Systematic literature review of reoperations after gastric banding: is a stepwise approach justified?

Schouten, Ruben; Japink, Dennis; Meesters, Berry; Nelemans, Patty J.; Greve, Jan

doi:10.1016/j.soard.2010.10.010

Cited by 34 publications

(8 citation statements)

References 46 publications

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“…We here show that after revision for technical reasons, weight loss significantly increases. The success in terms of weight loss we report confirms the decision-making algorithm Schouten et al described previously [12, 23]. This suggests revision of failed LAGB is indicated in case of technical problems, in contrast to poor weight loss or noncompliance that stress conversion.…”

Section: Discussionsupporting

confidence: 88%

Revision of Laparoscopic Adjustable Gastric Banding: Success or Failure?

et al. 2011

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BackgroundLaparoscopic adjustable gastric banding (LAGB) is a safe and frequently performed bariatric procedure. Unfortunately, re-operations are often necessary. Reports on the success of revisional procedures are scarce and show variable results, either supporting or declining the idea of revising LAGB. This study describes a large cohort of re-operations after failed LAGB to determine the success of revision.MethodsBy use of a prospective cohort, all LAGB revisions performed between 1996 and 2008 were identified. From 301 primary LAGB procedures in our centre, 43 patients (14.3%) required a band revision. In addition, 51 patients were referred from other centres. Our analysis included in total 94 patients with a mean follow-up period of 38 months after revision.ResultsRevision was mainly necessary due to anterior slippage (46%) and symmetrical pouch dilatation (36%), which could be resolved by replacing (70%) or refixating the band (27%). Weight loss significantly increased after revision (excess BMI loss (EBMIL), 37.2 ± 36.3% versus 47.5 ± 30.4%, P < 0.05). After revision, 23 patients (24%) needed a second re-operation. Patients converted to other procedures (16%) during the second re-operation showed larger weight loss than the revised group (EBMIL, 64.3 ± 28.1% versus 44.3 ± 28.7%, P < 0.05).ConclusionsWe report on a large cohort of LAGB revisions with 38 months of follow-up. Revision of failed LAGB by either refixation or replacement of the band is successful and further increases weight loss.

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Section: Discussionsupporting

confidence: 88%

Revision of Laparoscopic Adjustable Gastric Banding: Success or Failure?

et al. 2011

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“…Although some authors suggest that simple revision can be effective in patients who had satisfactory weight loss after LAGB before they developed a complication [12,23,38], others support systematic conversion to another procedure, especially in patients with primary inadequate weight loss [12,24,25]. Simple revision further exposes the patient to all potential long-term complications of LAGB, with their inherent risks of further need for redo surgery.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Roux-en-Y gastric bypass for failed gastric banding: outcomes in 642 patients

Fournier

Gerö

Dayer-Jankechova

et al. 2016

Surgery for Obesity and Related Diseases

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“…Comparison between Lapband® and SAGB®. **p <0.001; *p <0.01 from GB to Roux-en-Y gastric bypass is a difficult procedure with risks of complications reported to be between 10 and over 30 % [14][15][16][17][18][19][20][21]. While several authors report acceptable early or midterm results with GB, both in terms of weight loss and morbidity, many of the available studies present methodological flaws that make interpretation difficult.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Gastric Banding Outcomes Do Not Depend on Device or Technique. Long-Term Results of a Prospective Randomized Study Comparing the Lapband® and the SAGB®

et al. 2013

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Although in the absence of complication, gastric banding leads to acceptable weight loss; the long-term complication and major reoperation rates are very high independently from the type of band used or on the operative technique. Gastric banding leads to relatively poor overall long-term results and therefore should not be considered the procedure of choice for the treatment of morbid obesity. Patients should be informed of the limited overall weight loss and the very high complication rates.

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Systematic literature review of reoperations after gastric banding: is a stepwise approach justified?

Cited by 34 publications

References 46 publications

Revision of Laparoscopic Adjustable Gastric Banding: Success or Failure?

Revision of Laparoscopic Adjustable Gastric Banding: Success or Failure?

Laparoscopic Roux-en-Y gastric bypass for failed gastric banding: outcomes in 642 patients

Laparoscopic Gastric Banding Outcomes Do Not Depend on Device or Technique. Long-Term Results of a Prospective Randomized Study Comparing the Lapband® and the SAGB®

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