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Five-year outcomes of revisional bariatric surgery: gastric band to sleeve gastrectomy or to Roux-en-Y gastric bypass.
Carbonaro, Joseph; McLaughlin, Tara; Seip, Richard; Staff, Ilene; Wu, Yin; Santana, Connie; Bond, Dale; Tishler, Darren; Benbrahim, Aziz; Papasavas, Pavlos.
Afiliación
  • Carbonaro J; Hartford Healthcare Surgical Weight Loss Center, Hartford, CT, 06102, USA.
  • McLaughlin T; Department of Surgery, Hartford Hospital, Hartford, CT, 06102, USA.
  • Seip R; Hartford Healthcare Surgical Weight Loss Center, Hartford, CT, 06102, USA.
  • Staff I; Hartford Healthcare Research Program, Hartford, CT, 06102, USA.
  • Wu Y; Hartford Healthcare Research Program, Hartford, CT, 06102, USA.
  • Santana C; Hartford Healthcare Surgical Weight Loss Center, Hartford, CT, 06102, USA.
  • Bond D; Hartford Healthcare Research Program, Hartford, CT, 06102, USA.
  • Tishler D; Hartford Healthcare Surgical Weight Loss Center, Hartford, CT, 06102, USA.
  • Benbrahim A; Medical Group Department of Bariatrics, Hartford Healthcare, Meriden, CT, 06450, USA.
  • Papasavas P; Hartford Healthcare Surgical Weight Loss Center, Hartford, CT, 06102, USA. pavlos.papasavas@hhchealth.org.
Surg Endosc ; 38(5): 2719-2725, 2024 May.
Article en En | MEDLINE | ID: mdl-38532050
ABSTRACT

BACKGROUND:

Revisional bariatric surgery after an index adjustable gastric band (AGB) may be indicated to remedy weight relapse or band-related complications. We examined outcomes five years following revision from AGB to laparoscopic sleeve gastrectomy (AGB-LSG) or to Roux-en-Y gastric bypass (AGB-RYGB).

METHODS:

We conducted a retrospective review to identify patients (men and women, age 18-80) who underwent one revisional bariatric procedure with AGB as the index procedure at two medical centers in our healthcare system between January 2012 and February 2017. We only included patients with a pre-revision BMI > 30 kg/m2 for whom 5-year follow-up data were available. We compared 5-year weight loss and remission of comorbidities in patients undergoing AGB-LSG and AGB-RYGB conversion.

RESULTS:

A total of 114 patients met inclusion criteria (65 AGB-LSG, 49 AGB-RYGB). At 5-year post-revision, percent total weight loss (3.4% vs 19.9%; p < 0.001), percent excess weight loss (7.0% vs 50.8%; p < 0.001) and decrease in BMI (1.5 vs 8.8; p < 0.001) was greater in AGB-RYGB vs. AGB-LSG. No significant difference in remission or development of new comorbidities was observed.

CONCLUSION:

Conversion of AGB to RYGB is associated with superior intermediate-term weight loss compared to conversion of AGB to LSG. Future multicenter studies with larger sample sizes are necessary to further describe the intermediate-term outcomes of revisional bariatric surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reoperación / Obesidad Mórbida / Derivación Gástrica / Gastroplastia / Pérdida de Peso / Gastrectomía Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reoperación / Obesidad Mórbida / Derivación Gástrica / Gastroplastia / Pérdida de Peso / Gastrectomía Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania