Evaluation of 1-year follow-up data of reoperative sleeve gastrectomy and one-anastomosis gastric bypass after laparoscopic gastric plication.

Abstract

Introduction: Laparoscopic gastric plication (LGP) technique requires a high rate of reoperative bariatric surgery (RBS) because of failure to lose weight, regaining weight, inadequate remission of comorbidities and complications. RBSs have higher perioperative complication and mortality rates when compared to primary bariatric procedures. The present study aimed to compare post-operative complications and body mass index (BMI) changes in one-anastomosis gastric bypass (OAGB) and sleeve gastrectomy (SG) operations following LGP.

Patients and methods: The study had a retrospective, single-centre and cohort design. Group OAGB ( n = 12) and Group SG ( n = 16) were compared for post-operative 1 st -month complications, operation times, discharge times, time from primary surgery to RBS and post-operative 1, 3, 6 and 12 th -month BMI changes. Post-operative complications were evaluated using the Comprehensive Complication Index (CCI).

Results: The mean operation times in OAGB and SG were 77.50 ± 9.77 and 53.75 ± 8.08 min, discharge times were 3.83 ± 0.72 and 2.38 ± 0.62 days and the time from primary surgery to RBS was found to be 26.17 ± 7.96 and 36.44 ± 14.69 months, respectively. These differences were statistically significant. No statistically significant differences were detected between the CCI values at the end of the 1 st post-operative month and the BMI changes at the 1 st , 3 rd , 6 th and 12 th months of post-operative surgery in both groups.

Conclusions: OAGB had similar outcomes for post-operative 1 st -month CCI values and post-operative 1 st -month, 3 rd -month, 6 th -month and 12 th -month BMI changes when compared with SG. According to our findings, OAGB can be considered a clinically effective and safe surgical procedure for RBS after LGP compared to SG.