Long-term Follow-up Evaluation of Revisional Gastric Bypass After Failed Adjustable Gastric Banding

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2013 Jun 29

PMID 23807753

Citations 14

Authors

Alexander Perathoner

Matthias Zitt

Monika Lanthaler

Johann Pratschke

Matthias Biebl

Reinhard Mittermair

Affiliations

Soon will be listed here.

Abstract

Background: Disappointing long-term results, frequent band failure, and high rates of band-related complications increasingly necessitate revisional surgery after adjustable gastric banding. Laparoscopic conversion to gastric bypass has been recommended as the procedure of choice. This single-center retrospective study aimed to evaluate the long-term results of revisional gastric bypass after failed adjustable gastric banding.

Methods: The study included 108 consecutive patients who underwent laparoscopic conversion of gastric banding to gastric bypass from 2002 to 2012. Indications for surgery, operative data, weight development, morbidity, and mortality were analyzed. The median follow-up period was 3.4 years (maximum, 10 years).

Results: The most common indications for band removal were band migration, insufficient weight loss, and pouch dilation. The median interval between gastric banding and gastric bypass was 6.6 years. In 52 % of the cases, band removal and gastric bypass surgery were performed simultaneously as a single-stage laparoscopic procedure. The early postoperative morbidity rate was 10.2 %. The body mass index before gastric banding (43.3 kg/m(2)) decreased significantly to 37.9 kg/m(2) before gastric bypass and to 28.8 kg/m(2) 5 years after gastric bypass.

Conclusions: This is the first report on the long-term outcome after conversion of failed adjustable gastric banding to gastric bypass. Findings have shown revisional gastric bypass to be a feasible bariatric procedure particularly for patients with insufficient weight loss that guarantees a constant and long-lasting weight loss.

Citing Articles

Propensity score matching analysis comparing outcomes between primary and revision Roux-en-Y gastric bypass after adjustable gastric banding: a retrospective record-based cohort study.

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Association of Bariatric Surgery With Risk of Fracture in Patients With Severe Obesity.

Khalid S, Omotosho P, Spagnoli A, Torquati A JAMA Netw Open. 2020; 3(6):e207419.

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Revisional Bariatric Surgery in Israel: Findings from the Israeli Bariatric Surgery Registry.

Keren D, Romano-Zelekha O, Rainis T, Sakran N Obes Surg. 2019; 29(11):3514-3522.

PMID: 31240534 DOI: 10.1007/s11695-019-04018-9.

Revisional Gastric Bypass After Failed Adjustable Gastric Banding-One-Stage or Two-Stage Procedure?.

Schafer A, Gehwolf P, Umlauft J, Dziodzio T, Biebl M, Perathoner A Obes Surg. 2018; 29(3):943-948.

PMID: 30484173 DOI: 10.1007/s11695-018-3614-0.

A Retrospective Comparative Study of Primary Versus Revisional Roux-en-Y Gastric Bypass: Long-Term Results.

Dardamanis D, Navez J, Coubeau L, Navez B Obes Surg. 2018; 28(8):2457-2464.

PMID: 29524183 DOI: 10.1007/s11695-018-3186-z.

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