Laparoscopic Adjustable Gastric Band Explantation and Implantation at Academic Centers

Koh, Christina Y.; Inaba, Colette S.; Sujatha-Bhaskar, Sarath; Hohmann, Samuel F.; Ponce, Jaime; Nguyen, Ninh T.

doi:10.1016/j.jamcollsurg.2017.06.015

Cited by 30 publications

(14 citation statements)

References 13 publications

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“…In particular, we found explantation of an eroded gastric band to be associated with longer postoperative hospital stay (6.5±12.0 days), a high serious morbidity rate (Clavien 3a, 3b in 10.3%), and a high percentage of intensive care unit admissions (Clavien 4 in 5.1%). Other studies have similarly shown that AGB revision or explantation procedures are associated with higher rates of morbidity than primary AGB implantation 192021. In the present study, the incidence of severe morbidities associated with AGB explantation was higher than in other similar studies, which we believe was because half of the serious complications encountered in the present study occurred during the initial period (2010–2011), when our experience with eroded AGB explantation was not sufficient 17…”

Section: Discussioncontrasting

confidence: 58%

Explantation of Adjustable Gastric Bands: An Observation Study of 10 Years of Experience at a Tertiary Center

Cho

Kim

2019

Yonsei Med J

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Purpose Although laparoscopic adjustable gastric bands are considered a standard treatment for severe obesity, their use remains controversial. We evaluated rates of band explantation and the incidences of complications leading to and following band explantation. Materials and Methods This retrospective review was performed on patients that underwent adjustable gastric band explantation. For each of the three groups of patients that underwent explantation, we compared demographic and anthropometric data, band duration in situ, operative approach, and morbidities. Results Between January 2009 and October 2018, a total of 267 patients underwent primary laparoscopic adjustable gastric band surgery. Of these 267 patients, 99 (37.1%) underwent band explantation. Numbers (%) of patients in the slippage (SL), band erosion (BE), and intolerance (IT) groups were 13 (13.1%), 39 (39.4), and 47 (47.5%), respectively. Mean %EBMIL values at explantation in these groups were 74.6±45.5, 79.7±40.3, and 36.1±46.0, respectively ( p <0.001), and mean times for maintaining bands in situ were 45.1±28.0, 39.4±24.3, and 51.2±22.7 months, respectively. Isolated band removal was performed for slippage (SLi, n=12), band erosion (BEi, n=39), and intolerance (ITi, n=31). The numbers (%) of patients in the SLi, BEi, and ITi groups that experienced a surgical complication (Clavien-Dindo class ≥1) were 0 (0.0%), 24 (61.5%), and 3 (9.7%), respectively ( p <0.001). In the BEi group, four patients (4/39, 10.3%) underwent reoperation after AGB removal. Conclusion During our 10 years of experience, 37.1% of adjustable gastric band had to be removed. Intra-abdominal abscess and intragastric bleeding were rare but serious complications after explantation. Potential candidates for adjustable gastric band should be informed of the high long-term risk of band explantation and its associated morbidities.

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Section: Discussioncontrasting

confidence: 58%

Explantation of Adjustable Gastric Bands: An Observation Study of 10 Years of Experience at a Tertiary Center

Cho

Kim

2019

Yonsei Med J

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“…This suggests a transition from LRYGB toward LSG over the study period, a trend that has been demonstrated in a number of other recent studies. (19–21)…”

Section: Discussionmentioning

confidence: 99%

One-Year Mortality after Contemporary Laparoscopic Bariatric Surgery: An Analysis of the Bariatric Outcomes Longitudinal Database

Inaba

Koh

Sujatha-Bhaskar

et al. 2018

Journal of the American College of Surgeons

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“…A relevant fact is that the most common procedure related to the adjustable gastric band is not its implantation, but its explantation. The removal of an adjustable gastric band and its conversion to a sleeve gastrectomy or a Roux en Y gastric bypass, either as a two-stage or a single-stage operation, has become a frequent revisional bariatric operation at academic centers, particularly as of 2013 [12]. Compared to the more powerful effects of the sleeve gastrectomy or the Roux en Y gastric bypass, it is logical to see the reason for not choosing this procedure nowadays, since it lacks the metabolic component that the other two operations mentioned above offer, and it has a potential to produce a 30% excess weight loss at 1 year, which is lower than the excess weight loss produced by the sleeve gastrectomy or the Roux en Y gastric bypass.…”

Section: Adjustable Gastric Bandmentioning

confidence: 99%

Metabolic and Bariatric Surgery: Evolution, Techniques, and Management

Barrera¹

2018

Gastrointestinal Surgery - New Technical Proposals

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Metabolic and bariatric surgery involves more than altering the stomach and small bowel anatomy to provoke structural changes in the gastrointestinal tract from a mechanical point of view to treat morbid obesity. Its profound impact on the body's metabolism goes beyond anatomy and enters the realm of physiology. This is one of the most challenging and influential surgical subspecialties today due to its proven beneficial impact on the worldwide obesity epidemic and its millions of patients. A brief but comprehensive overview of the history of this fascinating yet challenging discipline and its advancement into the minimally invasive arena will be presented. Moreover, the body of this chapter will provide evidence-based data dealing with its indications, approaches, minimally invasive techniques including robotic surgery, the most common operations and the most recently introduced procedures, and management of complications. The impact of the laparoscopic revolution at the end of the twentieth century and the relevance of the robotic revolution from this century will be emphasized. An important point that will be made is the very specialized discipline of revisional bariatric surgery and its crucial role on the treatment of complications and failures that require extensive training and experience.

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Laparoscopic Adjustable Gastric Band Explantation and Implantation at Academic Centers

Cited by 30 publications

References 13 publications

Explantation of Adjustable Gastric Bands: An Observation Study of 10 Years of Experience at a Tertiary Center

Explantation of Adjustable Gastric Bands: An Observation Study of 10 Years of Experience at a Tertiary Center

One-Year Mortality after Contemporary Laparoscopic Bariatric Surgery: An Analysis of the Bariatric Outcomes Longitudinal Database

Metabolic and Bariatric Surgery: Evolution, Techniques, and Management

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