora, Scott</au><au>Aminian, Ali</au><au>Abbas, Syed Imran</au><au>Angrisani, Luigi</au><au>Bashir, Ahmad</au><au>Behrens, Estuardo</au><au>Bhandari, Mohit</au><au>Clapp, Benjamin</au><au>Cohen, Ricardo</au><au>Dargent, Jerome</au><au>Dilemans, Bruno</au><au>De Luca, Maurizio</au><au>Haddad, Ashraf</au><au>Gawdat, Khaled</au><au>Elfawal, Mohamed Hayssam</au><au>Himpens, Jaques</au><au>Huang, Chih-Kun</au><au>Husain, Farah</au><au>Kasama, Kazunori</au><au>Kassir, Radwan</au><au>Khan, Amir</au><au>Kow, Lilian</au><au>Kroh, Matthew</au><au>Lakdawala, Muffazal</au><au>Corvala, Juan Antonio Lopez</au><au>Miller, Karl</au><au>Musella, Mario</au><au>Nimeri, Abdelrahman</au><au>Noel, Patrick</au><au>Palermo, Mariano</au><au>Poggi, Luis</au><au>Poghosyan, Tigran</au><au>Prager, Gerhard</au><au>Prasad, Arun</au><au>Alqahtani, Aayad</au><au>Rheinwalt, Karl</au><au>Ribeiro, Rui</au><au>Shabbir, Asim</au><au>Torres, Antonio</au><au>Villalonga, Ramon</au><au>Wang, Cunchuan</au><au>Mahawar, Kamal</au><au>Zundel, Natan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Best practice approach for redo-surgeries after sleeve gastrectomy, an expert's modified Delphi consensus</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>37</volume><issue>3</issue><spage>1617</spage><epage>1628</epage><pages>1617-1628</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Sleeve gastrectomy (SG) is the most common metabolic and bariatric surgical (MBS) procedure worldwide. Despite the desired effect of SG on weight loss and remission of obesity-associated medical problems, there are some concerns regarding the need to do revisional/conversional surgeries after SG. This study aims to make an algorithmic clinical approach based on an expert-modified Delphi consensus regarding redo-surgeries after SG, to give bariatric and metabolic surgeons a guideline that might help for the best clinical decision.
Methods
Forty-six recognized bariatric and metabolic surgeons from 25 different countries participated in this Delphi consensus study in two rounds to develop a consensus on redo-surgeries after SG. An agreement/disagreement ≥ 70.0% on statements was considered to indicate a consensus.
Results
Consensus was reached for 62 of 72 statements and experts did not achieve consensus on 10 statements after two rounds of online voting. Most of the experts believed that multi-disciplinary team evaluation should be done in all redo-procedures after SG and there should be at least 12 months of medical and supportive management before performing redo-surgeries after SG for insufficient weight loss, weight regain, and gastroesophageal reflux disease (GERD). Also, experts agreed that in case of symptomatic GERD in the presence of adequate weight loss, medical treatment for at least 1 to 2 years is an acceptable option and agreed that Roux-en Y gastric bypass is an appropriate option in this situation. There was disagreement consensus on efficacy of omentopexy in rotation and efficacy of fundoplication in the presence of a dilated fundus and GERD.
Conclusion
Redo-surgeries after SG is still an important issue among bariatric and metabolic surgeons. The proper time and procedure selection for redo-surgery need careful considerations. Although multi-disciplinary team evaluation plays a key role to evaluate best options in these situations, an algorithmic clinical approach based on the expert's consensus as a guideline can help for the best clinical decision-making.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36693918</pmid><doi>10.1007/s00464-023-09879-x</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-3240-5849</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2023-03, Vol.37 (3), p.1617-1628 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2769589455 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Consensus Statement Delphi method Delphi Technique Gastrectomy - methods Gastric Bypass - methods Gastroenterology Gastroesophageal reflux Gastroesophageal Reflux - etiology Gastroesophageal Reflux - surgery Gastrointestinal surgery Gynecology Hepatology Humans Medicine Medicine & Public Health Metabolism Obesity, Morbid - surgery Proctology Reoperation - methods Retrospective Studies Surgeons Surgery Treatment Outcome Weight Loss |
| title | Best practice approach for redo-surgeries after sleeve gastrectomy, an expert's modified Delphi consensus |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T14%3A03%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Best%20practice%20approach%20for%20redo-surgeries%20after%20sleeve%20gastrectomy,%20an%20expert's%20modified%20Delphi%20consensus&rft.jtitle=Surgical%20endoscopy&rft.au=Kermansaravi,%20Mohammad&rft.date=2023-03-01&rft.volume=37&rft.issue=3&rft.spage=1617&rft.epage=1628&rft.pages=1617-1628&rft.issn=0930-2794&rft.eissn=1432-2218&rft_id=info:doi/10.1007/s00464-023-09879-x&rft_dat=%3Cproquest_cross%3E2769589455%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2787049042&rft_id=info:pmid/36693918&rfr_iscdi=true |