Tags

Type your tag names separated by a space and hit enter

Revision of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass.

Abstract

BACKGROUND

The most common bariatric surgical operation in Europe, laparoscopic adjustable gastric banding (LAGB), is reported to have a high incidence of long-term complications. Also, insufficient weight loss is reported. We investigated whether revision to Roux-en-Y gastric bypass (RYGBP) is a safe and effective therapy for failed LAGB and for further weight loss.

METHODS

From Jan 1999 to May 2004, 613 patients underwent LAGB. Of these, 47 underwent later revisional Roux-en-Y gastric bypass (RYGBP). Using a prospectively collected database, we analyzed these revisions. All procedures were done by two surgeons with extensive experience in bariatric surgery.

RESULTS

All patients were treated with laparoscopic (n=26) or open (n=21) RYGBP after failed LAGB. Total follow-up after LAGB was 5.5+/-2.0 years. For the RYGBP, mean operating time was 161+/-53 minutes, estimated blood loss was 219+/-329 ml, and hospital stay was 6.7+/-4.5 days. There has been no mortality. Early complications occurred in 17%. There was only one late complication (2%)--a ventral hernia. The mean BMI prior to any form of bariatric surgery was 49.2+/-9.3 kg/m2, and decreased to 45.8+/-8.9 kg/m2 after LAGB and was again reduced to 37.7+/-8.7 kg/m2 after RYGBP within our follow-up period.

CONCLUSION

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.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Surgery, Rijnstate Hospital, The Netherlands. basvw@yahoo.com

    , ,

    Source

    Obesity surgery 16:2 2006 Feb pg 137-41

    MeSH

    Adult
    Anastomosis, Roux-en-Y
    Body Mass Index
    Cohort Studies
    Female
    Follow-Up Studies
    Gastric Bypass
    Gastroplasty
    Humans
    Laparoscopy
    Laparotomy
    Male
    Middle Aged
    Obesity, Morbid
    Postoperative Complications
    Probability
    Reoperation
    Retrospective Studies
    Risk Assessment
    Treatment Outcome

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    16469213

    Citation

    van Wageningen, B, et al. "Revision of Failed Laparoscopic Adjustable Gastric Banding to Roux-en-Y Gastric Bypass." Obesity Surgery, vol. 16, no. 2, 2006, pp. 137-41.
    van Wageningen B, Berends FJ, Van Ramshorst B, et al. Revision of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass. Obes Surg. 2006;16(2):137-41.
    van Wageningen, B., Berends, F. J., Van Ramshorst, B., & Janssen, I. F. (2006). Revision of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass. Obesity Surgery, 16(2), pp. 137-41.
    van Wageningen B, et al. Revision of Failed Laparoscopic Adjustable Gastric Banding to Roux-en-Y Gastric Bypass. Obes Surg. 2006;16(2):137-41. PubMed PMID: 16469213.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Revision of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass. AU - van Wageningen,B, AU - Berends,F J, AU - Van Ramshorst,B, AU - Janssen,I F M, PY - 2006/2/14/pubmed PY - 2006/6/10/medline PY - 2006/2/14/entrez SP - 137 EP - 41 JF - Obesity surgery JO - Obes Surg VL - 16 IS - 2 N2 - BACKGROUND: The most common bariatric surgical operation in Europe, laparoscopic adjustable gastric banding (LAGB), is reported to have a high incidence of long-term complications. Also, insufficient weight loss is reported. We investigated whether revision to Roux-en-Y gastric bypass (RYGBP) is a safe and effective therapy for failed LAGB and for further weight loss. METHODS: From Jan 1999 to May 2004, 613 patients underwent LAGB. Of these, 47 underwent later revisional Roux-en-Y gastric bypass (RYGBP). Using a prospectively collected database, we analyzed these revisions. All procedures were done by two surgeons with extensive experience in bariatric surgery. RESULTS: All patients were treated with laparoscopic (n=26) or open (n=21) RYGBP after failed LAGB. Total follow-up after LAGB was 5.5+/-2.0 years. For the RYGBP, mean operating time was 161+/-53 minutes, estimated blood loss was 219+/-329 ml, and hospital stay was 6.7+/-4.5 days. There has been no mortality. Early complications occurred in 17%. There was only one late complication (2%)--a ventral hernia. The mean BMI prior to any form of bariatric surgery was 49.2+/-9.3 kg/m2, and decreased to 45.8+/-8.9 kg/m2 after LAGB and was again reduced to 37.7+/-8.7 kg/m2 after RYGBP within our follow-up period. CONCLUSION: 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. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/16469213/Revision_of_failed_laparoscopic_adjustable_gastric_banding_to_Roux_en_Y_gastric_bypass_ L2 - https://dx.doi.org/10.1381/096089206775565212 DB - PRIME DP - Unbound Medicine ER -