Single-stage revision from gastric band to gastric bypass or sleeve gastrectomy: 6- and 12-month outcomes

Surgical Endoscopy
Louise YeungMiguel A Burch

Abstract

Laparoscopic adjustable gastric banding (LAGB) is increasingly requiring revisional surgery for complications and failures. Removal of the band and conversion to either laparoscopic Roux-en-y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) is feasible as a single-stage procedure. The objective of this study is to compare the safety and efficacy of single-stage revision from LAGB to either LRYGB or LSG at 6 and 12 months postoperatively. Retrospective analysis was performed on patients undergoing single-stage revision between 2009 and 2014 at a single academic medical center. Patients were reassessed for weight loss and complications at 6 and 12 months postoperatively. Thirty-two patients underwent single-stage revision to LRYGB, and 72 to LSG. Preoperative BMIs were similar between the two groups (p = 0.27). Median length of stay for LRYGB was 3 days versus 2 for LSG (p = 0.14). Four patients in the LRYGB group required reoperation within 30 days, and two patients in the LSG group required reoperation within 30 days (p = 0.15). There was no difference in ER visits (p = 0.24) or readmission rates (p = 0.80) within 30 days of operation. Six delayed complications were seen in the LSG group with three requiring inte...Continue Reading

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Citations

Mar 16, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Yong Choi
Jan 22, 2017·Obesity Surgery·Hanaa N Dakour AridiBassem Y Safadi
Apr 13, 2021·American Journal of Surgery·Torbjorg HoltestaulJames Sebesta
Jul 12, 2017·American Journal of Surgery·Jad KhorakiGuilherme M Campos

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