Revisional Surgery after Failed Gastric Banding

Abstract

LAGB replacement or re-banding has been proposed by some authors but with limited success [6][7][8]. More extensive literature has been produced about LAGB conversion to laparoscopic sleeve gastrectomy (SG), to Roux-en-Y gastric bypass (RYGB) and to duodenal switch procedures [9][10][11][12][13]. In this study we aim to retrospectively evaluate the effectiveness of our revisional bariatric surgery after failed LAGB, in terms of Excess Weight Loss % (EWL %), Body Mass Index (BMI) course and complication rate. MethodsWe performed a review of our institutional database (prospectively maintained) between 2000 and 2014. We included all patients having a LAGB in our Centre, subsequently requiring revisional bariatric surgery with at least 2 years of follow-up. The indications for redo-surgery wereInadequate weight loss or weight regain, resulting in an EWL% < 25%, in absence of digestive symptoms or radiologic