Simultaneous conversion of gastric band to sleeve gastrectomy is associated with increased postoperative complications: an analysis of the American College of Surgeons National Surgical Quality Improvement Program

Surgical Endoscopy
Zachary C DietchPeter T Hallowell

Abstract

Laparoscopic sleeve gastrectomy (LSG) has gained popularity for the treatment of morbid obesity as gastric banding (BAND) has fallen out of favor. As a result, simultaneous conversion (CONV) of BAND to LSG is commonly performed. We hypothesized that CONV is associated with higher 30-day risk-adjusted serious morbidity. Preoperative characteristics and 30-day outcomes from the American College of Surgeons National Surgical Quality Improvement Program Participant Use Files 2010-2014 were selected for patients who underwent LSG. Patients undergoing CONV were identified. Descriptive comparisons were performed using Chi-square and Wilcoxon rank-sum tests as appropriate. Multivariate logistic regression was performed to assess the association between CONV and a composite measure of 30-day serious morbidity and mortality. Overall, 35,307 patients met criteria for inclusion, of which 943 (2.7%) underwent CONV. The median age of patients undergoing CONV was higher (46 vs 44 years, p < 0.001) and a greater percentage of CONV patients was female (84.8 vs 77.9%, p < 0.001) than LSG patients. CONV patients had lower rates of common comorbidities, including diabetes (14.9 vs 23.1%, p < 0.001), hypertension (41.9 vs 48.6%, p < 0.001), and tob...Continue Reading

References

Mar 27, 2007·Journal of the American College of Surgeons·Chester L DavisBrigitte Booker
Mar 19, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Tammy KindelAlex Nagle
May 23, 2014·Surgical Endoscopy·B Fernando SantosThadeus L Trus
Jan 24, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Ali AminianStacy A Brethauer
Apr 4, 2015·Obesity Surgery·L AngrisaniN Scopinaro
Mar 8, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Cameron S LewisJeffrey M Hamdorf
Feb 25, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Rena C MoonMuhammad A Jawad

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Citations

May 11, 2019·Annals of Surgical Treatment and Research·Jong Seob Park, Sang-Moon Han
May 14, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Marion DemouronSimon Msika

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