Laparoscopic adjustable gastric band removal and outcome of subsequent revisional bariatric procedures: A retrospective review of 214 consecutive patients

International Journal of Surgery
Boris KirshteinSolly Mizrahi

Abstract

Laparoscopic adjustable gastric band (LAGB) removal is required in cases of slippage, erosion, infection, intolerance, or failure in weight loss. The aim of the study was to follow up the patients who underwent band removal and analyze the outcome of subsequent revisional bariatric procedures. A retrospective review of consecutive patients who underwent LAGB removal during 3.5 years. All patients underwent a phone interview in early 2015. Patients were divided to three groups following band removal: without additional surgery, laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en Y gastric bypass (LRYGB), and Redo LAGB(Re-LAGB). Outcome of different revisional procedures was compared according to causes and symptoms before band removal, patient satisfaction, weight loss, quality of life (QOL) questionnaire, and the bariatric analysis and reporting outcome system II (BAROSII) score. Overall 214 patients (73.8% females) with mean age of 41.9 years were enrolled in the study. The mean time between LAGB placement and removal was 81.0 months. Mean % estimated weight loss (%EWL) was 29.6 at time of band removal. There was no difference between groups in patient age, gender, BMI before LAGB, and most co-morbidities. Patients w...Continue Reading

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Citations

Jan 22, 2017·Obesity Surgery·Hanaa N Dakour AridiBassem Y Safadi
Aug 2, 2017·Evidence-based Medicine·Christopher de Gara, Vanessa Falk
May 11, 2019·Annals of Surgical Treatment and Research·Jong Seob Park, Sang-Moon Han
Oct 18, 2018·Journal of Medical Case Reports·Jeannette D WidmerMarkus K Muller
Apr 23, 2020·Obesity Surgery·Savio G BarretoLilian Kow

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