Title |
Laparoscopic Roux-en-Y Gastric Bypass or Laparoscopic Sleeve Gastrectomy as Revisional Procedure after Adjustable Gastric Band—a Systematic Review
|
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Published in |
Obesity Surgery, August 2013
|
DOI | 10.1007/s11695-013-1058-0 |
Pubmed ID | |
Authors |
Usha K. Coblijn, Caroline J. Verveld, Bart A. van Wagensveld, Sjoerd M. Lagarde |
Abstract |
The adjustable gastric band (L)AGB gained popularity as a weight loss procedure. However, long-term results are disappointing; many patients need revision to laparoscopic Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (LSG). The purpose of this study was to assess morbidity, mortality, and results of these two revisional procedures. Fifteen LRYGB studies with a total of 588 patients and eight LSG studies with 286 patients were included. The reason for revision was insufficient weight loss or weight regain in 62.2 and 63.9% in LRYGB and LSG patients. Short-term complications occurred in 8.5 and 15.7% and long-term complications in 8.9 and 2.5%. Reoperation was performed in 6.5 and 3.5%. Revision to LRYGB or LSG after (L)AGB is feasible and relatively safe. Complication rate is higher than in primary procedures. |
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Geographical breakdown
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France | 1 | 1% |
Unknown | 71 | 97% |
Demographic breakdown
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Student > Bachelor | 7 | 10% |
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Unknown | 19 | 26% |
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Other | 0 | 0% |
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