2020
DOI: 10.1007/s11695-020-04975-6
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Safety of Single Stage Revision Laparoscopic Sleeve Gastrectomy Compared to Laparoscopic Roux-Y Gastric Bypass after Failed Gastric Banding

Abstract: Background Reoperation, after failed gastric banding, is a controversial topic. A common approach is band removal with conversion to laparoscopic Roux-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) in a single-step procedure. Objective This study aimed to assess the safety of revisional surgery to LSG compared to LRYGB after failed laparoscopic adjustable gastric banding (LAGB) based on MBSAQIP Participant User File from 2015 to 2018. Methods Patients who underwent a one-stage conversion… Show more

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Cited by 15 publications
(5 citation statements)
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References 24 publications
(33 reference statements)
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“…Several clinical studies analyzed 30-day mortality after R-SG and R-RYGB. Here, both procedures showed similar results in this regard [53,54].…”
Section: Discussionsupporting
confidence: 78%
“…Several clinical studies analyzed 30-day mortality after R-SG and R-RYGB. Here, both procedures showed similar results in this regard [53,54].…”
Section: Discussionsupporting
confidence: 78%
“…Recent evidence supports that single-step and two steps approaches are both safe [16,17]. In both approaches, conversion to LSG might determine fewer short-term post-op complications than RYGB [4,17]. In 2014, we evaluated the short-term follow-up of a cohort that underwent revisional LSG after failed LAGB in a "2-step" approach; the results demonstrated a good weight loss at 24 months, associated with low major complications rate.…”
Section: Discussionmentioning
confidence: 99%
“…Recent evidence supports that single-step and two steps approaches are both safe [ 16 , 17 ]. In both approaches, conversion to LSG might determine fewer short-term post-op complications than RYGB [ 4 , 17 ].…”
Section: Discussionmentioning
confidence: 99%
“…and vomiting in up to 60.0% of patients increasingly necessitated revision of the AGB to RYGB or to LSG [18][19][20][21]. Revisional LSG (rLSG) has been found safe in both oneand two-step operative approaches to AGB conversion, with very low 30-day adverse event rates and good medium-term excess weight loss (EWL) between 59.9 and 78.5% [22][23][24][25][26][27].…”
Section: Introductionmentioning
confidence: 99%