Treatment Options for Weight Regain or Insufficient Weight Loss After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Rutger J. Franken; Nina R. Sluiter; Josephine Franken; Ralph de Vries; Dennis Souverein; Vitor E. A. Gerdes; Maurits de Brauw

doi:https://doi.org/10.1007/s11695-022-06020-0

Treatment Options for Weight Regain or Insufficient Weight Loss After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Rutger J. Franken, Nina R. Sluiter, Josephine Franken, Ralph de Vries, Dennis Souverein, Vitor E. A. Gerdes, Maurits de Brauw

Research output: Contribution to journal › Review article › Academic › peer-review

21 Citations (Scopus)

Abstract

Weight failure after sleeve gastrectomy (SG) is frequently observed. Consensus on the most effective treatment is lacking. The aim of this meta-analysis was to assess revisional strategies for weight regain (WR) or insufficient weight loss (IWL) following SG. The included studies reported on endoscopic gastroplasty (ESG), re-sleeve gastrectomy (re-SG), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), single-anastomosis duodeno-ileal bypass (SADI), and duodenal switch (DS). All techniques resulted in clinically relevant weight loss. Although our data suggest that revisional OAGB was the most effective procedure, the lack of direct comparisons precludes strong conclusions. All procedures were feasible but differed regarding complication rates. Choice of procedure is depending on patient’s characteristics and surgeons’ expertise. Graphical abstract: [Figure not available: see fulltext.]

Original language	English
Pages (from-to)	2035-2046
Number of pages	12
Journal	Obesity Surgery
Volume	32
Issue number	6
Early online date	2022
DOIs	https://doi.org/10.1007/s11695-022-06020-0
Publication status	Published - Jun 2022

Keywords

Duodenal switch
Gastric bypass
Gastroplasty
Insufficient weight loss
Meta-analysis
One-anastomosis gastric bypass
Re-sleeve gastrectomy
Single-duodeno-ileal bypass
Sleeve gastrectomy
Weight regain

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Cite this

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title = "Treatment Options for Weight Regain or Insufficient Weight Loss After Sleeve Gastrectomy: a Systematic Review and Meta-analysis",

abstract = "Weight failure after sleeve gastrectomy (SG) is frequently observed. Consensus on the most effective treatment is lacking. The aim of this meta-analysis was to assess revisional strategies for weight regain (WR) or insufficient weight loss (IWL) following SG. The included studies reported on endoscopic gastroplasty (ESG), re-sleeve gastrectomy (re-SG), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), single-anastomosis duodeno-ileal bypass (SADI), and duodenal switch (DS). All techniques resulted in clinically relevant weight loss. Although our data suggest that revisional OAGB was the most effective procedure, the lack of direct comparisons precludes strong conclusions. All procedures were feasible but differed regarding complication rates. Choice of procedure is depending on patient{\textquoteright}s characteristics and surgeons{\textquoteright} expertise. Graphical abstract: [Figure not available: see fulltext.]",

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AU - de Vries, Ralph

AU - Souverein, Dennis

AU - Gerdes, Vitor E. A.

AU - de Brauw, Maurits

PY - 2022/6

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N2 - Weight failure after sleeve gastrectomy (SG) is frequently observed. Consensus on the most effective treatment is lacking. The aim of this meta-analysis was to assess revisional strategies for weight regain (WR) or insufficient weight loss (IWL) following SG. The included studies reported on endoscopic gastroplasty (ESG), re-sleeve gastrectomy (re-SG), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), single-anastomosis duodeno-ileal bypass (SADI), and duodenal switch (DS). All techniques resulted in clinically relevant weight loss. Although our data suggest that revisional OAGB was the most effective procedure, the lack of direct comparisons precludes strong conclusions. All procedures were feasible but differed regarding complication rates. Choice of procedure is depending on patient’s characteristics and surgeons’ expertise. Graphical abstract: [Figure not available: see fulltext.]

AB - Weight failure after sleeve gastrectomy (SG) is frequently observed. Consensus on the most effective treatment is lacking. The aim of this meta-analysis was to assess revisional strategies for weight regain (WR) or insufficient weight loss (IWL) following SG. The included studies reported on endoscopic gastroplasty (ESG), re-sleeve gastrectomy (re-SG), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), single-anastomosis duodeno-ileal bypass (SADI), and duodenal switch (DS). All techniques resulted in clinically relevant weight loss. Although our data suggest that revisional OAGB was the most effective procedure, the lack of direct comparisons precludes strong conclusions. All procedures were feasible but differed regarding complication rates. Choice of procedure is depending on patient’s characteristics and surgeons’ expertise. Graphical abstract: [Figure not available: see fulltext.]

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KW - Gastric bypass

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KW - Insufficient weight loss

KW - Meta-analysis

KW - One-anastomosis gastric bypass

KW - Re-sleeve gastrectomy

KW - Single-duodeno-ileal bypass

KW - Sleeve gastrectomy

KW - Weight regain

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Treatment Options for Weight Regain or Insufficient Weight Loss After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

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Keywords

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