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A 12-Month Review of Revisional Single Anastomosis Gastric Bypass for Complicated Laparoscopic Adjustable Gastric Banding for Body Mass Index over 35.
Obes Surg. 2017 11; 27(11):3048-3054.OS

Abstract

BACKGROUND

In many countries, laparoscopic adjustable gastric banding (LAGB) was previously the most commonly performed bariatric procedure due to its operative safety and early efficacy. This procedure is now superseded because of doubtful long-term results and late complications. Many people eventually required revisional bariatric surgery such as conversion to single anastomosis gastric bypass (SAGB). This study aims to assess the safety and durability of single-stage conversion from LAGB to SAGB in patients who are intolerant to LAGB and who also fail to lose weight, or re-gain weight.

METHODS

Seventy-four patients with BMI > 35 kg m-2 were selected from a prospective bariatric database between July 2012 and December 2015 for revisional laparoscopic SAGB surgery and were followed up at 6 weeks, 3, 6 and 12 months after their operation.

RESULTS

The mean BMI at 6 weeks, then 3, 6 and 12 months were 41.6 ± 7.66, 38.8 ± 7.54, 35.4 ± 7.10 and 33.2 ± 7.34 kg m-2, respectively. The mean percentage EWL at 6 weeks then 3, 6 and 12 months were 21.0 ± 9.12, 37.8 ± 12.5, 55.1 ± 15.8 and 67.0 ± 19.6%, respectively. Postoperative follow-up at these times were 97, 85, 69 and 46%, respectively. Early (< 30 day) morbidity was 20.3% with major complications of CD grade 3a or more of 13.5%.

CONCLUSIONS

This study demonstrates that single-stage revisional SAGB after a failed LAGB achieved good short-term weight loss and low 30-day morbidity.

Authors+Show Affiliations

Royal Brisbane and Women's Hospital, Cnr Butterfield Street and Bowen Bridge Road, Herston, Queensland, 4029, Australia.Royal Brisbane and Women's Hospital, Cnr Butterfield Street and Bowen Bridge Road, Herston, Queensland, 4029, Australia.Holy Spirit Northside Private Hospital, Suite 11, Level 2, 956 Gympie Road, Chermside, Queensland, 4032, Australia.Royal Brisbane and Women's Hospital, Cnr Butterfield Street and Bowen Bridge Road, Herston, Queensland, 4029, Australia.Holy Spirit Northside Private Hospital, Suite 11, Level 2, 956 Gympie Road, Chermside, Queensland, 4032, Australia. reception@osb.net.au.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28852957

Citation

Ghosh, Simon, et al. "A 12-Month Review of Revisional Single Anastomosis Gastric Bypass for Complicated Laparoscopic Adjustable Gastric Banding for Body Mass Index Over 35." Obesity Surgery, vol. 27, no. 11, 2017, pp. 3048-3054.
Ghosh S, Bui TL, Skinner CE, et al. A 12-Month Review of Revisional Single Anastomosis Gastric Bypass for Complicated Laparoscopic Adjustable Gastric Banding for Body Mass Index over 35. Obes Surg. 2017;27(11):3048-3054.
Ghosh, S., Bui, T. L., Skinner, C. E., Tan, S., & Hopkins, G. (2017). A 12-Month Review of Revisional Single Anastomosis Gastric Bypass for Complicated Laparoscopic Adjustable Gastric Banding for Body Mass Index over 35. Obesity Surgery, 27(11), 3048-3054. https://doi.org/10.1007/s11695-017-2887-z
Ghosh S, et al. A 12-Month Review of Revisional Single Anastomosis Gastric Bypass for Complicated Laparoscopic Adjustable Gastric Banding for Body Mass Index Over 35. Obes Surg. 2017;27(11):3048-3054. PubMed PMID: 28852957.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A 12-Month Review of Revisional Single Anastomosis Gastric Bypass for Complicated Laparoscopic Adjustable Gastric Banding for Body Mass Index over 35. AU - Ghosh,Simon, AU - Bui,The Lan, AU - Skinner,Christine E, AU - Tan,Stephanie, AU - Hopkins,George, PY - 2017/8/31/pubmed PY - 2018/4/3/medline PY - 2017/8/31/entrez KW - Failed gastric banding KW - Gastric bypass KW - Laparoscopic adjustable gastric banding (LAGB) KW - Revisional bariatric surgery KW - Single anastomosis gastric bypass (SAGB) KW - Weight loss 12 months SP - 3048 EP - 3054 JF - Obesity surgery JO - Obes Surg VL - 27 IS - 11 N2 - BACKGROUND: In many countries, laparoscopic adjustable gastric banding (LAGB) was previously the most commonly performed bariatric procedure due to its operative safety and early efficacy. This procedure is now superseded because of doubtful long-term results and late complications. Many people eventually required revisional bariatric surgery such as conversion to single anastomosis gastric bypass (SAGB). This study aims to assess the safety and durability of single-stage conversion from LAGB to SAGB in patients who are intolerant to LAGB and who also fail to lose weight, or re-gain weight. METHODS: Seventy-four patients with BMI > 35 kg m-2 were selected from a prospective bariatric database between July 2012 and December 2015 for revisional laparoscopic SAGB surgery and were followed up at 6 weeks, 3, 6 and 12 months after their operation. RESULTS: The mean BMI at 6 weeks, then 3, 6 and 12 months were 41.6 ± 7.66, 38.8 ± 7.54, 35.4 ± 7.10 and 33.2 ± 7.34 kg m-2, respectively. The mean percentage EWL at 6 weeks then 3, 6 and 12 months were 21.0 ± 9.12, 37.8 ± 12.5, 55.1 ± 15.8 and 67.0 ± 19.6%, respectively. Postoperative follow-up at these times were 97, 85, 69 and 46%, respectively. Early (< 30 day) morbidity was 20.3% with major complications of CD grade 3a or more of 13.5%. CONCLUSIONS: This study demonstrates that single-stage revisional SAGB after a failed LAGB achieved good short-term weight loss and low 30-day morbidity. SN - 1708-0428 UR - https://www.unboundmedicine.com/medline/citation/28852957/A_12_Month_Review_of_Revisional_Single_Anastomosis_Gastric_Bypass_for_Complicated_Laparoscopic_Adjustable_Gastric_Banding_for_Body_Mass_Index_over_35_ L2 - https://dx.doi.org/10.1007/s11695-017-2887-z DB - PRIME DP - Unbound Medicine ER -