Laparoscopic sleeve gastrectomy as a revisional procedure for failed laparoscopic gastric banding with a “2-step approach”: a multicenter study

Silecchia, Gianfranço; Rizzello, Mario; Angelis, Francesco De; Raparelli, Luigi; Greco, Francesco; Perrotta, Nicola; Lerose, Maria Antonietta; Campanile, Fabio Cesare

doi:10.1016/j.soard.2013.10.017

Cited by 33 publications

(18 citation statements)

References 28 publications

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“…The results of %EBMIL at 3 months, 6 months, and 12 months postoperatively were comparable, and good in both groups. These results are in line with those of previous studies [18262728]. Some studies showed that the rate of weight loss during the early period until 1 year after PSG was better than that after CSG; however, weight loss was similar in both groups at 1 or 2 years after surgery [2627].…”

Section: Discussionsupporting

confidence: 91%

Outcomes of primary sleeve gastrectomy versus conversion sleeve gastrectomy in morbidly obese patients

Park

Han

2019

Ann Surg Treat Res

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Purpose Our aim for this study was to evaluate early and late complications and outcomes of primary sleeve gastrectomy (PSG) versus conversion sleeve gastrectomy (CSG). Methods From February 2013 to December 2016, a total of 180 patients underwent sleeve gastrectomy (150 PSG and 30 CSG). All patients received a metal clipping at the end of the stapling line and a continuous seromuscular suture at the resection margin, for reinforcement. Results There were no differences in the percentages among males and females or age between the 2 groups, but the body mass index (BMI) of the PSG group was higher at 36.8 ± 4.7 than that of the CSG group (32.4 ± 5.7, P < 0.001). Three early postoperative complications were noted in the PSG group; 1 patient underwent repeat laparoscopic exploration due to pancreatic injury, and 2 other patients developed pulmonary atelectasis. On the contrary, 2 early minor complications were noted in the CSG group. Thirty-eight patients (25.3%) in the PSG group developed 43 late, minor complications, while 9 patients (30.0%) developed 11 late minor and 1 major complication in the CSG group. However, there was no difference in complication rate between PSG and CSG. Percentage excess BMI loss at 3, 6, and 12 months after surgery was comparable between the groups. Conclusion PSG and CSG were comparable in terms of postoperative complications and loss of weight. Therefore, CSG could be used for failed primary restrictive bariatric surgery. However, the durability of these outcomes remains unknown.

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Section: Discussionsupporting

confidence: 91%

Outcomes of primary sleeve gastrectomy versus conversion sleeve gastrectomy in morbidly obese patients

Park

Han

2019

Ann Surg Treat Res

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“…For LSG after gastric banding, there is a debate on leak rates between one stage [46] and two stage conversions [49]. A literature review of 15 studies on one-step approach and 8 studies on two-step approach reported a significantly higher leak rate in the one-step group (4.2 %) than in the two-step revisional surgery (1.7 %) [46].…”

Section: Patient-related Factorsmentioning

confidence: 99%

Leaks after laparoscopic sleeve gastrectomy: overview of pathogenesis and risk factors

Iossa

Abdelgawad

Watkins

et al. 2016

Langenbecks Arch Surg

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This review reports factors promoting leak and gives technical recommendations to avoid leak after LSG based on the available evidence and expert consensus which encompasses: (1) use a bougie size ≥40 Fr, EL:1, (2) begin the gastric transection 5-6 cm from the pylorus, EL:2-3, (3) use appropriate cartridge colors from antrum to fundus, EL:1, (4) reinforce the staple line with buttress material, EL:1, (5) follow a proper staple line, (6) remove the crotch staples, EL:4, (7) maintain proper traction on the stomach before firing, (8) stay away from the angle of His at least 1 cm, EL:1, (9) check the bleeding from the staple line, (10) perform an intraoperative methylene blue test, EL:4.

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“…Gore & Associates, Inc., Newark, DE). An intra-operative methylene blue test was performed, and an overnight 19 Fr drain was placed alongside the transected stomach [18].…”

Section: Surgical Techniquementioning

confidence: 99%

Simple versus reinforced cruroplasty in patients submitted to concomitant laparoscopic sleeve gastrectomy: prospective evaluation in a bariatric center of excellence

et al. 2015

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Laparoscopic sleeve gastrectomy as a revisional procedure for failed laparoscopic gastric banding with a “2-step approach”: a multicenter study

Cited by 33 publications

References 28 publications

Outcomes of primary sleeve gastrectomy versus conversion sleeve gastrectomy in morbidly obese patients

Outcomes of primary sleeve gastrectomy versus conversion sleeve gastrectomy in morbidly obese patients

Leaks after laparoscopic sleeve gastrectomy: overview of pathogenesis and risk factors

Simple versus reinforced cruroplasty in patients submitted to concomitant laparoscopic sleeve gastrectomy: prospective evaluation in a bariatric center of excellence

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