Laparoscopic Roux-en-Y Gastric Bypass After Failed Vertical Banded Gastroplasty: 2-Year Follow-up of 102 Patients

Sarhan, Mohamed D.; Mostafa, Mohamed Saber; Yehia, A.Y.; Anwar, Ismail; Fathy, Ehab

doi:10.1007/s11695-021-05328-7

Cited by 9 publications

(5 citation statements)

References 15 publications

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“…Data from a meta-analysis showed no significant differences in DM and HTN resolution between PRYGB and RRYGB in 7 studies [ 6 ]. Reported resolution rates of associated medical problems in the large series of RRYGB after VBG are close to the rates of this study with reported DM resolution rates ranging from 57.1 to 75.7% and an improvement rate of 28.5%, with similar data for HTN and dyslipidemia [ 19 , 22 ]. The main indications for readmission were vomiting and dehydration.…”

Section: Discussionsupporting

confidence: 84%

“…This study demonstrated that patients with PRYGB had significantly lower BMI than that of patients with RRYGB during the entire follow-up period; since regression adjustments were reported to remove residual confounding bias, this estimated difference in BMI was attributed only to surgical intervention [11]. Multiple large published series of laparoscopic RRYGB after failed VBG reported means of BMI from 28.6 to 28.8, at 9 years, and %TWL of 17.4% after a median of 74.3 months of follow-up, and %EWL ranging from 47 to 64.3% at 2 years after revision [19][20][21][22][23].…”

Section: Outcomes Of the Studymentioning

confidence: 99%

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Comparison of 5-Year Follow-up Outcomes Between Primary and Revision Roux-en-Y Gastric Bypasses After Open Vertical Banded Gastroplasty: an Inverse Propensity Score-Weighted Analysis

et al. 2022

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Introduction Vertical banded gastroplasty (VBG) is associated with high weight regain; Roux-en-Y gastric bypass (RYGB) is used as a revision procedure in patients with VBG experiencing weight regain. This study compared the 5-year follow-up outcomes of primary (PRYGB) and revision RYGB after VBG (RRYGB). Methods Patients who underwent PRYGB or RRYGB after VBG from 2008 to 2016 were enrolled. Data on weight regain, weight loss (WL), food tolerance (FT), early and late complications, and resolution or improvement in associated medical conditions were analyzed. Results PRYGB and RRYGB groups had 558 and 156 patients, respectively, after exclusion of the lost to follow-up patients. PRYGB group showed significantly lower mean body mass index (over the entire follow-up period), early complications, reintervention rates for late complications, and overall reintervention rates than that of the RRYGB group. On the other hand, FT scores, odds of late complications, and improvements (in the fifth year) in associated medical conditions were comparable between the two groups. Conclusion RRYGB in patients with VBG who regained weight showed comparable safety and resolution of associated diseases to that of PRYGB over the 5-year follow-up period. The WL in the RRYGB group was acceptable despite being less than that of the PRYGB group. FT was better after RRYGB than that of PRYGB in the first year; however, both were comparable at the fifth year follow-up. Patients with VBG undergoing RYGB should receive attentive treatment and evaluation of associated factors. Graphical abstract

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Section: Discussionsupporting

confidence: 84%

Section: Outcomes Of the Studymentioning

confidence: 99%

Comparison of 5-Year Follow-up Outcomes Between Primary and Revision Roux-en-Y Gastric Bypasses After Open Vertical Banded Gastroplasty: an Inverse Propensity Score-Weighted Analysis

et al. 2022

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“…Current evidence suggests that the conversion of VBG to SG or BPD/DS should be approached with caution because of high complication rates. 6 There have been several reports of RYGB after VBG, 4,7 and VBG-related complications, such as dysphagia and vomiting, resolve quickly after revision surgery. No weight regain or improvement in obesity-related health problems was reported.…”

Section: Discussionmentioning

confidence: 99%

A case of laparoscopic revision surgery 30 years after vertical banded gastroplasty for morbid obesity

Matsumoto,

Iida,

Kano

et al. 2024

Asian J Endoscop Surgery

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As the number of bariatric and metabolic surgeries being performed is increasing, the importance of revision surgeries is escalating. In this report, we describe a case of revision surgery performed 30 years after vertical banded gastroplasty (VBG), including a review of the surgical techniques. The patient was a male in his 50s who had previously undergone VBG for morbid obesity (body mass index of 72.6 kg/m2), resulting in gradual weight loss. Twenty‐eight years later, reflux symptoms due to stenosis of the mesh area developed. Despite conservative treatment, the symptoms recurred, and aspiration pneumonia developed. Gastrojejunal and Y‐anastomoses were performed laparoscopically. Postoperatively, the patient progressed well with no weight regain. In revision surgery, it is essential to accurately assess the patient's pathophysiology, as the surgical technique must consider improvement in symptoms, risk of weight regain, and the need for observation of the residual stomach.

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“… The RYGB is effective revisional surgery after butterfly gastroplasty. Sarhan et al (2021) [ 22 ] Follow-up study 102 VBG and butterfly gastroplasty RYGB 2 years Bleeding and gastrojejunostomy in 14 patients, late complications in 4 patients (stomal ulcer, port site hernia, and internal hernia Complete resolution of VBG related complications. RYGB is a feasible process, acceptable morbidity rates reduce hospital stay, acceptable weight loss, and improve health problems related to obesity Dardamanis et al (2018) [ 23 ] A Retrospective Comparative Study 97 VBG rLRYGB 7 years _ The morbidity rate was 10.…”

Section: Discussionmentioning

confidence: 99%

Gastric mucocele after conversion of open butterfly gastroplasty to Roux-En-Y gastric bypass – A case report with a review of the literature

Attar,

Najjar,

Gadah

et al. 2024

International Journal of Surgery Case Reports

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Laparoscopic Roux-en-Y Gastric Bypass After Failed Vertical Banded Gastroplasty: 2-Year Follow-up of 102 Patients

Cited by 9 publications

References 15 publications

Comparison of 5-Year Follow-up Outcomes Between Primary and Revision Roux-en-Y Gastric Bypasses After Open Vertical Banded Gastroplasty: an Inverse Propensity Score-Weighted Analysis

Comparison of 5-Year Follow-up Outcomes Between Primary and Revision Roux-en-Y Gastric Bypasses After Open Vertical Banded Gastroplasty: an Inverse Propensity Score-Weighted Analysis

A case of laparoscopic revision surgery 30 years after vertical banded gastroplasty for morbid obesity

Gastric mucocele after conversion of open butterfly gastroplasty to Roux-En-Y gastric bypass – A case report with a review of the literature

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