メタボリックシンドロームジャーナル

Re-sleeve Gastrectomy for Failure of Weight Loss After Primary Sleeve Gastrectomy; 3 Cases

Abstract

Ji-Sun Hong and Sang-Moon Han

Laparoscopic sleeve gastrectomy (LSG) is the leading weight loss procedure for treatment of morbid obesity. However, as with all other bariatric procedures, failure of weight loss was observed. We report here 3 cases of resleeve gastrectomy (RSG) for failure of weight loss after primary sleeve gastrectomy (PSG). The first patient, with a body mass index (BMI) of 32.9 kg/m2, underwent PSG in August 2003. She showed an initial drop in BMI to 22.4 kg/m2 in 2007 and regained weight to BMI of 33.1 kg/m2 in 2013, but, after the RSG, her BMI was 21.9 kg/m2 at 12 months. The second patient, with a BMI of 32.6 kg/m2, underwent PSG in May 2004. She showed a drop in BMI of 27.4 kg/m2 in 2005 and regained weight to BMI of 31.4 kg/m2 in 2011, but, after the RSG, her BMI was 24.4 kg/m2 at 24 months. The third patient, with a BMI of 34.0 kg/m2, underwent PSG in July 2013. She had a drop in BMI of 28.0 kg/m2 in January 2014, but her weight did not change until July 2014. Her BMI had dropped to 21.2 at 6 month postoperatively after RSG. Therefore, RSG may be considered as a revision surgery for failure of weight loss after PSG.