{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T03:25:04Z","timestamp":1770348304524,"version":"3.49.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:00:00Z","timestamp":1700524800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:00:00Z","timestamp":1700524800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006752","name":"Universidade do Porto","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006752","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>The frequency of revisional bariatric surgery is increasing, but its effectiveness and safety are not yet fully established. The aim of our study was to compare short-term outcomes of primary (pRYGB and pSG) and revisional bariatric surgeries (rRYGB and rSG).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We performed a retrospective cohort study assessing all patients submitted to primary and revisional (after a failed AGB) RYGB and SG in 2019. Each patient was followed-up at 6\u00a0months and 12\u00a0months after surgery. We compared pRYGB vs. rRYGB, pSG vs. rSG and rRYGB vs. rSG on weight loss, surgical complications, and resolution of comorbidities.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We assessed 494 patients, of which 18.8% had undergone a revisional procedure. Higher weight loss at 6 and 12\u00a0months was observed in patients undergoing primary vs. revisional procedures. Patients submitted to rRYGB lost more weight than those with rSG (%EWL 12\u00a0months\u2009=\u200982.6% vs. 69.0%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Regarding the resolution of obesity-related comorbidities, diabetes resolution was more frequent in pRYGB than rRYGB (54.2% vs. 25.0%; <jats:italic>p<\/jats:italic>\u2009=\u20090.038). Also, 41.7% of the patients who underwent rRYGB had dyslipidemia resolution vs. 0% from the rSG group (<jats:italic>p<\/jats:italic>\u2009=\u20090.035). Dyslipidemia resolution was also more common in pSG vs. rSG (68.6% vs. 0.0%; <jats:italic>p<\/jats:italic>\u2009=\u20090.001). No significant differences in surgical complications were found.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Revisional bariatric surgery is effective and safe treating obesity and related comorbidities after AGB. Primary procedures appear to be associated with better weight loss outcomes. Further prospective studies are needed to better understand the role of revisional bariatric surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00423-023-03174-y","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T07:02:30Z","timestamp":1700550150000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Roux-en-Y gastric bypass and sleeve gastrectomy as revisional bariatric procedures after adjustable gastric banding: a retrospective cohort study"],"prefix":"10.1007","volume":"408","author":[{"given":"Hugo","family":"Santos-Sousa","sequence":"first","affiliation":[]},{"given":"Jorge","family":"Nogueiro","sequence":"additional","affiliation":[]},{"given":"Luis","family":"Lindeza","sequence":"additional","affiliation":[]},{"given":"Maria Neves","family":"Carmona","sequence":"additional","affiliation":[]},{"given":"Filipe","family":"Amorim-Cruz","sequence":"additional","affiliation":[]},{"given":"Fernando","family":"Resende","sequence":"additional","affiliation":[]},{"given":"Andr\u00e9","family":"Costa-Pinho","sequence":"additional","affiliation":[]},{"given":"John","family":"Preto","sequence":"additional","affiliation":[]},{"given":"Bernardo","family":"Sousa-Pinto","sequence":"additional","affiliation":[]},{"given":"Silvestre","family":"Carneiro","sequence":"additional","affiliation":[]},{"given":"Eduardo","family":"Lima-da-Costa","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"key":"3174_CR1","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1038\/s41574-019-0176-8","volume":"15","author":"M Bl\u00fcher","year":"2019","unstructured":"Bl\u00fcher M (2019) Obesity: global epidemiology and pathogenesis. 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