Revision procedures in bariatric surgery

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Abstract

Searching the optimal options for reoperations in overweight patients has the same lengthy and difficult history as all bariatric surgery. The key issues of this aspect of obesity surgery are inefficiency (inadequate weight reduction or it regain) and the unavoidable complications of conservative methods and the negative effects of primary surgery. Weight regain after bariatric surgery is a multicomponent problem. The main reason for the unsatisfactory results of surgical (and conservative) treatment of obesity in some patients is the nature of obesity – the lifelong chronic recurrent disease. A certain role in the return of excess weight is played by the imperfection of the currently existing surgical procedures for the correction of overweight, as well as the wrong choice of options for surgical interventions and technical errors in their implementation. Increase the number of worldwide operations for obesity and its associated diseases translates the problem of revision bariatric surgery from the category of narrow questions in this field of medicine into a serious problem. The article describes modern approaches to the surgical treatment of re-gaining weight after bariatric operations. It considered options for audit procedures, depending on the previously performed surgery. Original techniques of repeated operations for effective correction of the relapse of overweight are described in article.

About the authors

Yuriy I. Yashkov

Center for Endosurgery and Lithotripsy

Author for correspondence.
Email: yu@yashkov.ru

MD, PhD, Dr Med Sci, Senior Researcher, Head, Service “Obesity Surgery”

Russian Federation, Moscow

Yuriy I. Sedletskiy

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: sedletsky_spb@mail.ru

MD, PhD, Dr Med Sci, Professor, Department of the Faculty Surgery with Courses of Cardiovascular and Laparoscopic Surgery

Russian Federation, Saint Petersburg

Dmitriy I. Vasilevskiy

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: vasilevsky1969@gmail.com

MD, PhD, Dr Med Sci, Assistant Professor, Department of the Faculty Surgery with Courses of Cardiovascular and Laparoscopic Surgery

Russian Federation, Saint Petersburg

Boris Yurievich Tsvetkov

Samara Regional Clinical Hospital named after V.D. Seredavin

Email: echo_2000@mail.ru

MD, PhD, Head, Department of the Surgery

Russian Federation, Samara

Alexander M. Krichmar

Samara Regional Clinical Hospital named after V.D. Seredavin

Email: krichmar_a@mail.ru

MD, PhD, Surgeon, Department of the Surgery

Russian Federation, Samara

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2. Fig. 1. Reducing the length of the alimentary and common limbs after biliopancreatic diversion by Y. Yashkov

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3. Fig. 2. Increasing the length of the common limb after biliopancreatic diversion

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4. Fig. 3. Inclusion the duodenum in food transport after biliopancreatic diversion by Y. Yashkov

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Copyright (c) 2019 Yashkov Y.I., Sedletskiy Y.I., Vasilevskiy D.I., Tsvetkov B.Y., Krichmar A.M.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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