Outcomes After Laparoscopic Conversion of Failed Adjustable Gastric Banding (LAGB) to Laparoscopic Sleeve Gastrectomy (LSG) or Single Anastomosis Duodenal Switch (SADS)

Pearlstein, Sarah; Sabrudin, Sarah; Shayesteh, Ali; Tecce, Eric; Roslin, Mitchell

doi:10.1007/s11695-019-03729-3

Cited by 12 publications

(4 citation statements)

References 12 publications

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“…Since SG and RYGB are adequate procedures in Germany, switching from AGB to SG or RYGB is an exciting option for revision operations [31,32,33]. However, there are still no clear guidelines for conversion from AGB to RYGB and SG [34,35,36] and statements in the literature vary regarding the effectiveness of both surgical procedures [37,38,39].…”

Section: Discussionmentioning

confidence: 99%

Safety and short-term outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass following removal of adjustable gastric banding

Thaher¹,

Driouch²,

Hukau³

2021

World J. Adv. Res. Rev.

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Background: The practice of bariatric surgery was studied using the German Bariatric Surgery Registry (GBSR). The focus of the study was to evaluate whether revision sleeve gastrectomy (R-SG) or Roux-en-Y Gastric Bypass (R-RYGB) has a major benefit in terms of perioperative risk in patients after failed Adjustable Gastric Banding (AGB). Methods: The data collection includes patients who underwent SG or RYGB as revision surgery after failed AGB between 2005 and 2019. Outcome criteria were perioperative complications, comorbidities, 30-day mortality, and operative time. Results: The study analyzed data from 1395 patients after revision SG and RYGB. 907 patients after R-RYGB, and 488 after R-SG. Intraoperative and overall postoperative complication rates were not significantly different between the two groups (p=0.321 and 0.621). The specific postoperative complication rate was significantly lower in R-SG than in R-RYGB (p=0.049). The mean operative time differed significantly between the two groups in favor of R-SG (160.3 min vs. 128.3 min; p<0.001). There was no significant difference in 30-day mortality between the two groups (p=0.952). Conclusion: The study shows that R-SG and R-RYGB are safe and feasible as revision procedures and have acceptable complication and mortality rates. However, in our study, we cannot make a recommendation in favor of any of the surgical methods. Proper patient selection is essential to avoid possible adverse effects. Concerning the long-term results, further studies with higher methodological quality are necessary.

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Section: Discussionmentioning

confidence: 99%

Safety and short-term outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass following removal of adjustable gastric banding

Thaher¹,

Driouch²,

Hukau³

2021

World J. Adv. Res. Rev.

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“…In patients with WR or IWL after gastric band, the surgical options include band removal and revisional BS. A retrospective study evaluated the outcomes of revision of LAGB for inadequate weight loss to LSG or single anastomosis duodenal switch and found that patients who underwent single anastomosis duodenal switch had significantly greater weight loss than LSG in the first year post surgery, with excess BMI loss percentage of 66.7% versus 51.5% [93]. In the same study, at >12 months post revision, both single anastomosis duodenal switch patients and LSG patients had adequate WL (79% for single anastomosis duodenal switch versus 67.8% for LSG) [93].…”

Section: After Failed Lagbmentioning

confidence: 99%

“…A retrospective study evaluated the outcomes of revision of LAGB for inadequate weight loss to LSG or single anastomosis duodenal switch and found that patients who underwent single anastomosis duodenal switch had significantly greater weight loss than LSG in the first year post surgery, with excess BMI loss percentage of 66.7% versus 51.5% [93]. In the same study, at >12 months post revision, both single anastomosis duodenal switch patients and LSG patients had adequate WL (79% for single anastomosis duodenal switch versus 67.8% for LSG) [93]. A systematic review compared the WL outcomes of conversion gastric band to LSG or RYGB and showed significant increase in EWL% in RYGB and patients than LSG patients at 12 and 24 months after revision [94].…”

Section: After Failed Lagbmentioning

confidence: 99%

Weight Regain and Insufficient Weight Loss after Bariatric Surgery: A Call for Action

