Laparoscopic Sleeve Gastrectomy as Revisional Procedure for Failed Gastric Banding and Vertical Banded Gastroplasty

Iannelli, Antonio; Schneck, Anne Sophie; Ragot, E.; Liagre, Arnaud; Anduze, Y.; Msika, Simon; Gugenheim, Jean

doi:10.1007/s11695-009-9903-x

Cited by 105 publications

(38 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The leak rate is reportedly higher after revision of AGB into SG -this procedure involves stapling over scarred tissue, a longer stapler line, and dissection at the left crus, which can jeopardize the blood supply at the gastroesophageal junction [24][25][26][27]. However, several studies have demonstrated SG's feasibility as a revision procedure [28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Conversion Sleeve Gastrectomy after Failed Primary Adjustable Gastric Banding or Sleeve Gastrectomy

Park

Han

2016

J Metab Bariatr Surg

View full text Add to dashboard Cite

Purpose: Adjustable gastric banding (AGB) and sleeve gastrectomy (SG) are restrictive bariatric surgeries that are popular in Korea. However, patients often require further conversion surgeries because weight loss failure and surgical complications tend to occur. The aim of this study was to evaluate the feasibility and safety of conversion sleeve gastrectomy (CSG) after failed primary AGB (PAGB) or primary SG (PSG). Materials and Methods: From February 2010 to April 2016, 21 consecutive patients who underwent CSG after failed PAGB or PSG were enrolled in this study. This study was a retrospective analysis of our prospectively collected database. Demographic, intra and post-operative data were collected and analyzed. Results: Twenty-one patients were enrolled in this study. This comprised 20 women and 1 man, with an average BMI of 31.8±7.8 kg/m 2 . Eighteen patients underwent PAGB and 3 underwent PSG. The mean operative time was 243.6±76.8 minutes, and the estimated blood loss was 190.9±233.2 ml. The mean hospital stay was 4.7±1.7 days. The mean follow-up after CSG was 9.3±1.0 months. Two cases developed immediate postoperative complications: one was a stricture (Clavien-Dindo surgical complication grade II) and the other, a pleural effusion (Grade I). Conclusion: CSG is a feasible and safe treatment option after failed PAGB or PSG. Further prospective studies are required to establish the strategy for conversion operations after failed primary restrictive bariatric surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Conversion Sleeve Gastrectomy after Failed Primary Adjustable Gastric Banding or Sleeve Gastrectomy

Park

Han

2016

J Metab Bariatr Surg

View full text Add to dashboard Cite

show abstract

“…8,14,[19][20][21][22][23] Studies have shown that SG is safe and effective in achieving adequate weight loss in most patients. 24,25 We performed Roux-en-Y gastric bypass in one and SG in two patients with failed VBG. The polypropylene rings were removed to prevent occurrence of late inflammation in patients who were revised from VBG to SG.…”

