The durability of revisional sleeve gastrectomy and Roux-en-Y gastric bypass after previous adjustable gastric band

Outcomes of Endoscopic Sleeve Gastroplasty Following Laparoscopic Adjustable Gastric Band: A Propensity Score–matched Analysis

“…11,12 Furthermore, given that these patients experienced weight recurrence following an initial gastric restriction therapy, it is not known whether sequential treatment with a similarly restrictive approach would lead to an attenuated weight loss effect, as has been shown for patients who underwent revisional ESG after ESG, 13 ESG after intragastric balloon, 14 and sleeve gastrectomy after LAGB. 15,16 To address knowledge gaps in the performance of ESG in patients with a previously explanted LAGB, we performed a retrospective review of prospectively collected efficacy, safety, and technical feasibility data on patients with ESG after LAGB at 2 centers with expertise in bariatric endoscopy. This was compared with a propensity-matched cohort of patients who underwent ESG at the same facilities in the same period and who had not had a prior LAGB.…”

“…Intragastric or perigastric fibrosis from the LAGB, particularly of the thinner proximal stomach where the band is placed, could ostensibly lead to a greater risk of perigastric leak or abscess, known complications from suturing within the gastric fundus 11,12 . Furthermore, given that these patients experienced weight recurrence following an initial gastric restriction therapy, it is not known whether sequential treatment with a similarly restrictive approach would lead to an attenuated weight loss effect, as has been shown for patients who underwent revisional ESG after ESG, 13 ESG after intragastric balloon, 14 and sleeve gastrectomy after LAGB 15,16 …”