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Research Article
Revisional bariatric surgery: An excellent decision to control reflux and weight regaining
1 General and Laparoscopic Surgeon, Macas General Hospital, Macas, Ecuador
2 General Laparoscopic and Bariatric Surgeon, Quito Police Hospital N°1, Quito, Ecuador
3 General and Laparoscopic Surgeon, Quito Police Hospital N°1, Quito, Ecuador
4 Resident Doctor, General Surgery, General Hospital Macas, Macas, Ecuador
Address correspondence to:
Jhony A Delgado
24 of May and Riobamba, Macas, Morona Santiago,
Ecuador
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Article ID: 100047S05JD2020
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How to cite this article
Delgado JA, Torres JP, Paredes VH, Gordillo AC, Racines GJ, Palacios PA. Revisional bariatric surgery: An excellent decision to control reflux and weight regaining. Edorium J Surg 2020;7:100047S05JD2020.ABSTRACT
Aims: Obesity is currently considered a pandemic and the only treatment that has demonstrated long lasting benefits along time is bariatric surgery. Laparoscopic sleeve gastrectomy (LSG) is the most performed surgery in the world. Nevertheless, its complications such as gastroesophageal reflux and weight gain have led to the conclusion that gastric sleeve to gastric bypass conversion surgery could be an effective alternative to treat them.
Methods: In consensus, the General Surgery service Quito Police Hospital N°1 decides to report the results obtained in the conversion surgeries. These results are obtained from the digital medical record system named Hosvital and from surveys answered by the patients.
Results: A retrospective study was carried out over a 2-year period in which six conversion surgery patients were identified, these patients correspond to 18.75% of the bariatric surgeries performed in this hospital. The majority of these patients (4) are female and the rest (2) are male. Furthermore, the average age was 48 years old. In addition, a significant weight loss was determined by 7.1 months monitoring. The average weight before the surgery was 91 kg. In contrast, the average weight after conversion surgery was 71 kg. Body mass index (BMI) decreased seven points approximately and the excess weight loss percentage (EWLP) increased from 25.06% to 66.6%. Besides, reflux symptoms were solved in 100% of the patients.
Conclusion: Laparoscopic gastric bypass, as a conversion surgery, is an effective treatment to resolve complications as reflux and weight regaining.
Keywords: Bypass, Gastric, Laparoscopic sleeve
SUPPORTING INFORMATION
Author Contributions:
Jhony A Delgado - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Juan P Torres - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Víctor H Paredes - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alberto C Gordillo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gabriela J Racines - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Paola A Palacios - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Jhony A Delgado et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
