Medium and Long-Term Weight Loss After Revisional Bariatric Surgery: A Systematic Review and Meta-Analysis

被引：0
|
作者：
Bastos, Eduardo L. S. [1 ]
Salgado Jr, Wilson [2 ]
Dantas, Anna C. B. [3 ]
Onzi, Tiago R. [4 ]
Silva, Lyz B. [5 ]
Albano, Alvaro [6 ]
Tristao, Luca S. [7 ]
dos Santos, Clara L. [7 ]
Silvinato, Antonio [8 ]
Bernardo, Wanderley M. [9 ]
机构：
[1] Marilia Sch Med, Dept Gastrointestinal Surg, Marilia, SP, Brazil
[2] Univ Sao Paulo, Med Sch Ribeirao Preto, Dept Surg & Anat, Sao Paulo, Brazil
[3] Univ Sao Paulo, Bariatr & Metab Surg Unit, Sao Paulo, Brazil
[4] Univ Fed Santa Catarina, Dept Surg, Florianopolis, SC, Brazil
[5] Univ Coll London Hosp NHS Fdn Trust, London, England
[6] Santa Casa Misericordia Itabuna, Bariatr & Metab Serv, Itabuna, BA, Brazil
[7] Lusiada Univ Ctr, Dept Evidence Based Med, Santos, Brazil
[8] Brazilian Med Assoc, Guideline Grp, Sao Paulo, SP, Brazil
[9] Univ Sao Paulo, Sao Paulo, Brazil
来源：
OBESITY SURGERY | 2024年 / 34卷 / 05期
关键词：
Bariatric surgery; Reoperation; Long-term care; Systematic review; Y GASTRIC BYPASS; SLEEVE GASTRECTOMY; METABOLIC SURGERY; DUODENAL SWITCH; FOLLOW-UP; CONVERSION; DEFINITION; EFFICACY; OUTCOMES; SAFETY;
D O I：
10.1007/s11695-024-07206-4
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Despite the current increase in revisional bariatric surgery (RBS), data on the sustainability of weight loss remain unclear. A systematic review and meta-analysis were performed to assess weight loss outcomes in adult patients undergoing RBS with follow-up > 2 years. Twenty-eight observational studies (n = 2213 patients) were included. The %TWL was 27.2 (95%CI = 23.7 to 30.6), and there was a drop in BMI of 10.2 kg/m(2) (95%CI = - 11.6 to - 8.7). The %EWL was 54.8 (95%CI = 47.2 to 62.4) but with a high risk of publication bias (Egger's test = 0.003). The overall quality of evidence was very low. Our data reinforce that current evidence on RBS is mainly based on low-quality observational studies, and further higher-quality studies are needed to support evidence-based practice.
引用
收藏
页码：1917 / 1928
页数：12
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