Is a One-Step Sleeve Gastrectomy Indicated as a Revision Procedure After Gastric Banding? Data Analysis from a Quality Assurance Study of the Surgical Treatment of Obesity in Germany

Abstract

SGs are popular procedures after failed GB in Germany, but the complication rates for one-step band removal are higher than for a two-step approach. After examining the data, we suggest performing band removal and SG as a two-step procedure. Further analysis is necessary to evaluate the optimal time period between band removal and SG. Follow-up investigations must be performed to determine if SG is an effective and safe option after GB.

Laparoscopic Roux-en-Y gastric bypass for failed gastric banding: outcomes in 642 patients

“…Revisional bariatric surgery is technically demanding and is usually associated with higher intraoperative and perioperative risks than primary procedures, notably of gastrointestinal complications [39][40][41]. According to a systematic review by the American Society for Metabolic and Bariatric Surgery Revision Task Force, these procedures should only be done by experienced bariatric surgeons in centers with sufficient resources [39].…”

Analysis of Morbidity Data of 308 Cases of Laparoscopic Sleeve Gastrectomy—the Soroka Experience

“…A larger sample size might make this result significant. Bernante [11] was the first to support secondary LSG as a safe procedure and was followed by others [10,[15][16][17][18][19][20].…”

Risk Factors for Postoperative Morbidity After Totally Robotic Gastric Bypass in 302 Consecutive Patients

“…2). Because the timing of gastric banding removal (one-or twostage approach) in patients who undergo a revisional RYGBP may also impact postoperative morbidity, this criterion needs to be addressed [29][30][31][43][44][45]. In a large comparative series including 63,171 primary RYGBP versus 301 revisional RYGBP after AGB (with gastric banding removal during revisional RYGBP), intraoperative and postoperative complications were higher in revisional RYGBP group patients (5.6 versus 2.4 and 30.2 versus 4.9 %, respectively) [24].…”