Review Article

The Economic Impact of Weight Regain

Table 1

The literature search for rates of revision by bariatric procedure.

Author, locationSurgeryWeight recidivism rate (%)Timeframe to weight recidivism (months)Revision surgeryRevision rate (%)Revision rate (weight recidivism) (%)Timeframe to revision (months)Complication rate (%)2nd revision surgeryTimeframe to 2nd revision (months)2nd revision rate (%)

Abu-Gazala and Keidar [9], IsraelLAGB22.2LSG, LRYGB, LBPD-DS, and LBPDTotal: 6.6, LSG: 2.64, LRYGB: 2.64, and LBPD-DS: 1.3236
Acholonu et al. [26], United StatesLAGBLSG2.734.7 (16–60)
Ardestani et al. [5], United StatesLAGB24.424LAGB revision (reband or reposition)/LAGB Removal15.3/2.684.2 of LAGB revisionsRevision in 21.5 (0–49), conversion in 27.6 (11–48)Revision 4.3, conversion 10.5LAGB revision/reLAGB-RYGBLAGB revision: 22.6, reLAGB-RYGB: 5.3
Bardsley and Hopkins [27], AustraliaLAGBAll procedures132.63–36
Biertho et al. [10], United StatesLAGB17.4ReLAGB (with BPD), LAGB removal (with LRYGB)Total: 4.7, reLAGB: 2, LAGB removal: 0.2, reLAGB-BPD: 0.5, LAGB removal-LRYGB: 1.9 ReLAGB: 8.1, LAGB removal-LRYGB: 6.3, ReLAGB-BPD: 25.3
Brolin and Asad 2009 [28], United StatesAll proceduresAll procedures9.86.633
Brolin and Cody 2007 [53], United StatesLRYGBDistal LRYGB18.5
Christou et al. [6], CanadaLRYGB18/3560/120
Deylgat et al. [29], BelgiumLAGB/LSGLRYGBLAGB: 38.9, LSG: 8.3
Hedberg et al. [54], SwedenLAGBRYGB8
Hii et al. [31], AustraliaAll procedures/LAGBAll procedures/RYGBAll procedures: 18.4, RYGB: 0.7Equivalent rate to primary surgery
Jennings et al. [32], UKLAGBLRYGB14.6
Langer et al. [14], AustriaLSGLRYGB6.833 (15–70)
Magro et al. [8], BrazilLAGB18.824
Mognol et al. [33], FranceLAGBLRYGB9.442 (7–74)14.3
M ller et al. [34], SwitzerlandLAGBLRYGB, LAGBLRYGB: 40, reLAGB: 60 of revised LAGBReLAGB, LAGB removal-LRYGB, and distal LRYGBReLAGB: 45 (25 for weight), LAGB removal-LRYGB: 2.2, and distal LRYGB: 20 (13 for weight)
Nguyen et al. [35], United StatesLAGBReLAGB, LAGB removalReLAGB: 0.76, LAGB removal: 0.8718.8
Patel et al. [36], United StatesAll procedures (except LAGB)All procedures2.5
Poyck et al. [37], NetherlandsLAGBBPD-DS (LRYGB)17
Roller and Provost [38], United StatesLAGBLRYGB59.5 of LAGB revisions2nd revision: 29.6, multiple revisions: 41.7
Shimizu et al. [7], United StatesRYGB10–20
Snyder et al. [11], United StatesLAGB/LRYGB34/5.2
Spivak et al. [39], United StatesLAGBLRYGB1.728.2 (11–46)
Suter et al. [40], SwitzerlandLAGBAll procedures30.1
te Riele et al. [41], NetherlandsLAGBLRYGB14.111.466.2 (12.7–120)Equivalent rate to primary (29.6 versus 30.9)revision due to complications, none for weight gain20
Tucker et al. [13], United StatesLAGB39Total: 16.5, LAGB removal: 9.1, LAGB removal-LSG: 3.6, and LAGB removal-LRYGB: 2.37.8 (4 days–47 months)15.22nd revision/3rd revision/4th and 5th13.2 (3 days–44.7 months)/21.2 (12–28.5)20/7.5/2.5
Van Dessel et al. [47], BelgiumLSG/LAGBLRYGB100/50 of revisions54
van Rutte et al. [42], NetherlandsLSGLRYGB5.518 (10–21)
Van Wageningen et al. [43], NetherlandsLAGBLRYGB7.662 Equivalent rate to primary
Worni et al. [44], United StatesLAGBLRYGB0.63.7
Yazbek et al. [45], CanadaLAGBLSG57.7 of LAGB revisions5.5
Yimcharoen et al. [12], United StatesRYGB10–2060–120
Zagzag et al. [46], United StatesLAGBAll procedures1.76