Background

The increasing prevalence of morbid obesity consequently leads to an increase in bariatric surgery. With promising short-term results, laparoscopic sleeve gastrectomy (SG) has become the most common bariatric surgery worldwide. Revision surgery after inadequate weight loss, weight regain, or dilation of restriction is of enormous importance for the continuation of weight

Methods

In the period from 01/01/2010 to 31/12/2015, 19 patients underwent a re-sleeve gastrectomy. Retrospective data analysis examines the following parameters: age, gender, weight, height, BMI,% EWL, duration of surgery, complications, redo and obesity-associated comorbidities.

Results

The mean weight loss (% EWL) of 56.15% ± 22.92 was reached on average 24 (12-60) months after Re-SG. After 5 years, a mean% EWL of 44.69% ± 32.78 was achieved. A total of 4 of the 19 patients showed significant weight gain.

Conclusions

At a follow-up of 5 years after Re-SG, a high incidence of significant weight gain was observed, suggesting the conversion to a Roux-en-Y gastric bypass as the method of choice.