Laparoscopic sleeve gastrectomy as a revisional option after gastric band failure

Goitein, David; Feigin, Anya; Segal-Lieberman, Gabriella; Goitein, Orly; Papa, Moshe Z.; Zippel, Dov

doi:10.1007/s00464-011-1615-3

Cited by 68 publications

(8 citation statements)

References 30 publications

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“…Leak rates in patients undergoing revisional bariatric procedures are higher than those reported for primary cases [27,28]. Three of the 6 patients had had previous surgical intervention in the upper stomach region making this a logical risk factor for development of GBF.…”

Section: Discussionmentioning

confidence: 42%

Gastrobronchial Fistula as a Complication of Bariatric Surgery: A Series of 6 Cases

et al. 2012

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Objective: To present a multicenter series of 6 patients who developed gastrobronchial fistula (GBF). GBF is a rare subtype of gastric leaks following bariatric surgery, which is the mainstay of treatment for the obesity pandemic. Methods: We retrospectively identified 6 patients with GBF (out of 2,308 cases performed: 0.2%). One patient had undergone Roux-en-Y gastric bypass, and 5 had a sleeve gastrectomy. Demographics, previous surgeries, clinical presentation, timing of fistula diagnosis, diagnostic and treatment measures employed, and outcome were collected. Results: Four patients were female, the average age and BMI were 42 years and 42.5 kg/m², respectively. Three patients had previous surgeries (Nissen fundoplication, adjustable gastric banding, and vertical banded gastroplasty). Median time to fistula diagnosis was 40 days (range 15–90 days). Clinical presentation included chronic cough, hemoptysis, dyspnea and fever as well as persistent left pleural effusion or pneumonia. Diagnosis was confirmed by computed tomography in all cases. Two patients were treated nonoperatively, while 4 eventually required surgery for resolution. Left lower lobectomy was necessary in 3 of 4 cases. Concomitant procedures were total gastrectomy in 2 cases and conversion of a sleeve to a gastric bypass in 1 case. Resolution occurred 30 days to 2 years after initial surgery. No mortalities were encountered. Conclusions: GBF is a rare but devastating complication following bariatric surgery. It may develop as a late complication of a chronic upper gastric leak. Surgery is curative although nonoperative management may be warranted in selected cases.

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Section: Discussionmentioning

confidence: 42%

Gastrobronchial Fistula as a Complication of Bariatric Surgery: A Series of 6 Cases

et al. 2012

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“…On the other hand, Iannelli [21] reported some increased risk for post-secondary LSG complications and was followed in by others [20,[22][23][24][25][26][27][28]. Gagniere et al [24] reported a series of 102 patients undergoing primary or secondary LSG, with significantly higher risk for complications in the secondary LSG group.…”

Section: Discussionmentioning

confidence: 96%

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

et al. 2015

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“…Short-and mid-term outcomes appear promising, with some even approaching those seen with LRYGBP. Increasingly, the sleeve also is used as a revisional procedure for patients who have failed weight loss after LAGB or vertical band gastroplasty (VBG) [30,31].…”

Section: Discussionmentioning

confidence: 99%

Management options for symptomatic stenosis after laparoscopic vertical sleeve gastrectomy in the morbidly obese

et al. 2011

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Laparoscopic sleeve gastrectomy as a revisional option after gastric band failure

Abstract: Our results suggest that LSG is safe, feasible, and effective as a revisional procedure for failed LAGB and can be considered as an appealing option in these cases. Larger series and longer follow-up are needed to confirm this.

Cited by 68 publications

References 30 publications

Gastrobronchial Fistula as a Complication of Bariatric Surgery: A Series of 6 Cases

Gastrobronchial Fistula as a Complication of Bariatric Surgery: A Series of 6 Cases

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

Management options for symptomatic stenosis after laparoscopic vertical sleeve gastrectomy in the morbidly obese

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