Revision of Failed Laparoscopic Adjustable Gastric Banding to Roux-en-Y Gastric Bypass

Wageningen, Bas van; Berends, Frits J.; Ramshorst, Bert van; Janssen, Ignace

doi:10.1381/096089206775565212

Cited by 110 publications

(66 citation statements)

References 29 publications

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“…such as band slippage, tubing leakage or breakage, motility problems caused by the band such as proximal pouch and esophageal dilatation, and dysmotility along with problems seen in other bariatric procedures such as inadequate weight loss and wound infection (Table 1) [11,14,17,[20][21][22]24]. Inadequate weight loss is considered \25% EWL as defined by the Reinhold criteria [1].…”

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confidence: 99%

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Gastric banding: Conversion to sleeve, bypass, or DS

Gautier

Gumbs

2007

Surg Endosc

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A review of conversions of gastric banding for obesity to Roux-en-Y gastric bypass, gastric sleeve, or duodenal switch attempts to determine which revisional procedure best enhances weight loss. Indications for these conversions are multiple and include hardware problems, motility problems, and miscellaneous like inadequate weight loss. Analysis of band conversions to band of 193 patients, and bands to gastric bypass in 214 patients reveals better weight loss with the latter strategy. Smaller cohorts of patients who underwent a biliopancreatic diversion or simply a sleeve gastrectomy are too small to conclude on their efficacy. Prospective randomized trials are needed to determine which revisional procedure is best in the setting of inadequate weight loss of excessive weight regain after gastric adjustable banding for severe obesity.

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confidence: 99%

“…Studies including a total of 214 patients that had undergone RYGB or LRYGB after a failed placement of a band were found in the literature [14,17,21,24]. BMI prior to their revisional procedures was 38-45.8 kg/m 2 and dropped to 26-38 kg/m 2 after a follow-up of 12-18 months.…”

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confidence: 99%

Gastric banding: Conversion to sleeve, bypass, or DS

Gautier

Gumbs

2007

Surg Endosc

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“…The leak rate is reportedly higher after revision of AGB into SG -this procedure involves stapling over scarred tissue, a longer stapler line, and dissection at the left crus, which can jeopardize the blood supply at the gastroesophageal junction [24][25][26][27]. However, several studies have demonstrated SG's feasibility as a revision procedure [28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Conversion Sleeve Gastrectomy after Failed Primary Adjustable Gastric Banding or Sleeve Gastrectomy

Park

Han

2016

J Metab Bariatr Surg

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Purpose: Adjustable gastric banding (AGB) and sleeve gastrectomy (SG) are restrictive bariatric surgeries that are popular in Korea. However, patients often require further conversion surgeries because weight loss failure and surgical complications tend to occur. The aim of this study was to evaluate the feasibility and safety of conversion sleeve gastrectomy (CSG) after failed primary AGB (PAGB) or primary SG (PSG). Materials and Methods: From February 2010 to April 2016, 21 consecutive patients who underwent CSG after failed PAGB or PSG were enrolled in this study. This study was a retrospective analysis of our prospectively collected database. Demographic, intra and post-operative data were collected and analyzed. Results: Twenty-one patients were enrolled in this study. This comprised 20 women and 1 man, with an average BMI of 31.8±7.8 kg/m 2 . Eighteen patients underwent PAGB and 3 underwent PSG. The mean operative time was 243.6±76.8 minutes, and the estimated blood loss was 190.9±233.2 ml. The mean hospital stay was 4.7±1.7 days. The mean follow-up after CSG was 9.3±1.0 months. Two cases developed immediate postoperative complications: one was a stricture (Clavien-Dindo surgical complication grade II) and the other, a pleural effusion (Grade I). Conclusion: CSG is a feasible and safe treatment option after failed PAGB or PSG. Further prospective studies are required to establish the strategy for conversion operations after failed primary restrictive bariatric surgery.

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“…Although some reports had good results after LAGB, most of the reports had less favor weight loss and a high revision rate 39, 62. After the emergence of LSG, LAGB was replaced by LSG rapidly in almost every part of the world 28, 30.…”

Section: New Procedures With Better Outcomesmentioning

confidence: 99%

“…However, our experience in Asian patients disclosed that although LAGB was successful in weight loss and in resolution of comorbidities in morbidly obese patients, the gastrointestinal quality of life index (GIQLI) did not improve and the long‐term revision rate was high 63. Long‐term (>10 years) weight loss after LAGB was reported to be around 15% total weight loss and 40‐45% EWL 31, 40, 41, 62. However, up to 50% of LAGB patients may require revision surgery to another procedure for inadequate weight loss 39, 41, 62, 63…”

Section: New Procedures With Better Outcomesmentioning

confidence: 99%

Recent advancements in bariatric/metabolic surgery

Lee

Almalki

2017

Annals of Gastroent Surgery

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Obesity and type 2 diabetes mellitus (T2DM) are currently two pan‐endemic health problems worldwide and are associated with considerable increase in morbidity and mortality. Both diseases are closely related and very difficult to control by current medical treatment, including diet, drug therapy and behavioral modification. Bariatric surgery has proven successful in treating not just obesity but also in significantly decreasing overall obesity‐associated morbidities as well as improving quality of life in severely obese patients (body mass index [BMI] >35 kg/m2). A rapid increase in bariatric surgery started in the 2000s when the laparoscopic surgical technique was introduced into this field. Many new procedures had been developed and changed the face of modern bariatric surgery. Recently, bariatric surgery played as gastrointestinal metabolic surgery has been proposed as a new treatment modality for obesity‐related T2DM for patients with BMI >35 kg/m2. Strong evidence has demonstrated that bariatric/metabolic surgery is an effective and durable treatment for obese T2DM patients. Bariatric/metabolic surgery is now becoming an important surgical division. The present article examines and discusses recent advancements in bariatric/metabolic surgery and covers four major fields: (i) the rapid increase in numbers and better safety; (ii) new procedures with better outcomes; (iii) from bariatric to metabolic surgery; and (iv) understanding the mechanisms and personalized treatment.

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Revision of Failed Laparoscopic Adjustable Gastric Banding to Roux-en-Y Gastric Bypass

Abstract: Conversion of LAGB to RYGBP is effective to treat complications of LAGB and to further reduce the weight to healthier levels in morbidly obese patients.

Cited by 110 publications

References 29 publications

Gastric banding: Conversion to sleeve, bypass, or DS

Gastric banding: Conversion to sleeve, bypass, or DS

Feasibility and Safety of Conversion Sleeve Gastrectomy after Failed Primary Adjustable Gastric Banding or Sleeve Gastrectomy

Recent advancements in bariatric/metabolic surgery

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