Outcomes in revisional bariatric surgery: a high-volume single institution experience

Cheema, Fareed; Choi, Minyoung; Moran-Atkin, Erin; Camacho, Diego; Choi, Jenny

doi:10.1007/s00464-020-07855-3

Cited by 6 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This phenomenon can be attributed to the concerning weight regain observed among patients post-AGB placement, coupled with an increased prevalence of enduring postoperative complications. Consequently, this shift in trends has catalyzed a global surge in revisional surgeries, escalating from a mere 10% to a substantial 50% [1].…”

Section: Discussionmentioning

confidence: 99%

“…Revision strategies encompass both complete band removal and conversion to alternative bariatric procedures, whether in a single-stage or two-stage approach. It is important to emphasize that these conversions carry an escalated risk profile, including issues like leaks, stenosis, and more, consequently contributing to an increased morbidity rate that can reach up to 20% [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report

Ortiz Gómez,

Vera Macías,

Meza Jasso

et al. 2023

Cureus

View full text Add to dashboard Cite

In the context of adjustable gastric band (AGB) placements and the prevalent issue of weight regain with associated complications, revision surgery for gastric bands becomes imperative. Such revisions may encompass band removal or conversion to bariatric procedures, often accompanied by an escalated risk profile, potentially contributing to a 20% morbidity rate. Laparoscopic sleeve gastrectomy (LSG) has gained prominence due to its technical simplicity, effectiveness in weight loss, and lower complication rates. Specific cases involving LSG post-AGB complications are associated with staple line disruptions and leaks.This case report describes a rare complication in a 59-year-old patient following AGB removal and subsequent laparoscopic sleeve gastrectomy. The complication emerged six hours after the surgery, with approximately 400 cc of bile material reported in the drainage. A laparoscopic reintervention was conducted, revealing bile leakage from the second Couinaud hepatic segment. Successful management of the leakage was achieved through simple hepatic suturing using non-absorbable monofilament. Within 24 hours, no further leakage occurred, and the patient was discharged without additional complications.Our case also demonstrates how complex it can be to switch between different medical procedures, and it emphasizes the need for careful planning and precise surgery in the evolving world of bariatric medicine. It is worth noting that there is a dearth of literature addressing this specific complication. Consequently, this study has the potential to provide valuable insights for surgeons who may encounter a similar scenario in their clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%