Laparoscopic Sleeve Gastrectomy After Gastric Banding Removal: A Feasibility Study

Frezza, Eldo E.; Torre, Eduardo J. Jaramillo-de la; Enriquez, Carmen Calleja; Gee, Laura L.; Wachtel, Mitchell S.; Corvalá, Juan Antonio López

doi:10.1177/1553350608328866

Cited by 28 publications

(19 citation statements)

References 28 publications

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“…The conversion of failed LAGB to another restrictive procedure is not presently a universal norm. We tend to agree with Giovanni Dapri and Jacques Himpens that replacing a failed restrictive procedure with another restrictive procedure is very much open to debate [25]. We believe that a failed restrictive procedure can be changed to a malabsorptive procedure; however, we think that there is a group of patients that could be candidates for conversion to LSG, like morbidly obese adolescents, patients on lifelong anticoagulation to avoid bleeding marginal ulcer complications more commonly associated with RYGB, and very-high-risk patients that are poor candidates to withstand serious complications such as bleeding and leaks as seen after RYGBP.…”

Section: Discussionsupporting

confidence: 54%

“…It is also being looked upon as a potential solution for failed LAGB patients. Several reports have been published of using the LSG for failed LAGB with indications including weight regain, intolerable symptoms, band slippage, and esophageal dilation [6,12,22,23,25,26]. The conversion of failed LAGB to another restrictive procedure is not presently a universal norm.…”

Section: Discussionmentioning

confidence: 96%

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Safety and Short-Term Outcomes of Laparoscopic Sleeve Gastrectomy as a Revisional Approach for Failed Laparoscopic Adjustable Gastric Banding in the Treatment of Morbid Obesity

et al. 2009

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Laparoscopic sleeve gastrectomy (LSG) has been used as a first step of a two-stage approach in bariatric surgery for high-risk patients. Recently, LSG is being utilized as a primary and final procedure for morbid obesity with acceptable short-term results. The aim of this study is to investigate the effectiveness of LSG as a revisional procedure for patients with unsatisfactory outcomes after laparoscopic adjustable gastric band (LAGB). A retrospective review of a prospectively maintained database was performed. Data were reviewed for all patients undergoing revision from LAGB to LSG during the period May 2005 and May 2009. Data collected included demographics, indication for revision, operative time, length of stay, postoperative complications, and degree of weight reduction. Fifteen patients (three males and 12 females) had revisional surgery converting a LAGB to a LSG. The indication in four patients (26.66%) was weight regains and in five patients (33.33%) was poor weight loss; four patients (26.66%) had a band slippage and symptoms of gastroesophageal reflux, and one patient (6.66%) had poor weight loss, band slippage, and reflux. In one patient (6.66%), the indication was slippage and duodenal fistula. One-step revision procedure was done in 13 patients (86.66%), while two-step procedure was done in two patients (13.33%). Mean preoperative weight and BMI were 233.02 (181.4-300) lb and 38.66 (29.7-49.3) kg/m2, respectively. Mean weight loss at 2, 6, 12, 18, and 24 months postoperatively was 20.7, 48.3, 57.2, 60.1, and 13.5 lb, respectively. Mean % excess BMI loss was 28.9%, 64.2%, 65.3%, 65.7%, and 22.25% at 2, 6, 12, 18, and 24 months, respectively. There was one major complication (staple line leak) and one postoperative acute gastric outlet obstruction. We had no mortality. Thirteen patients were followed up postoperatively. The number decreased as follow-up time progressed. LSG could provide short-term weight loss after previously failed LABG, but prone to more complications compared to an initial LSG without a prior bariatric procedure.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 96%

Safety and Short-Term Outcomes of Laparoscopic Sleeve Gastrectomy as a Revisional Approach for Failed Laparoscopic Adjustable Gastric Banding in the Treatment of Morbid Obesity

et al. 2009

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“…Mortality after sleeve gastroplasty is small, usually less than 0.5% 13,20,29 . In our study there was a case of death due to postoperative thromboembolism, despite the use of preventive measures and anticoagulant employee.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…The vertical sleeve gastroplasty is a new option for the treatment of obesity and is currently the fastest growing 13 worldwide, as a technique that keeps the gastrointestinal continuity, with less surgical time, good weight loss curve, lack of dumping syndrome (found often in gastric bypass), access to the biliary tree, no excluded stomach segment in the cavity (hindering future diagnosis of tumors), absence of malabsorption (with low levels of nutritional complications), and allowing continued operation Table 1 Table 1 Table 1 Table 1 Table 1 20 there was an average weight loss of 54-58% of the overweight five years after vertical gastroplasty . Dapri et al 21 reported a reduction in mean BMI to 34.4 kg/m2, similar to the results found in our study.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Among the causes of regained weight we can highlight two main technical mistakes while performing the operation: use of catheters with diameter greater than 32 Fr. to calibrate the stomach and no resecting the antral region, initiating the gastroplasty at the great gastric curvature more than six cm from the pylorus 20,25,30,31 . We understand that the approach to obesity should not just be restricted to surgical treatment.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Avaliação da qualidade de vida tardia após gastroplastia vertical

Pimenta

Moura

Filho³

et al. 2013

Rev. Col. Bras. Cir.

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Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty We conducted a historical cohort study including patients with morbid obesity the in the Unified Health System (SUS), registered in the database of the General University Hospital, University of Cuiabá. All patients underwent vertical sleeve gastroplasty and were followed for at least one year after the operation. The study variables were: quality of life, weight loss, improvement of hypertension and diabetes, and mortality. Results Results ResultsResults Results: The sample comprised 41 patients, 13 (31.7%) men and 28 (61.3%) women, mean age was 37 years, the average weight was 136.4 kg and mean BMI 50.3 kg/m 2 ; mean follow-up was 19.1 months (12-32). There was a significant reduction in weight (96.7 kg, p < 0.001) and BMI (35.835 kg/m 2 , p < 0.001). The rate of blood pressure decreased from 56% to 31.7%, and diabetes from 14.6% to 4.8% (p < 0.001). Quality of life improved in 92.5% of patients. ConclusionConclusion Conclusion Conclusion Conclusion: There was an improvement in the quality of life in the majority of patients, achieved by means of weight loss and clinical improvement of diabetes and hypertension.

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Outcomes after laparoscopic conversion of failed adjustable gastric banding to sleeve gastrectomy or Roux-en-Y gastric bypass

Marin-Perez

Betancourt

Lamota

et al. 2014

British Journal of Surgery

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Laparoscopic Sleeve Gastrectomy After Gastric Banding Removal: A Feasibility Study

Abstract: The results suggest LSG might be a reasonable choice for patients who fail LAGB. A formal study comparing LSG with other rescue procedures should be performed.

Cited by 28 publications

References 28 publications

Safety and Short-Term Outcomes of Laparoscopic Sleeve Gastrectomy as a Revisional Approach for Failed Laparoscopic Adjustable Gastric Banding in the Treatment of Morbid Obesity

Safety and Short-Term Outcomes of Laparoscopic Sleeve Gastrectomy as a Revisional Approach for Failed Laparoscopic Adjustable Gastric Banding in the Treatment of Morbid Obesity

Avaliação da qualidade de vida tardia após gastroplastia vertical

Outcomes after laparoscopic conversion of failed adjustable gastric banding to sleeve gastrectomy or Roux-en-Y gastric bypass

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