Ansari¹

2021

Bariatric Surgery - From the Non-Surgical Approach to the Post-Surgery Individual Care

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Despite successful weight loss after bariatric surgery (BS), weight regain (WR) may occur on long term following most bariatric procedures, with 20–30% of patients either failing to reach their target weight goals or failing to maintain the achieved weight loss. Significant WR has important health consequences, including the reversal of the improved obesity-related comorbidities and psychological function leading to decreased quality of life. Given the challenges faced by these patients, there is a need for multidisciplinary approaches to deal with WR. This chapter addresses the issue of WR among bariatric patients. It starts with the various definitions of insufficient weight loss and WR and the prevalence of weight regain by type of bariatric procedure. The chapter then explores the underlying causes as well as the predictors of WR. It will also outline the behavioral and psychotherapeutic, dietary and exercise strategies employed in the prevention of post-surgery WR. The chapter will then highlight the non-surgical and surgical approaches used in the management of WR. The chapter will conclude with a summary of the findings emphasizing that WR is complex and multifactorial, requiring multidisciplinary and multimodal dietary, behavioral, pharmacological, and surgical management strategies tailored to meet the individual needs of each patient.

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“…SADI-S can be recommended as a primary procedure for complex bariatric patients (Body Mass Index-BMI > 50 kg/m 2 ) and/or for metabolic patients (with comorbidities related to obesity, especially type 2 diabetes mellitus—T2DM) [ 2 ]. It may also be recommended as revisional surgery in patients who failed previous bariatric procedures, e.g., after sleeve gastrectomy [ 3 ] (Single-Anastomosis Duodeno-Ileal Bypass-SADI) [ 4 ]. SADI-S may also be considered as a second operation in patients who failed Adjustable Gastric Banding (AGB) or Roux-en-Y Gastric Bypass (BPG) [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Medium-Term Nutritional and Metabolic Outcome of Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)

et al. 2023

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Introduction: Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy (SADI-S), like other hypoabsorptive procedures, could be burdened by long-term nutritional deficiencies such as malnutrition, anemia, hypocalcemia, and hyperparathyroidism. Objectives: We aimed to report our experience in terms of mid-term (2 years) bariatric, nutritional, and metabolic results in patients who underwent SADI-S both as a primary or revisional procedure. Methods: One hundred twenty-one patients were scheduled for SADI-S as a primary or revisional procedure from July 2016 to February 2020 and completed at least 2 years of follow-up. Demographic features, bariatric, nutritional, and metabolic results were analyzed during a stepped follow-up at 3 months, 6 months, 1 year and 2 years. Results: Sixty-six patients (47 female and 19 male) were included. The median preoperative BMI was 53 (48–58) kg/m2. Comorbidities were reported in 48 (72.7%) patients. At 2 years, patients had a median BMI of 27 (27–31) kg/m2 (p < 0.001) with a median %EWL of 85.3% (72.1–96.1), a TWL of 75 (49–100) kg, and a %TWL of 50.9% (40.7–56.9). The complete remission rate was 87.5% for type 2 diabetes mellitus, 83.3% for obstructive sleep apnea syndrome and 64.5% for hypertension. The main nutritional deficiencies post SADI-S were vitamin D (31.82%) and folic acid deficiencies (9.09%). Conclusion: SADI-S could be considered as an efficient and safe procedure with regard to nutritional status, at least in mid-term (2 years) results. It represents a promising bariatric procedure because of the excellent metabolic and bariatric outcomes with acceptable nutritional deficiency rates. Nevertheless, larger studies with longer follow-ups are necessary to draw definitive conclusions.

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Outcomes After Laparoscopic Conversion of Failed Adjustable Gastric Banding (LAGB) to Laparoscopic Sleeve Gastrectomy (LSG) or Single Anastomosis Duodenal Switch (SADS)

Cited by 12 publications

References 12 publications

Safety and short-term outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass following removal of adjustable gastric banding

Safety and short-term outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass following removal of adjustable gastric banding

Weight Regain and Insufficient Weight Loss after Bariatric Surgery: A Call for Action

Medium-Term Nutritional and Metabolic Outcome of Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)

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