Background

Revisional Robotic Bariatric Surgery is frequently reported in developed countries. The dramatic increase in annual bariatric operations in the United States is accompanied by a rising number of bariatric surgical procedures. Currently, reoperation rates for bariatric surgery range between 5% and 10% after gastric bypass, 27.8% after sleeve gastrectomy, and over 50% in band gastrectomy cases. Recorded reasons for revision include insufficient weight loss (IWL), weight recurrence (WR), and gastroesophageal reflux disease (GERD)

Methods

To follow the case of robotic conversion surgery from Gastric Band to OAGB and observe its evolution and potential future complications.

Results

SJJF, a 37-year-old female with a significant history of Bipolar Disorder type II, experienced a progressive weight increase from age 15, reaching 93 kg with a BMI of 35.9 at age 28. She underwent Gastric Band Bariatric Surgery in 2012, achieving a weight loss of 40 kg and a BMI of 20. However, she gained 30 kg in 10 years with a BMI of 33. Conversion surgery was proposed for GI Obesity + GERD + WR.Reintervention surgery was performed with OAGB on 29.03.2023, showing adequate immediate and mid-term post-surgical evolution. The patient exhibited satisfactory weight evolution, reaching 74 kg and a BMI of 28.5 after 9 months.

Conclusions

The significance of Revisional Robotic Bariatric Surgery lies in the substantial number of patients requiring a second long-term revision due to multiple causes. It is essential to follow up with patients to detect potential future complications and assess the surgery's effectiveness.