Assess what revisional surgery is superior and provides the best weight loss after primary LSG. What is the occurrence of complications and the nutritional laboratory status? And if the resolution and /or improvement of associated medical problems after the weight loss will occur.
Undergone primary laparoscopic sleeve gastrectomy in the past
Weight regain
defined as any increase in weight above the nadir as reported by the patient
BMI at the time of revisional surgery was around 45 kg/m2
Didn't follow preoperative consultation
Cannot give of sign informed consent
Parallel
revision surgery
Procedure/Surgeryrevision procedure after failed sleeve gastrectomy
The number of participants who will have early complications related to surgery
the incidence of re-operation, bleeding or leakages
The percentage Excess body weight loss (%EWL)
the amount of weight loss after revision surgery
somscore of food tolerance
validated food tolerance questions: Food tolerance (FT) was evaluated using a one-page questionnaire divided into 4 sections, 3 of which were used to calculate the score: overall patient satisfaction with eating (score: 1-5); tolerability to certain food types (score: 0-16); and frequency of vomiting/regurgitation (score: 0-6), with a total score between 1 and 27; higher scores indicate better food tolerance
Nutritional levels of albuminemia
the albuminemia level will be tested after surgery (g/dl)
Nutritional levels of proteinemia
the proteinemia level will be tested after surgery (mg/dl)
Nutritional levels of anemia
the anemia level will be tested after surgery (Mcl)
Nutritional levels of calcemic
the calcemic level will be tested after surgery (mg/dl)
The number of participants who will have late complications related to surgery
the incidence of re-operations or complications will be collected
The number of participants whereby revision surgery necessary after the RCT
the incidence of re-operations or other procedure will be collected
The percentage Excess body weight loss (%EWL)
the amount of weight loss after revision surgery
Incidence of Reflux
GERD classification
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