Laparoscopic Conversion of Laparoscopic Gastric Banding to Roux-en-Y Gastric Bypass: a Review of 70 Patients

Mognol, Philippe; Chosidow, Denis; Marmuse, Jean–Pierre

doi:10.1381/0960892042584003

Cited by 139 publications

(83 citation statements)

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“…In one study comparing the revision of LAGB to RYGB and LRYGB, postoperative BMI was noted to decrease similarly to 38 kg/m 2 from 45.8 kg/m 2 in both groups, but operative time was significantly higher in the laparoscopic group, 120 versus 194 minutes, respectively [24]. This observation was noted in other studies [17]. Although the complication rate was higher in the laparoscopic group (10 vs. 23%), this was not statistically significant and the estimated blood loss was also similar in both groups [24].…”

mentioning

confidence: 65%

“…such as band slippage, tubing leakage or breakage, motility problems caused by the band such as proximal pouch and esophageal dilatation, and dysmotility along with problems seen in other bariatric procedures such as inadequate weight loss and wound infection (Table 1) [11,14,17,[20][21][22]24]. Inadequate weight loss is considered \25% EWL as defined by the Reinhold criteria [1].…”

mentioning

confidence: 99%

“…Studies including a total of 214 patients that had undergone RYGB or LRYGB after a failed placement of a band were found in the literature [14,17,21,24]. BMI prior to their revisional procedures was 38-45.8 kg/m 2 and dropped to 26-38 kg/m 2 after a follow-up of 12-18 months.…”

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confidence: 99%

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Gastric banding: Conversion to sleeve, bypass, or DS

Gautier

Gumbs

2007

Surg Endosc

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A review of conversions of gastric banding for obesity to Roux-en-Y gastric bypass, gastric sleeve, or duodenal switch attempts to determine which revisional procedure best enhances weight loss. Indications for these conversions are multiple and include hardware problems, motility problems, and miscellaneous like inadequate weight loss. Analysis of band conversions to band of 193 patients, and bands to gastric bypass in 214 patients reveals better weight loss with the latter strategy. Smaller cohorts of patients who underwent a biliopancreatic diversion or simply a sleeve gastrectomy are too small to conclude on their efficacy. Prospective randomized trials are needed to determine which revisional procedure is best in the setting of inadequate weight loss of excessive weight regain after gastric adjustable banding for severe obesity.

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confidence: 65%

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confidence: 99%

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Gastric banding: Conversion to sleeve, bypass, or DS

Gautier

Gumbs

2007

Surg Endosc

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“…Recently, Mognol and colleagues [14] in France reported the conversion of 70 patients from LAP-BAND to gastric bypass. In their series a single procedure was performed in 47 patients (67%).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic revision from LAP-BAND® to gastric bypass

et al. 2007

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“…However, the weight loss resulting from gastric banding is less compared to a combined restrictive and malabsorptive procedure like gastric bypass [3]. Some patients with insufficient weight loss after gastric banding undergo conversion to gastric bypass, which often results in superior weight loss [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Conversion to Gastric Bypass in Patients with Unsuccessful Weight Loss after Gastric Banding May Depend on Mental Quality of Life

et al. 2010

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Background: A low quality of life has been regarded a cue to action. Some patients with unsuccessful weight loss after laparoscopic adjustable gastric banding (LAGB) undergo a conversion of gastric banding to gastric by-pass. This study examines whether patients who did or did not undergo conversion to gastric bypass differed in quality of life before and after gastric banding. Methods: Of 34 patients with unsuccessful weight loss after gastric banding (excess body mass index loss < 25%), 14 had a conversion to gastric bypass 2 years or more after gastric banding. All patients completed the RAND-36 quality of life questionnaire before gastric banding. After gastric banding, 24 patients (70.6%) filled out the RAND-36 at 6, 12, and 24 months. Results: Pre-banding and postbanding mental quality of life was lower in the conversion compared to the non-conversion group. Conclusion: Our results suggest that a relatively stable lower mental quality of life is a signal for further intervention. The bariatric team and patients should be aware that mental health may play a role in the decision for conversion to gastric bypass. The possible mechanisms underlying this finding, and limitations of the study are discussed.

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Laparoscopic Conversion of Laparoscopic Gastric Banding to Roux-en-Y Gastric Bypass: a Review of 70 Patients

Abstract: Laparoscopic conversion of LAGB to RYGBP is a technically challenging procedure that can be safely integrated into a bariatric treatment program with good results. Short-term weight loss is very good.

Cited by 139 publications

References 14 publications

Gastric banding: Conversion to sleeve, bypass, or DS

Gastric banding: Conversion to sleeve, bypass, or DS

Laparoscopic revision from LAP-BAND® to gastric bypass

Conversion to Gastric Bypass in Patients with Unsuccessful Weight Loss after Gastric Banding May Depend on Mental Quality of Life

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