Long-Term Results of a Prospective Study on Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Nieuwenhove, Yves Van; Ceelen, Wim; Stockman, Annelies; Vanommeslaeghe, Hanne; Snoeck, Eric; Renterghem, Katrien Van; Putte, Dirk Van de; Pattyn, Piet

doi:10.1007/s11695-010-0341-6

Cited by 56 publications

(16 citation statements)

References 21 publications

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“…Revisional bariatric surgery comprises 5%-15% of total cases of bariatric surgery [3,4,5]. The rate of revisional surgery is 20%-60% after LAGB [6,7,8,9,10,11], 9%-17% after RYGB [6,10,12,13], and 9%-11% after SG [14,15]. Although many articles have investigated the results of various bariatric procedures used as the initial surgical intervention for morbid obesity, studies addressing the proper revisional surgery of choice after failed primary surgery remain limited.…”

Section: Discussionmentioning

confidence: 99%

“…Some investigators prefer to perform the operations in two steps for several reasons, including a predictable surgical time, lower risk of postoperative complications, and reduced incidence of delayed anastomotic stricture [8,17,27]. Others have advocated single-staged operation, suggesting that it could be safely performed without increasing the risk of surgical complications [28,29].…”

Section: Discussionmentioning

confidence: 99%

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Causes and outcomes of revisional bariatric surgery: initial experience at a single center

2014

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PurposeBariatric surgery has become more prevalent owing to the worldwide obesity epidemic. With the growing number of bariatric procedures performed annually, the requirement for revisional and secondary operations is increasing accordingly. This study aimed to evaluate the initial experience of revisional bariatric surgery at a single specialized center.MethodsA retrospective review of the prospectively established database identified all patients who underwent revisional bariatric surgery between January 2008 and August 2013. The causes, surgical outcomes, and efficacy of the revisional surgeries were analyzed.ResultsTwenty-two revisional surgeries were performed laparoscopically during the study period (13 laparoscopic adjustable gastric banding, 9 laparoscopic sleeve gastrectomy). The most common indication for revision was weight regain or insufficient weight loss (12/23, 52.2%), and Roux-en-Y gastric bypass (RYGB) was the most commonly performed secondary procedure (17/23, 73.9%, including four resectional RYGB procedures). Gastric pouch leak occurred in one patient following revisional RYGB, which required reoperation on the first postoperative day. The mean body mass index decreased from 35.9 to 28.8 kg/m2 at a mean follow-up period of 10 months after revision. The percent excess weight losses at 1, 3, 6, and 12 months postoperatively were 18.8%, 41.1%, 40.1%, and 47.4%, respectively.ConclusionRevisional bariatric surgery can be successfully performed via a laparoscopic approach with acceptable risk. Deliberate selection for the proper revisional procedure can efficiently manage undesirable results from the primary surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Causes and outcomes of revisional bariatric surgery: initial experience at a single center

2014

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“…Himpens et al 21 also found 61.0% complication and 59.8% reoperation rate after 12-year follow-up. During 11-year follow-up, Van Nieuwenhove et al 22 reported that 50% of patients had complications. A systematic review conducted by Tice et al 23 has indicated that LAGB had higher reoperation rate compared with RYGBP.…”

Section: Commentsmentioning

confidence: 99%

Laparoscopic adjustable gastric banding: efficacy and consequences over a 13-year period

Toolabi

Farid

2016

The American Journal of Surgery

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“…Adverse event rates and reoperation rates were generally poorly reported. One study on more than 700 patients reports a reoperation rate of 23% after LAGB at 7 years of follow up [9]. Overall, the long term weight loss after bariatric surgery is greater than 60% and stabilization is seen 2 years after surgery [10].…”

Section: Literaturementioning

confidence: 99%

Unusual bariatric complication in pregnancy

Wessel¹,

Nieuwenhove²

2016

European Journal of Obstetrics & Gynecology and Reproductiv

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A 21-year old woman, G1P0, was admitted to our University Hospital at 33 weeks and 2 days of gestational age with a 1 week history of nausea and vomiting and doubled transaminases. Two years before she underwent laparoscopic adjusted gastric banding (LAGB). The estimated fetal weight was 1960 grams (corresponding with P25), doppler measurements were all normal. There was an anhydramnion. Because of gestational age, betamethasone 12 mg was administered twice intramuscularly, with an interval of 24 hours. Because of clinical and biochemical deterioration a primary cesarean section was performed based on the suspicion of a HELLP syndrome. Subsequent to the caesarean section, the epigastric pain, nausea and vomiting persisted.An esophagogastroduodenoscopy (EGD) was performed and showed serious band slipping. The patient was planned for urgent laparoscopy. At laparoscopy, a gigantic edematous stomach was seen (size comparable to a 40 weeks gravid uterus), as well as ascites. At exploration, not only a slipping of the gastric band was seen, but also a torsion of the stomach. The postoperative phase was uneventful. One month later, the patient was seen in the outpatient clinic without digestive symptoms.

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Long-Term Results of a Prospective Study on Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Cited by 56 publications

References 21 publications

Causes and outcomes of revisional bariatric surgery: initial experience at a single center

Causes and outcomes of revisional bariatric surgery: initial experience at a single center

Laparoscopic adjustable gastric banding: efficacy and consequences over a 13-year period

Unusual bariatric complication in pregnancy

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