To show the outcomes of patients aged ≥ 65 years undergoing revisional bariatric surgery (RBS) due to insufficient weight loss (IWL) or weight regain (WR) after restrictive bariatric procedures, specifically defining IWL and WR.
Key Findings:
40 patients included, with 57.5% having undergone LAGB and 40% SG. OAGB was performed in 55% of patients, with SG in 20% and RYGB in 22.5%. Complications were graded using the Clavien-Dindo system, with ≥ 3 complications reported, highlighting the need for careful patient selection.
Interpretation:
The study indicates that RBS can be safely performed in elderly patients with a history of restrictive bariatric procedures, showing promising outcomes in terms of weight loss and resolution of comorbidities.
Limitations:
Small sample size of 40 patients may limit generalizability, and being a single-center study may introduce selection bias, affecting the applicability of results to broader populations.
Conclusion:
RBS in elderly patients demonstrates favorable outcomes, supporting its role in managing IWL and WR after restrictive bariatric procedures, emphasizing the need for further research.
FOXC1 duplications were the second most common monogenic finding among genetically solved juvenile open-angle glaucoma cases in one registry, supporting the use of copy-number variant analysis in early-onset glaucoma testing.
