Tags

Type your tag names separated by a space and hit enter

Laparoscopic sleeve gastrectomy as a revisional procedure for failed gastric banding: lessons from 300 consecutive cases.
Surg Obes Relat Dis. 2014 Nov-Dec; 10(6):1116-22.SO

Abstract

BACKGROUND

Laparoscopic adjustable gastric banding (LAGB) is a common bariatric procedure associated with a high rate of weight loss failure and/or complications in the long term. The objective of this study was to test the hypothesis that the conversion of failed LAGB into laparoscopic sleeve gastrectomy (LSG) is not associated with an increased risk of postoperative complications and leads to weight loss results that are comparable to those obtained with a primary LSG.

METHODS

We retrospectively analyzed the results of a prospective series of 1360 LSG regarding patient demographics, the indication for revision morbidity, the percentage of excess weight loss, and the rate of postoperative complications.

RESULTS

The primary LSG group contained 1060 patients and the LAGB to LSG group contained 300 patients. The rate of postoperative complications was 4.5% in the primary LSG group and 2% in the LAGB to LSG group. Two patients died in the LSG group (1 pulmonary embolus, 1 myocardial infarction). There was no significant difference with respect to the rate of leak, which was 1% in the LAGB to LSG group and 1.6% in the primary LSG group. There was a greater weight loss after primary LSG, mean % excess weight loss of 75.9%±21.4 at a mean interval of 29±19.8 months, versus 62.6%±22.2 at a mean interval of 35±24 months after LAGB to LSG (P = .008). There were 72.1% and 59.2% of patients available for follow-up after primary LSG at 24 and 60 months respectively, versus 69.3% and 55.4% after LAGB to LSG.

CONCLUSION

This study indicates that the risk of leak after LSG was not increased after conversion failed LAGB into LSG when performed as a 2-step procedure.

Authors+Show Affiliations

Clinique la Casamance, Aubagne, France.Université de Nice Sophia Antipolis - Service de Chirurgie Digestive et Transplantation Hépatique, Nice, France.Clinique la Casamance, Aubagne, France.Université de Nice Sophia Antipolis - Service de Chirurgie Digestive et Transplantation Hépatique, Nice, France.Université de Nice Sophia Antipolis - Service de Chirurgie Digestive et Transplantation Hépatique, Nice, France.Department of Surgery, Herbert Wertheim College of Medicine, Florida International University, Miami, FL and Hôpital du Sacré Coeur, Montreal, Québec, Canada.Université de Nice Sophia Antipolis - Service de Chirurgie Digestive et Transplantation Hépatique, Nice, France. Electronic address: iannelli.a@chu-nice.fr.

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

25002328

Citation

Noel, Patrick, et al. "Laparoscopic Sleeve Gastrectomy as a Revisional Procedure for Failed Gastric Banding: Lessons From 300 Consecutive Cases." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 6, 2014, pp. 1116-22.
Noel P, Schneck AS, Nedelcu M, et al. Laparoscopic sleeve gastrectomy as a revisional procedure for failed gastric banding: lessons from 300 consecutive cases. Surg Obes Relat Dis. 2014;10(6):1116-22.
Noel, P., Schneck, A. S., Nedelcu, M., Lee, J. W., Gugenheim, J., Gagner, M., & Iannelli, A. (2014). Laparoscopic sleeve gastrectomy as a revisional procedure for failed gastric banding: lessons from 300 consecutive cases. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(6), 1116-22. https://doi.org/10.1016/j.soard.2014.02.045
Noel P, et al. Laparoscopic Sleeve Gastrectomy as a Revisional Procedure for Failed Gastric Banding: Lessons From 300 Consecutive Cases. Surg Obes Relat Dis. 2014 Nov-Dec;10(6):1116-22. PubMed PMID: 25002328.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic sleeve gastrectomy as a revisional procedure for failed gastric banding: lessons from 300 consecutive cases. AU - Noel,Patrick, AU - Schneck,Anne-Sophie, AU - Nedelcu,Marius, AU - Lee,Ji-Wann, AU - Gugenheim,Jean, AU - Gagner,Michel, AU - Iannelli,Antonio, Y1 - 2014/03/15/ PY - 2013/12/20/received PY - 2014/02/16/revised PY - 2014/02/26/accepted PY - 2014/7/9/entrez PY - 2014/7/9/pubmed PY - 2015/9/10/medline KW - Failed gastric banding KW - Laparoscopic sleeve gastrectomy KW - Revision procedure SP - 1116 EP - 22 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 10 IS - 6 N2 - BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) is a common bariatric procedure associated with a high rate of weight loss failure and/or complications in the long term. The objective of this study was to test the hypothesis that the conversion of failed LAGB into laparoscopic sleeve gastrectomy (LSG) is not associated with an increased risk of postoperative complications and leads to weight loss results that are comparable to those obtained with a primary LSG. METHODS: We retrospectively analyzed the results of a prospective series of 1360 LSG regarding patient demographics, the indication for revision morbidity, the percentage of excess weight loss, and the rate of postoperative complications. RESULTS: The primary LSG group contained 1060 patients and the LAGB to LSG group contained 300 patients. The rate of postoperative complications was 4.5% in the primary LSG group and 2% in the LAGB to LSG group. Two patients died in the LSG group (1 pulmonary embolus, 1 myocardial infarction). There was no significant difference with respect to the rate of leak, which was 1% in the LAGB to LSG group and 1.6% in the primary LSG group. There was a greater weight loss after primary LSG, mean % excess weight loss of 75.9%±21.4 at a mean interval of 29±19.8 months, versus 62.6%±22.2 at a mean interval of 35±24 months after LAGB to LSG (P = .008). There were 72.1% and 59.2% of patients available for follow-up after primary LSG at 24 and 60 months respectively, versus 69.3% and 55.4% after LAGB to LSG. CONCLUSION: This study indicates that the risk of leak after LSG was not increased after conversion failed LAGB into LSG when performed as a 2-step procedure. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/25002328/Laparoscopic_sleeve_gastrectomy_as_a_revisional_procedure_for_failed_gastric_banding:_lessons_from_300_consecutive_cases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(14)00123-3 DB - PRIME DP - Unbound Medicine ER -