Long-term outcomes of gastric band removal without additional bariatric surgery

Rohner, A; Widmer, Jeannette; Klasen, Jennifer M; Scheiwiller, Anita; Müller, Dominik; Müller, Markus K.

doi:10.1016/j.soard.2016.09.010

Cited by 9 publications

(6 citation statements)

References 12 publications

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“…Aarts et al [ 14 ] reported a complete regain of weight at 5 years after LAGB removal in all 21 patients of their series. Rohner et al [ 15 ] reported similar bariatric results in 21 patients at 5 years. Moreover, they found that removal of the banding system alone leads to the deterioration of physical and psychiatric comorbidities, as well as low quality of life scores.…”

Section: Introductionmentioning

confidence: 76%

Revisional One Anastomosis Gastric Bypass with a 150-cm Biliopancreatic Limb After Failure of Adjustable Gastric Banding: Mid-Term Outcomes and Comparison Between One- and Two-Stage Approaches

Petrucciani¹,

Martini

Benois

et al. 2021

OBES SURG

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Purpose Laparoscopic adjustable gastric banding (LAGB) was a common procedure worldwide but associated with a high rate of long-term failure. This study aims to evaluate the safety and effectiveness of conversion to one anastomosis gastric bypass (OAGB) after failed LAGB. Materials and Methods We undertook a retrospective analysis of a prospectively maintained database in a tertiary referral center for bariatric surgery. All cases of revisional OAGB with a biliopancreatic limb (BPL) of 150 cm after failed LAGB performed between 2010 and 2016 were analyzed. Results Overall, 215 patients underwent conversion from LAGB to OAGB. Indication for surgery was primary weight loss (WL) failure in 30.7% of cases and long-term complications in the remaining patients, with or without associated weight regain. At the time of OAGB, the mean age was 43.2 ± 10.5 years and the mean BMI was 42 ± 6.9. Overall postoperative morbidity was 13.5%. The postoperative abscess ± leak rate was 5.9% in the overall population. Two years after OAGB, 9.7% of patients were lost to follow-up, % excess weight loss (EWL) was 88.2 ± 23.9, and % total weight loss (TWL) was 38.7 ± 9.3. At 5 years, 16.6% of patients were lost to follow-up, %EWL was 82.4 ± 25, and %TWL was 36.1 ± 10. There was no statistical difference in complication rates or WL results between the one-stage and two-stage approaches. Conclusion OAGB with a 150-cm BPL represents a safe and effective option after failed LAGB. Both synchronous OAGB and two-step revisional OAGB guarantee satisfying results in terms of postoperative morbidity and WL outcomes. Graphical abstract (PLEASE CORRECT THE GRAPHICAL ABSTRACT !!! 215 PATIENTS INSTEAD OF 250

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Section: Introductionmentioning

confidence: 76%

Revisional One Anastomosis Gastric Bypass with a 150-cm Biliopancreatic Limb After Failure of Adjustable Gastric Banding: Mid-Term Outcomes and Comparison Between One- and Two-Stage Approaches

Petrucciani¹,

Martini

Benois

et al. 2021

OBES SURG

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“…Removal of the band without any further bariatric surgery often results in resurgence of weight gain, deterioration of physical and psychological comorbidities, and low quality of life scores [ 16 ]. However, the immediate reinsertion of a new band after removal of the previous is associated with a high recurrence rate of erosions; whereas delayed replacement (> 3 months) as part of a two-stage procedure has been shown to yield more favorable clinical outcomes [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

A 13-year journey of a gastric band – ultimate destination terminal jejunum: a case report

2018

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BackgroundLaparoscopic adjustable gastric banding has been the gold standard for surgical management of obesity over the last decades in USA and Europe. However, significant complications have been documented due to foreign body placement, including band erosions. Our treatment approach for erosions is rather observant with regular follow-up until the band has sufficiently perforated the gastric wall which facilitates endoscopic removal. Consequences of a not followed-up band erosion may present even after a long time following initial diagnosis with more severe complications.Case presentationA 51-year-old Caucasian woman presented to our out-patients’ clinic with a 2-week history of worsening abdominal pain in her left upper quadrant, exacerbated by abdominal flexion and extension maneuvers.Here we describe a case involving gastric penetration and subsequent downward migration of a band into distal jejunum causing small bowel obstruction, which occurred more than 10 years following initial diagnosis of erosion. The perforation was missed due to cessation of endoscopic follow-up.ConclusionProspective and long-term follow-up is mandatory in those with partial band erosion to avoid further complications.

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“…In cases of weight regain or insufficient weight loss after failure of GB, the removal of GB alone without a further procedure is associated with physical deterioration and psychiatric comorbidities as well as low quality-of-life scores [2,3] . For this reason, a further procedure is proposed, and in cases of SG, two surgical strategies are described: removal of GB then SG as a two-step approach, or GB removal and SG during the same procedure (one-step approach).…”

Section: Introductionmentioning

confidence: 99%

Sleeve gastrectomy as a rescue of failed gastric banding: comparison of 1- and 2-step approaches

Demouron

Rebibo

Jazi

et al. 2020

Surgery for Obesity and Related Diseases

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Long-term outcomes of gastric band removal without additional bariatric surgery

Cited by 9 publications

References 12 publications

Revisional One Anastomosis Gastric Bypass with a 150-cm Biliopancreatic Limb After Failure of Adjustable Gastric Banding: Mid-Term Outcomes and Comparison Between One- and Two-Stage Approaches

Revisional One Anastomosis Gastric Bypass with a 150-cm Biliopancreatic Limb After Failure of Adjustable Gastric Banding: Mid-Term Outcomes and Comparison Between One- and Two-Stage Approaches

A 13-year journey of a gastric band – ultimate destination terminal jejunum: a case report

Sleeve gastrectomy as a rescue of failed gastric banding: comparison of 1- and 2-step approaches

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