Feasibility of Laparoscopic Sleeve Gastrectomy as a Revision Procedure for Prior Laparoscopic Gastric Banding

Bernante, Paolo; Foletto, Mirto; Busetto, Luca; Pomerri, Fabio; Pesenti, Francesco Francini; Pelizzo, Maria Rosa; Nitti, Donato

doi:10.1381/096089206778663797

Cited by 100 publications

(54 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bernante has described a small cohort of eight patients who underwent a laparoscopic sleeve gastrectomy I, in three for esophageal dilatation and in five for unsuccessful weight loss. Although the operation only took an average of 90 minutes, without conversions and complications, the follow-up was too short to conclude on the final results [28]. It is believed that, for patients in the range of 40 kg/m 2 , a drop of 10 BMI points might be expected, as this has been seen in revised DS patients [13].…”

Section: Discussionmentioning

confidence: 99%

Gastric banding: Conversion to sleeve, bypass, or DS

Gautier

Gumbs

2007

Surg Endosc

View full text Add to dashboard Cite

A review of conversions of gastric banding for obesity to Roux-en-Y gastric bypass, gastric sleeve, or duodenal switch attempts to determine which revisional procedure best enhances weight loss. Indications for these conversions are multiple and include hardware problems, motility problems, and miscellaneous like inadequate weight loss. Analysis of band conversions to band of 193 patients, and bands to gastric bypass in 214 patients reveals better weight loss with the latter strategy. Smaller cohorts of patients who underwent a biliopancreatic diversion or simply a sleeve gastrectomy are too small to conclude on their efficacy. Prospective randomized trials are needed to determine which revisional procedure is best in the setting of inadequate weight loss of excessive weight regain after gastric adjustable banding for severe obesity.

show abstract

Section: Discussionmentioning

confidence: 99%

Gastric banding: Conversion to sleeve, bypass, or DS

Gautier

Gumbs

2007

Surg Endosc

View full text Add to dashboard Cite

show abstract

“…However, BPD, AGB, and other operations also have been used in this setting [231][232][233]. Likewise, most authors advocate RGB for revision of AGB because of complications or insufficient weight loss [217][218][219], although other operations have been applied [234,235]. Finally, in cases of failed BPD ?…”

Section: Anatomic Failurementioning

confidence: 99%

Clinical application of laparoscopic bariatric surgery: an evidence-based review

Farrell

Haggerty²,

Overby

et al. 2009

Surg Endosc

View full text Add to dashboard Cite

show abstract

“…Several technical options are offered as an alternative to failed VBG: Revision VBG, conversion to Roux-en-Y gastric bypass, to gastric banding and recently to SG. 8,14,[19][20][21][22][23] Studies have shown that SG is safe and effective in achieving adequate weight loss in most patients. 24,25 We performed Roux-en-Y gastric bypass in one and SG in two patients with failed VBG.…”

Section: Discussionmentioning

confidence: 99%

Revision Surgery in Bariatric Surgery: Initial Experience

Alptekın¹,

Yılmaz²,

Kafali³

et al. 2012

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

A AB BS ST TR RA AC CT T OOb bj je ec ct ti iv ve e: : Revision surgery in bariatric surgery is becoming an important issue. It has been associated with higher complication rates, and there is no consensus on the standardized surgical approach to revision surgery. The aim of this study was to review the revision procedures performed in our institute. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A retrospective review of a prospectively maintained database was performed. One hundred thirty three operations were performed for morbid obesity. Primary procedures were laparoscopic adjustable gastric banding (LAGB) in 61 patients, vertical band gastroplasty (VBG) in 24 patients, Roux-en-Y gastric bypass in 21 patients, sleeve gastrectomy in 10 patients and biliopancreatic diversion with duodenal switch in six patients. Eleven patients were reoperated due to mechanical complications or inadequate weight loss. Data including age, gender, preoperative weight, body mass index (BMI) and postoperative complications were reviewed for all patients undergoing a revision procedure. R Re es su ul lt ts s: In patients with previous VBG, failure of weight loss (3/4) and outlet stenosis (1/4) were the indications. In patients with previous LAGB, mechanical side effects were the indications of surgery. The gastrocolic fistula was the indication of surgery in patient who had been revised from VBG to sleeve gastrectomy. At the mean follow-up of 13 months, the mean BMI and percentage of excess BMI were 32.3 kg/m 2 and 37.4%, respectively. There was one stapler-line leakage. C Co on nc cl lu us si io on n: : Our study suggests that revision bariatric surgery can be performed with satisfactory short-term weight loss. The knowledge of the potential complications associated with revision surgery and their management is crucial for patients' safety. K Ke ey y W Wo or rd ds s: : Obesity; bariatric surgery; reoperation; body mass index Ö ÖZ ZE ET T A Am ma aç ç: : Bariatrik cerrahide revizyonel cerrahi önemli bir konu haline gelmektedir. Yüksek komplikasyon oranları ile ilişkili bulunmuştur ve revizyonel cerrahide standart cerrahi yaklaşımla ilgili fikir birliği yoktur. Bu çalışmanın amacı bizim merkezimizde yapılan revizyonel cerrahilerin göz-den geçirilmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : İleri dönük olarak sürdürülen veri tabanı geriye dönük olarak gözden geçirildi. Morbid obezite nedeniyle 133 ameliyat yapıldı. Birincil ameliyat 61 hastada laparoskopik ayarlanabilir gastrik bantlama (LAGB), 24 hastada vertikal bantlı gastroplasti (VBG), 21 hastada Roux-en-Y gastrik baypas, 10 hastada sleeve gastrektomi ve altı hastada duodenal switch ile biliopankreatik diversiyondu. Onbir hasta mekanik komplikasyonlar veya yetersiz kilo kaybı nedeniyle tekrar ameliyat edildi. Yaş, cinsiyet, ameliyat öncesi ağırlık, beden kitle indeksi (BKİ) (bariatrik ve revizyonel cerrahiden önce) ve postoperatif komplikasyonları içeren veriler revizyon işlemi yapılan tüm hastalarda gözden geçirildi. B Bu ul lg gu ul la ar r: : D...

show abstract

Feasibility of Laparoscopic Sleeve Gastrectomy as a Revision Procedure for Prior Laparoscopic Gastric Banding

Abstract: LSG proved to be feasible and safe after LAGB. Longer follow-up and larger series are needed to assess weight loss results.

Cited by 100 publications

References 17 publications

Gastric banding: Conversion to sleeve, bypass, or DS

Gastric banding: Conversion to sleeve, bypass, or DS

Clinical application of laparoscopic bariatric surgery: an evidence-based review

Revision Surgery in Bariatric Surgery: Initial Experience

Contact Info

Product

Resources

About