Revisional bariatric surgery for conversion to gastric bypass after primary vertical gastroplasty and gastroesophageal reflux disease - A retrospective cohort study from a general surgery service
DOI:
https://doi.org/10.33448/rsd-v15i1.50537Keywords:
Obesity, Gastric sleeve, Gastric bypass, Gastroesophageal reflux disease, Revisional surgery.Abstract
Obesity is a chronic multifactorial disease associated with increased morbidity and mortality, as well as metabolic and gastrointestinal comorbidities, including gastroesophageal reflux disease (GERD). Bariatric surgery is the most effective treatment for severe obesity, with sleeve gastrectomy and Roux-en-Y gastric bypass being the most commonly performed procedures. However, long-term limitations of sleeve gastrectomy, such as weight regain and worsening GERD, have increased the demand for revisional surgery. This retrospective study analyzed patients who underwent sleeve gastrectomy between 2015 and 2022 in Rio de Janeiro, focusing on the need for conversion to gastric bypass. The cohort showed a predominance of female patients, a mean age of 37 years, and a mean initial BMI of 44.2 kg/m². Approximately 9.7% required revisional surgery, mainly due to refractory GERD and weight regain. Conversion to gastric bypass resulted in significant improvement in reflux symptoms and sustained weight loss. Gastric bypass proved to be a safe and effective revisional option.
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Copyright (c) 2026 Luigi Demetrio Romero Bravo, Guilherme Lemos Cotta Pereira, Kimberlli de Seixas Nunes, Gabrielle Vaz de Azevedo David, René Fernando Catillo Guamán, Fabián Mateo Ávila Orellana
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