Abstract
Some patients may experience inadequate weight loss or weight regain due to gastric pouch dilation after one anastomosis gastric bypass (OAGB). Dilated gastric pouch resizing (GPR) associated with correction of eating behavior was suggested as an option in the management of these patients. Retrospective analysis of 17 consecutives patients who underwent a GPR between 2007 and 2017 was undertaken. At revision, the mean body mass index (BMI) and percentage of total weight loss (%TWL) were 41.5 ± 11 kg/m2 and 15 ± 10, respectively. Overall morbidity rate was 6.7% (n = 1). Two years after revision, the mean BMI and %TWL were 34.1 ± 5 kg/m2 and 31 ± 13, respectively. GPR appeared to be a satisfactory option resulting in mid-term secondary weight loss in well selected patients at the expense of non-negligible morbidity rate.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11695-019-03972-8/MediaObjects/11695_2019_3972_Fig1_HTML.jpg)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11695-019-03972-8/MediaObjects/11695_2019_3972_Fig2_HTML.jpg)
References
Chevallier JM, Arman GA, Guenzi M, et al. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015;25:951–8.
Borbely Y, Winkler C, Kroll D, et al. Pouch resha** for significant weight regain after Roux-en-Y gastric bypass. Obes Surg. 2017;27:439–44.
Al-Bader I, Khoursheed M, Al Sharaf K, et al. Revisional laparoscopic gastric pouch resizing for inadequate weight loss after Roux-en-Y gastric bypass. Obes Surg. 2015;25:1103–8.
Iannelli A, Schneck A-S, Hebuterne X, et al. Gastric pouch resizing for Roux-en-Y gastric bypass failure in patients with a dilated pouch. Surg Obes Relat Dis. 2013;9:260–7.
Parikh M, Heacock L, Gagner M. Laparoscopic “gastrojejunal sleeve reduction” as a revision procedure for weight loss failure after Roux-en-Y gastric bypass. Obes Surg. 2011;21:650–4.
Hamdi A, Julien C, Brown P, et al. Midterm outcomes of revisional surgery for gastric pouch and gastrojejunal anastomotic enlargement in patients with weight regain after gastric bypass for morbid obesity. Obes Surg. 2014;24:1386–90.
Maleckas A, Gudaityte R, Petereit R, et al. Weight regain after gastric bypass: etiology and treatment options. Gland Surg. 2016;5:617–24.
Schmidt HJ, Lee EW, Amianda EA, et al. Large series examining laparoscopic adjustable gastric banding as a salvage solution for failed gastric bypass. Surg Obes Relat Dis. 2018;14:1869–75.
Brunaldi VO, Jirapinyo P, de Moura DTH, et al. Endoscopic treatment of weight regain following Roux-en-Y gastric bypass: a systematic review and meta-analysis. Obes Surg. 2018;28:266–76.
Uittenbogaart M, Leclercq WK, Luijten AA, et al. Laparoscopic adjustable gastric banding after failed Roux-En-Y gastric bypass. Obes Surg. 2017;27:381–6.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval Statement
For this type of study, formal consent is not required.
Informed Consent Statement
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Faul, A., Chevallier, JM. & Poghosyan, T. Dilated Gastric Pouch Resizing for Weight Loss Failure After One Anastomosis Gastric Bypass. OBES SURG 29, 3406–3409 (2019). https://doi.org/10.1007/s11695-019-03972-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-019-03972-8