Are Laparoscopic Gastric Bypass After Gastroplasty and Primary Laparoscopic Gastric Bypass Similar in Terms of Results?

Cadière, Guy-Bernard; Himpens, Jacques; Bazi, Michel; Cadière, Benjamin; Vouche, Michaël; Capelluto, Elie; Dapri, Giovanni

doi:10.1007/s11695-010-0300-2

Cited by 56 publications

(32 citation statements)

References 11 publications

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“…Previous reports indicate that the incidence of GJ anastomotic stricture following secondary gastric bypass is increased compared to primary operations [6,17]. Surprisingly, no anastomotic stricture was found in this study.…”

Section: Discussioncontrasting

confidence: 69%

“…The question of performing a conversion from LAGB to LRYGB in one or two steps is controversial [6,17]. There were two postoperative complications (one pneumonia and one subphrenical abscess, Table 3) in the seven conversions in one step (2/7=28.6%) compared to the seven complications in the two-step conversions (7/21=33.3%, Table 3), but our numbers are too small for any conclusions on this matter.…”

Section: Discussionmentioning

confidence: 85%

“…According to Hallowell et al [8] revisional surgery had a 9-fold increase in leak rate, a 2.5-fold increase in ICU stay and a 1.5-fold increase in hospital stay. On the other hand, revisional surgery is not associated with an increased mortality rate [9] and seems to have a weight loss comparable with the weight loss following primary surgery [6,7,[9][10][11].…”

Section: Introductionmentioning

confidence: 95%

“…Common for previous surgery, regardless of the cause, is scaring and adhesions in the operative field of the intended bariatric procedure. This has been shown to increase operative time, hospital stay and complication rates [6,7]. According to Hallowell et al [8] revisional surgery had a 9-fold increase in leak rate, a 2.5-fold increase in ICU stay and a 1.5-fold increase in hospital stay.…”

Section: Introductionmentioning

confidence: 99%

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Revisional Bariatric Surgery by Conversion to Gastric Bypass or Sleeve—Good Short-Term Outcomes at Higher Risks

Victorzon

2011

OBES SURG

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This is a retrospective study of prospectively collected data from 34 patients who had revisional bariatric surgery at a single centre. The aim was to report the indications for revisional surgery, operative time, conversion to open surgery, mortality, hospital stay, early and late complications, reoperations and short-term efficacy. From 2006 to 2011, 31 patients who formerly had been operated for morbid obesity with restrictive operations and 3 patients who had been operated in the upper abdomen for other morbidities (fundoplications 2, Heller's myotomy 1) underwent a revisional Roux-en-Y gastric bypass operation (n = 30) or sleeve gastrectomy (n = 4). Demographic data, perioperative characteristics and follow-up data were entered prospectively in the hospital's database for bariatric patients. Twenty-five operations were done by laparoscopic and nine by open technique. The mean operative time was 113.17 (33.98, 54-184) min. The mean postoperative hospital stay was 3.25 (5.71, 1-32) days. Intra-operative complications occurred in six patients (17.65%), postoperative complications in nine (26.47%), and major complications in three patients (8.82%), including leakage in the gastrojejunal anastomosis in two (5.88%) patients. The conversion rate to open surgery was 2.94% (one emergency patient). There was no mortality. Excess weight loss (%, ± SD) at 3 months follow-up averaged 42.31%, ± 21.54. Revisional bariatric surgery can be performed with an increased but acceptable risk, with at least short-term weight loss comparable to primary operations.

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

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Revisional Bariatric Surgery by Conversion to Gastric Bypass or Sleeve—Good Short-Term Outcomes at Higher Risks

Victorzon

2011

OBES SURG

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“…[4] In the study reoperation in 12 (3.3%) patients after primary RNYs and in 9 (8.3%) patients after revision RNY's (p=0.03). Revisions increase the risk of complications by two fold.…”

Section: Complications and Leak After Rny And Rny Revisionmentioning

confidence: 71%

A comparison of the outcomes revision of the Roux-en-Y and Mini-Gastric Bypass: hard vs. easy

Rutledge¹

2017

Laparosc Endosc Surg Sci

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The Mini-Gastric Bypass (MGB) is growing in popularity. Roux-en-Y gastric bypass (RNY) is one of the most common forms of bariatric surgery. The purpose of this paper was to review some of the recent research reporting outcomes of RNY and MGB and to compare the reported results with special attention to leak and complication rates after revision of MGB and RNY. Although there are reports of RNY with good outcomes, many reports document RNY to be a technically difficult procedure with reported complication rates as high as 10% to 30%. In review of recent papers, revision of RNY was associated with roughly double the rate of leaks and complications compared with primary RNY: 20% to 40%. RNY is one of the most commonly performed forms of bariatric surgery. Primary RNY and RNY revision are technically challenging, with moderately high reported leak and complication rates. Numerous studies of MGB have reported the operation to be straightforward with low risk of complications, leak, or bile reflux. Reports of complications or leak after MGB revision are also quite low, and revision is reported to be "easily done."

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To Band or Bypass—Reply

Himpens¹

2011

Arch Surg

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Are Laparoscopic Gastric Bypass After Gastroplasty and Primary Laparoscopic Gastric Bypass Similar in Terms of Results?

Abstract: Weight loss after PGB and SGB is not statistically significantly different. Otherwise, operative time, hospital stay, complications, and revision rate are statistically significantly higher after SGB (p < 0.001).

Cited by 56 publications

References 11 publications

Revisional Bariatric Surgery by Conversion to Gastric Bypass or Sleeve—Good Short-Term Outcomes at Higher Risks

Revisional Bariatric Surgery by Conversion to Gastric Bypass or Sleeve—Good Short-Term Outcomes at Higher Risks

A comparison of the outcomes revision of the Roux-en-Y and Mini-Gastric Bypass: hard vs. easy

To Band or Bypass—Reply

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