Better Results in Weight Loss after the Second Gastrectomy in Re-Sleeve Gastrectomy
|Jean-Marc Catheline1*, Marinos Fysekidis2, Hélène Bihan2, Arianna Boschetto1, Rami Dbouk1 and Régis Cohen2|
|1Department of Digestive Surgery, Centre Hospitalier de Saint-Denis, F-93205 Saint-Denis, France|
|2Department of Endocrinology, Hôpital Avicenne «Assistance Publique – Hôpitaux de Paris », F-93000 Bobigny, France|
|Corresponding Author :||Jean-Marc Catheline
Department of Digestive Surgery
Centre Hospitalier de Saint-Denis
2, rue du Docteur Delafontaine
F-93205 Saint-Denis Cedex, France
Tel: 33 1 42 35 60 46
Fax: 33 1 42 35 62 32
E-mail: [email protected]
|Received December 06, 2011; Accepted December 12, 2011; Published December 23, 2011|
|Citation: Catheline JM, Fysekidis M, Bihan H, Boschetto A, Dbouk R, et al. (2011) Better Results in Weight Loss after the Second Gastrectomy in Re-Sleeve Gastrectomy. J Obes Weig los Ther 1:107. doi:10.4172/2165-7904.1000107|
|Copyright: © 2011 Catheline JM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Sleeve gastrectomy (SG) has been rapidly accepted as a valuable bariatric procedure before its effectiveness on weight loss in the long-term is clearly demonstrated. Re-sleeve gastrectomy (RSG) has been shown to provide promising results for patients with insufficient weight loss after SG.
Methods: Seven patients underwent a re-sleeve gastrectomy procedure for insufficient weight loss after a mean 30±10 month follow-up associated with a dilated gastric pouch seen in upper gastro-intestinal contrast study.
Results:Before SG, mean initial weight was 151 41 kg, mean Body Mass Index (BMI) was 55.4±12.5 kg/m2, 4 had a BMI more than 60 kg/m2 and 3 had a gastric banding before their SG. At follow-up of 12 months after SG, mean weight was 131 ±31 Kg, mean BMI was 48±9 kg/m2, mean %Excess Weight Loss (EWL) was 30 5%, and mean %Excess BMI Loss (EBL) 23 ±3%. At a follow-up of 12 months after RSG, final mean weight was 92 ±10 Kg, final mean BMI was 34±4 kg/m2, and mean %EBL since the second operation (RSG) was 58±17% (mean %EBL since the first operation (SG) was 6618%), and mean %EWL since the second operation (RSG) was 4217%(mean %EWL since the first operation (SG) was 6618%). The RSG resulted in significant mean %EBL (p<0,001) and in significant mean %EWL (p=0,029), compared to the initial SG results.
Conclusion:In patients with insufficient weight loss after SG, RSG resulted in successful extra weight loss.