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

Dietch, Zachary C.; Schirmer, Bruce D.; Hallowell, Peter T.

doi:10.1007/s00464-017-5591-0

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…Thus, some series that evaluated SG as a rescue of failing GB have been published. Most of these series described logically an increased rate in complications in cases of secondary SG [6,14] . In their analysis of the American College of Surgeons National Surgical Quality Improvement Program database, Dietch et al [6] showed that conversion of GB to SG compared to primary SG was associated with increased odds of serious 30-day morbidity (odd ratio of 1.44).…”

Section: Discussionmentioning

confidence: 99%

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Sleeve gastrectomy as a rescue of failed gastric banding: comparison of 1- and 2-step approaches

Demouron

Rebibo

Jazi

et al. 2020

Surgery for Obesity and Related Diseases

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Section: Discussionmentioning

confidence: 99%

“…Mean preoperative BMI at the time of GB implementation was 46.7 kg/m 2 (35.0 -64.0). After GB implementation, the maximum weight loss achieved was at a mean time interval of 5 months (3)(4)(5)(6)(7)(8)(9)(10)(11)(12), representing a mean minimum BMI of 31.7 kg/m 2 (21 -46.3) and a mean EWL of 54.1% (0 -127).…”

Section: Population Studymentioning

confidence: 99%

Sleeve gastrectomy as a rescue of failed gastric banding: comparison of 1- and 2-step approaches

Demouron

Rebibo

Jazi

et al. 2020

Surgery for Obesity and Related Diseases

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“…However, the evidence in the literature regarding the effectiveness of OS-SG and TS-SG after failed AGB is inconsistent (15,(22)(23)(24). Due to the lack of evidence and the heterogeneous number of patients included in some clinical trials, there are still no clear guidelines for conversion from AGB to SG at One-Step or Two-Step (25,26).…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Short-Term Outcomes of One-Step and Two-Step Sleeve Gastrectomy as Revision Procedures for Failed Adjustable Gastric Banding Compared With Those After Primary Sleeve Gastrectomy

et al. 2021

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Background: The practice of bariatric surgery was studied using the German Bariatric Surgery Registry (GBSR). The focus of the study was to evaluate whether revision surgery One-Step (OS) or Two-Step (TS) sleeve gastrectomy (SG) has a large benefit in terms of perioperative risk in patients after failed Adjustable Gastric Banding (AGB).Methods: The data collection includes patients who underwent One-Step SG (OS-SG) or Two-Step SG (TS-SG) as revision surgery after AGB and primary SG (P-SG) between 2005 and 2019. Outcome criteria were perioperative complications, comorbidities, 30-day mortality, and operating time.Results: The study analyzed data from 27,346 patients after P-SG, 320 after OS-SG, and 168 after TS-SG. Regarding the intraoperative complication, there was a significant difference in favor of P-SG and TS-SG compared to OS-SG (p < 0.001). The incidence of pulmonary complications was significantly higher in the OS-SG (p < 0.001). There was also a significant difference in occurrence of staple line stenosis in favor of TS-SG (p = 0.005) and the occurrence of sepsis (p = 0.008). The mean operating time was statistically longer in the TS-SG group than in the OS-SG group (p < 0.001). The 30-day mortality was not significantly different between the three groups (p = 0.727).Conclusion: In general, our study shows that converting a gastric band to a SG is safe and feasible. However, lower complications were obtained with TS-SG compared to OS-SG. Despite acceptable complication and mortality rates of both procedures, we cannot recommend any surgical method as a standard procedure. Proper patient selection is crucial to avoid possible adverse effects.

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“…Since SG and RYGB are adequate procedures in Germany, switching from AGB to SG or RYGB is an exciting option for revision operations [31,32,33]. However, there are still no clear guidelines for conversion from AGB to RYGB and SG [34,35,36] and statements in the literature vary regarding the effectiveness of both surgical procedures [37,38,39]. Chansaenroj et al [40] analyzed data from 275 patients after revision surgery of a failed AGB.…”

Section: Discussionmentioning

confidence: 99%

Safety and short-term outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass following removal of adjustable gastric banding

Thaher¹,

Driouch²,

Hukau³

2021

World J. Adv. Res. Rev.

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Background: The practice of bariatric surgery was studied using the German Bariatric Surgery Registry (GBSR). The focus of the study was to evaluate whether revision sleeve gastrectomy (R-SG) or Roux-en-Y Gastric Bypass (R-RYGB) has a major benefit in terms of perioperative risk in patients after failed Adjustable Gastric Banding (AGB). Methods: The data collection includes patients who underwent SG or RYGB as revision surgery after failed AGB between 2005 and 2019. Outcome criteria were perioperative complications, comorbidities, 30-day mortality, and operative time. Results: The study analyzed data from 1395 patients after revision SG and RYGB. 907 patients after R-RYGB, and 488 after R-SG. Intraoperative and overall postoperative complication rates were not significantly different between the two groups (p=0.321 and 0.621). The specific postoperative complication rate was significantly lower in R-SG than in R-RYGB (p=0.049). The mean operative time differed significantly between the two groups in favor of R-SG (160.3 min vs. 128.3 min; p<0.001). There was no significant difference in 30-day mortality between the two groups (p=0.952). Conclusion: The study shows that R-SG and R-RYGB are safe and feasible as revision procedures and have acceptable complication and mortality rates. However, in our study, we cannot make a recommendation in favor of any of the surgical methods. Proper patient selection is essential to avoid possible adverse effects. Concerning the long-term results, further studies with higher methodological quality are necessary.

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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

Cited by 8 publications

References 16 publications

Sleeve gastrectomy as a rescue of failed gastric banding: comparison of 1- and 2-step approaches

Sleeve gastrectomy as a rescue of failed gastric banding: comparison of 1- and 2-step approaches

Feasibility and Short-Term Outcomes of One-Step and Two-Step Sleeve Gastrectomy as Revision Procedures for Failed Adjustable Gastric Banding Compared With Those After Primary Sleeve Gastrectomy

Safety and short-term outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass following removal of adjustable gastric banding

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