title: [Laparoscopic reoperative sleeve gastrectomy].
abstract: BACKGROUND
  Laparoscopic sleeve gastrectomy (LSG) was developed after the laparoscopic duodenal switch (LDS) procedure and is increasingly indicated in the treatment of morbid obesity. The main indication for LSG is LDS in patients with superobesity.
  
  
  METHODS
  We describe the need to perform laparoscopic reoperative sleeve gastrectomy (LRSG) during LDS due to dilatation of the gastric remnant in two patients in our series. One of the patients had regained weight and the other showed insufficient final weight loss.
  
  
  RESULTS
  In both patients, LRSG was technically simple and without postoperative complications. Both patients began to lose weight again.
  
  
  CONCLUSIONS
  Gastric tube dilation is one of the causes of insufficient weight loss in LDS. To correct this dilatation, LRSG is sufficient, with excellent outcomes and low morbidity.
authors.affiliation: Servicio de Cirugía General, Hospital Virgen de los Lirios, Alcoy, Alicante, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Serra
authors.forename: Aniceto
authors.initials: A
authors.lastname: Baltasar
authors.forename: Nieves
authors.initials: N
authors.lastname: Pérez
authors.forename: Rafael
authors.initials: R
authors.lastname: Bou
authors.forename: Marcelo
authors.initials: M
authors.lastname: Bengochea
mesh_terms: D000328:Adult; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D012086:Reoperation