Reasons and outcomes of laparoscopic revisional surgery after laparoscopic adjustable gastric banding for morbid obesity

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Sheetal PatelRaul J Rosenthal

Abstract

Laparoscopic adjustable gastric banding (LAGB) is a purely restrictive procedure that has been proved to be an effective tool in achieving weight loss. The low operative morbidity and reversibility are often seen as advantages of this procedure compared with other bariatric approaches. We have attempted to define the reasons for revisional surgery after LAGB and the outcomes. A retrospective review of a prospectively maintained database was performed from February 2001 to October 2008 at a center of excellence after institutional review board approval. The patients who had undergone revisional surgery after primary LAGB were evaluated. Of 343 patients who had undergone primary LAGB, 60 subsequently underwent a revisional procedure. In addition, 28 revisional procedures were performed on patients who had undergone primary LAGB at an outside institution. These procedures included 39 (44.3%) band removals alone, 12 (13.6%) band removals with conversion to sleeve gastrectomy, 13 (14.8%) band removals with conversion to Roux-en-Y gastric bypass, 9 (10.2%) band repositioning, and 2 (2.3%) band replacements. In addition, 13 (14.8%) port-related procedures (3 relocations, 6 reconnections, and 4 replacements/removals) were performed. Al...Continue Reading

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Citations

Oct 18, 2012·Surgical Endoscopy·Nicola Di LorenzoPietro Forestieri
Apr 7, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Bendix R SlegtenhorstRene A Klaassen
Dec 14, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Sandeep RandhawaSunil Bhoyrul
Dec 17, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Wei-Jei LeeYen-How Su
Feb 2, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Xiaojun ShenKai Yin
Jun 17, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Pierre FournierMichel Suter
Jul 31, 2016·The Surgical Clinics of North America·Emanuele Lo MenzoRaul Rosenthal
Nov 17, 2019·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Qing XiaAndrew J Palmer
Nov 22, 2019·Obesity Surgery·Selim G GebranYvonne M Rasko
Jun 5, 2020·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Qing XiaAndrew J Palmer

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