Laparoscopic Gastric Banding as Revisional Procedure to Failed Vertical Gastroplasty

Thill, V.; Khorassani, Roudabeh; Ngongang, Christian; Winkel, Nele Van De; Costa, Pierre Mendes Da; Simoens, Christian

doi:10.1007/s11695-009-9948-x

Cited by 7 publications

(3 citation statements)

References 18 publications

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“…However, the conversion of SRVG into other techniques stands out in its difficulty and the decision regarding which method should be carried out in case of failed SRVG (due to excessive weight loss or weight regain) represents a real challenge (28,29). Some authors reported conversion to LAGB as a consequence of disruption of the staple-line and pouch dilatation accompanied by frequent vomiting (19,30). On the other hand, Elazary et al (31) reported a higher rate of complications after SG as a revisional procedure compared to RYGB resulting in the decision to stop the conversion into SG and highlighting that RYGB is a safer choice.…”

Section: Resultsmentioning

confidence: 99%

Weight Loss and Late Complications after Silastic Ring Vertical Gastroplasty. A 10 Year Follow-up

Cătoi¹,

Galea²,

Bidian³

et al. 2019

chr

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Scopul lucrării: Obezitatea severă constituie o problemă serioasă de sănătate publică, chirurgia bariatrică reprezentând unicul tratament eficient al acesteia. Printre procedeele chirurgicale bariatrice, gastroplastia verticală cu inel de silicon (SRVG) s-a impus ca o metodă restrictivă sigură, care a fost utilizată cu succes în trecut. Actualmente, SRVG a fost abandonată în favoarea unor procedee laparoscopice. Scopul prezentului studiu a fost acela de a investiga efectul SRVG asupra reducerii ponderale, precum şi instalarea complicaţiilor tardive sau efectuarea reintervenţiilor chirurgicale în cazul unui lot de pacienţi cu obezitate severă, pe o perioadă de urmărire postoperatorie de 10 ani. Material şi Metode: Am efectuat o analiză retrospectivă pe un lot de 112 pacienţi cu obezitate severă care au fost supuşi intervenţiei de SRVG deschis, între anii 2008-2009, urmărind atât evoluţia indicelui de masă corporală (IMC) şi a procentajului IMC pierdut (%EBMIL), cât şi apariţia complicaţiilor chirurgicale tardive sau efectuarea reintervenţiilor chirurgicale. 41,96% dintre pacienţi au rămas înrolaţi în studiu după 10 ani. Rezultate: Media iniţială a IMC de 47,38±7,59 kg/m 2 s-a redus semnificativ statistic (p <0,001) în primul an după SRVG până la 31,05 ± 6,54 kg/m 2 . Valoarea IMC s-a menţinut relativ stabilă în primii 5 ani postoperator, crescând apoi progresiv până la 35,93 ± 7,20 kg/m 2 în al 10-lea an de monitorizare, dar rămânând, totuşi,

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Section: Resultsmentioning

confidence: 99%

Weight Loss and Late Complications after Silastic Ring Vertical Gastroplasty. A 10 Year Follow-up

Cătoi¹,

Galea²,

Bidian³

et al. 2019

chr

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“…However, when the right crus is not adequately visualized, a perigastric approach may be utilized [81]. In one study 40 patients underwent a laparoscopic adjustable gastric banding as a revisional operation for a failed vertical banded gastroplasty [81]. There were three conversions from laparoscopy to laparotomy.…”

Section: Conversion To a Laparoscopic Adjustable Gastric Bandmentioning

confidence: 99%

Revisions for Failed Weight Loss

Obinwanne¹,

Kothari

2013

Curr Surg Rep

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There is currently an increasing role for bariatric surgery in the treatment of obesity. However, not all patients experience a successful outcome in terms of weight loss achieved. Failure to attain sufficient weight loss or weight regain may be attributed to numerous factors. It is essential to adequately evaluate these patients to determine if they have behavioral issues that might be responsible for their weight loss failure. If a structural cause is identified it might be necessary to revise the primary operation with an aim to produce further weight loss.

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“…Therefore, a conversion to another bariatric procedure is always necessary in the case of VBG failure. Results of the conversion from VBG to LAGB have been described infrequently [97,98] because both are purely restrictive procedures and prone to the same complications. The conversion from VBG to BPD is difficult because of the presence of a vertical stapler line but has been described in literature recently [99].…”

Section: Results Of Vbgmentioning

confidence: 99%

Clinical evaluation of the surgical and endoscopic treatment of morbid obesity

Schouten¹

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Laparoscopic Gastric Banding as Revisional Procedure to Failed Vertical Gastroplasty

Abstract: Conversion of failed VGs to gastric banding is safe and efficient. The morbidity rate is acceptable. Gastric banding to correct failing VG is a reasonable option when performed in selected patients.

Cited by 7 publications

References 18 publications

Weight Loss and Late Complications after Silastic Ring Vertical Gastroplasty. A 10 Year Follow-up

Weight Loss and Late Complications after Silastic Ring Vertical Gastroplasty. A 10 Year Follow-up

Revisions for Failed Weight Loss

Clinical evaluation of the surgical and endoscopic treatment of morbid obesity

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