Section: Discussionmentioning

confidence: 99%

Revision Surgery in Bariatric Surgery: Initial Experience

Alptekın¹,

Yılmaz²,

Kafali³

et al. 2012

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

A AB BS ST TR RA AC CT T OOb bj je ec ct ti iv ve e: : Revision surgery in bariatric surgery is becoming an important issue. It has been associated with higher complication rates, and there is no consensus on the standardized surgical approach to revision surgery. The aim of this study was to review the revision procedures performed in our institute. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A retrospective review of a prospectively maintained database was performed. One hundred thirty three operations were performed for morbid obesity. Primary procedures were laparoscopic adjustable gastric banding (LAGB) in 61 patients, vertical band gastroplasty (VBG) in 24 patients, Roux-en-Y gastric bypass in 21 patients, sleeve gastrectomy in 10 patients and biliopancreatic diversion with duodenal switch in six patients. Eleven patients were reoperated due to mechanical complications or inadequate weight loss. Data including age, gender, preoperative weight, body mass index (BMI) and postoperative complications were reviewed for all patients undergoing a revision procedure. R Re es su ul lt ts s: In patients with previous VBG, failure of weight loss (3/4) and outlet stenosis (1/4) were the indications. In patients with previous LAGB, mechanical side effects were the indications of surgery. The gastrocolic fistula was the indication of surgery in patient who had been revised from VBG to sleeve gastrectomy. At the mean follow-up of 13 months, the mean BMI and percentage of excess BMI were 32.3 kg/m 2 and 37.4%, respectively. There was one stapler-line leakage. C Co on nc cl lu us si io on n: : Our study suggests that revision bariatric surgery can be performed with satisfactory short-term weight loss. The knowledge of the potential complications associated with revision surgery and their management is crucial for patients' safety. K Ke ey y W Wo or rd ds s: : Obesity; bariatric surgery; reoperation; body mass index Ö ÖZ ZE ET T A Am ma aç ç: : Bariatrik cerrahide revizyonel cerrahi önemli bir konu haline gelmektedir. Yüksek komplikasyon oranları ile ilişkili bulunmuştur ve revizyonel cerrahide standart cerrahi yaklaşımla ilgili fikir birliği yoktur. Bu çalışmanın amacı bizim merkezimizde yapılan revizyonel cerrahilerin göz-den geçirilmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : İleri dönük olarak sürdürülen veri tabanı geriye dönük olarak gözden geçirildi. Morbid obezite nedeniyle 133 ameliyat yapıldı. Birincil ameliyat 61 hastada laparoskopik ayarlanabilir gastrik bantlama (LAGB), 24 hastada vertikal bantlı gastroplasti (VBG), 21 hastada Roux-en-Y gastrik baypas, 10 hastada sleeve gastrektomi ve altı hastada duodenal switch ile biliopankreatik diversiyondu. Onbir hasta mekanik komplikasyonlar veya yetersiz kilo kaybı nedeniyle tekrar ameliyat edildi. Yaş, cinsiyet, ameliyat öncesi ağırlık, beden kitle indeksi (BKİ) (bariatrik ve revizyonel cerrahiden önce) ve postoperatif komplikasyonları içeren veriler revizyon işlemi yapılan tüm hastalarda gözden geçirildi. B Bu ul lg gu ul la ar r: : D...

show abstract

“…[6,7] Revision of LAGB High rates of failure in weight loss due to maladaptive eating, and band-related complications such as slippage, tubing leakage, esophageal motility disorders (and pseudo achalasia)are reasonswhy placing a laparoscopic adjustable band (LAGB) has almost currently become obsolete as primary bariatric treatment. A few studies have reported success rates in converting LAGB to sleeve gastrectomy when performed in a one-or a two-step procedure, [8,9] but overall, RYBG is the revisional procedure of choice. In most cases, conversion to RYGB can be performedin a one-step procedure.…”

Section: Motivation and Indication For Revisional Bariatric Surgerymentioning

confidence: 99%

“…Band erosions, pouch or esophageal dilatation, stapler line dehiscence, and band-related stenosis are reported anatomical complications, for which RYGB is considered as the preferred revisional procedure [14,15] although some report also acceptable results with conversion to sleeve gastrectomy. [8] As most patients suffer from reflux and established maladaptive eating, we can not support sleeve gastrectomy or pouchogastrostomy as revisional options after failed VBG.…”

Section: Revision Of Vbgmentioning

confidence: 99%

Revisional bariatric surgery: An update

Debergh¹

2017

Laparosc Endosc Surg Sci

View full text Add to dashboard Cite

Obesity can be defined as a chronic disease with a serious impact on an individual's quality of life; moreover, it is a leading risk factor for global death. Bariatric surgery has already proven its efficacy in providing the patient with a healthier life. Nonetheless, failure of initiated treatment can occur in medical practice. We can and should offer our patients correct, patient-tailored revisional therapy conducted by an experienced surgeon in a high-volume hospital facility. In this article, current indications and strategies for secondary bariatric procedures were summarized.

show abstract

Laparoscopic Sleeve Gastrectomy as Revisional Procedure for Failed Gastric Banding and Vertical Banded Gastroplasty

Abstract: Conversion of GB and VBG into LSG is feasible and safe. LSG is effective in the short term with a mean %EWL of 42.7% at 13.4 months. Long-term results of LSG as revisional procedure are awaited to establish its efficacy in the long term.

Cited by 105 publications

References 20 publications

Feasibility and Safety of Conversion Sleeve Gastrectomy after Failed Primary Adjustable Gastric Banding or Sleeve Gastrectomy

Feasibility and Safety of Conversion Sleeve Gastrectomy after Failed Primary Adjustable Gastric Banding or Sleeve Gastrectomy

Revision Surgery in Bariatric Surgery: Initial Experience

Revisional bariatric surgery: An update

Contact Info

Product

Resources

About