Conversional Weight Loss Surgery: an Australian Experience of Converting Laparoscopic Adjustable Gastric Bands to Laparoscopic Sleeve Gastrectomy

Devadas, Michael; Ku, DJ

doi:10.1007/s11695-018-3128-9

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…Several studies have shown that conversion to another bariatric procedure is safe with low morbidity (1.1%) and mortality (<1%) [24,25]. Both conversion procedures have similar complication rates, hospital stay and early weight loss [22][23][24][25]. Additionally, the EWL in converted patients at two years was similar, approximately 60% [22,25].…”

Section: Discussionmentioning

confidence: 95%

“…For patients requiring reintervention and seeking further weight loss after LAGB failure, conversion to LSG or LRYGB in a one-or two-stage procedure is feasible [22][23][24][25]. Several studies have shown that conversion to another bariatric procedure is safe with low morbidity (1.1%) and mortality (<1%) [24,25]. Both conversion procedures have similar complication rates, hospital stay and early weight loss [22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

“…While difficult to quantify, there appeared to be a bias towards conversion to LRYGB due to concern of trading one restrictive procedure (LAGB) for another (LSG). Given equivocal two-year %EWL, which is evident in newer literature, this is likely an unfounded concern [24,25].…”

Section: Discussionmentioning

confidence: 99%

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Reoperations for Long-Term Complications Following Laparoscopic Adjustable Gastric Banding: Analysis of Incidence and Causality

Mellert

Cheung

Berbiglia³

et al. 2020

Cureus

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Background: Laparoscopic adjustable gastric banding (LAGB) gained popularity in the early 2000s as a purely restrictive procedure with modest weight loss. The potential for complications requiring reoperation has since become evident. A retrospective review was performed to determine the incidence of long-term complications and predictive factors requiring surgical reintervention after LAGB. Methods: Institutional review board approval was obtained, and a retrospective review of 200 consecutive patients undergoing LAGB over a period of six years was conducted at a single institution with American Society of Metabolic and Bariatric Surgery Center of Excellence designation. Data were collected on patient characteristics, comorbid conditions and complications requiring reintervention. Statistical analysis was performed using SPSS Statistics software (IBM Corp., Armonk, NY). Results: Of the 200 patients, 176 (90.7%) were female with an average age of 53.6 years and preoperative body mass index (BMI) of 44.2 kg/m 2. The average follow-up was 46 months. Complications occurred in 55 (28.4%) patients with band slippage/prolapse as the most common need for reoperation. Younger age, lack of comorbidities and diet/exercise compliance were associated with reintervention. Conclusions: LAGB has a high rate of reoperation secondary to complications associated with younger age. Alternative bariatric procedures may be more appropriate in these patients who have fewer comorbid conditions and are motivated to improve his or her health.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Reoperations for Long-Term Complications Following Laparoscopic Adjustable Gastric Banding: Analysis of Incidence and Causality

Mellert

Cheung

Berbiglia³

et al. 2020

Cureus

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“…Another study was published in 2018 demonstrated overall complications among sleeve gastrectomy after adjustable gastric band failure was only 1.1%. 11 The efficiency of LSG as a revision surgery following poor results after LAGB was assessd by Acholonu. It's possible to employ it as a follow-up operation after LAGB, although it appears to have more difficulties than the initial procedure.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of sleeve gastrectomy after adjustable gastric band failure

Al-Fattah¹

2022

Al-Azhar International Medical Journal

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Background: High numbers of reoperations after failure of gastric banding were found in the last decade. To remove the band and switch to another weight loss operation, such as a gastric bypass or stomach sleeve, is the traditional procedure. Aim of the work: To assess safety and efficacy of sleeve gastrectomy after failure of adjustable gastric band. Patients and methods: A randomized prospective clinical study which conducted from January 2017 to December 2021. The participants were categorized into two groups. Group 1 (Cases) 20cases underwent sleeve gastrectomy after adjustable gastric band, and group 2 (controls) 20 cases underwent sleeve gastrectomy with no previous history of bariatric surgery. Results: In both groups, there were no deaths, although 10% and 5% of the patients had bleeding and 5% of the patients had leakage. In terms of postoperative complications, there was no statistically considerable variation between the two groups. According to postoperative weight, BMI and EWL, no statistically considerable variation was found in either group. Conclusion:Results supported the efficacy and safety of sleeve gastrectomy after adjustable gastric band.

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“…Trata-se de uma técnica realizada por via laparoscópica que pode ser reversível, porém apresenta um alto grau de insucesso, normalmente ocorrendo uma segunda abordagem cirúrgica. Esta técnica apresenta um melhor resultado quando acompanhada de mudança no estilo de vida e apresenta uma baixa mortalidade 5,6 .…”

Section: Banda Gástrica Ajustávelunclassified

Obesidade

Kawai¹,

Coelho²,

Garcia³

2017

PRMJ

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Conversional Weight Loss Surgery: an Australian Experience of Converting Laparoscopic Adjustable Gastric Bands to Laparoscopic Sleeve Gastrectomy

Abstract: We therefore conclude that sleeve gastrectomy is a safe and valid option for conversional bariatric surgery following LAGB.

Cited by 5 publications

References 29 publications

Reoperations for Long-Term Complications Following Laparoscopic Adjustable Gastric Banding: Analysis of Incidence and Causality

Reoperations for Long-Term Complications Following Laparoscopic Adjustable Gastric Banding: Analysis of Incidence and Causality

Efficacy and safety of sleeve gastrectomy after adjustable gastric band failure

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