surgical options for weight regain after sleeve gastrectomy...surgical options for weight regain...
Post on 14-Mar-2020
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Surgical Options for Weight Regain after Sleeve Gastrectomy
Chan W. Park, MD, FACS
Co-Director Duke Bariatric & MIS Fellowship
Assistant Professor of Surgery
Debate: RYGB may NOT be the best option…
Disclosures
• Covidien/Medtronic – Consultant
• Gore – Consultant, Educational Grant
• Teleflex – Consultant
• TransEnterix – Consultant
Sleeve Gastrectomy
• 1st part of the BPD-DS
Weight Regain
• Significant for all bariatric procedures
• Mechanism for weight regain after Sleeve:
– Sleeve dilation
– Poor patient compliance/diet
• No “dumping”
• Less dietary restrictions
Sleeve Volume
Re-sleeve
ReSG
LSG to LRYGB
Algorithm for Management of Weight Regain after Sleeve
Summary
• Sleeve Gastrectomy is one of the most commonly performed bariatric procedures in US
• There is some weight regain with all bariatric procedures
• For weight regain after sleeve, surgical options include re-sleeve, gastric bypass, and duodenal switch
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