Outcomes of Two-Step Revisional Bariatric Surgery: Reasons for the Gastric Banding Explantation Matter
| Autor: | Jane Collins, Lilian Kow, Jacob Chisholm, Savio G. Barreto, Ann Schloithe |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Reoperation Sleeve gastrectomy medicine.medical_specialty Databases Factual Gastroplasty Endocrinology Diabetes and Metabolism medicine.medical_treatment Two step Bariatric Surgery 030209 endocrinology & metabolism 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Weight loss Weight Loss medicine Humans Young adult Laparoscopy Device Removal Aged Retrospective Studies Nutrition and Dietetics medicine.diagnostic_test business.industry nutritional and metabolic diseases Retrospective cohort study Middle Aged Surgery Obesity Morbid Treatment Outcome Cohort 030211 gastroenterology & hepatology Equipment Failure Female medicine.symptom business Complication |
| Zdroj: | Obesity surgery. 28(2) |
| ISSN: | 1708-0428 |
| Popis: | The purpose of this study is to determine whether the reason for gastric band explantation would influence percentage excess weight loss (%EWL) following revisional Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). This is a retrospective cohort study, whose data are maintained in a prospective surgical database. The study period was from January 2012 to March 2017. Revisional surgeries were performed in a two-step manner, namely, first surgery LAGB explantation and second surgery (RYGB or SG). Two-way between-groups analysis of variance was used to examine effects of reason for band explantation (failed versus complication) and type of revisional surgery (RYGB versus SG) on %EWL at 10 months, 1 and 2 years. Cohort included 171 patients—146 women (85.4%) and 25 men, median age 51 years (range 22–76). Band-related complications accounted for 55% of explantations. Overall, 95 patients (56%) underwent a revisional RYGB, and 76 patients underwent a revisional SG. There was no difference in age or gender in terms of reason for band explantation or choice of revisional surgery. There was no difference in morbidity between the two groups (SG 2.6% versus RYGB 4.2%; p = .464). Patients undergoing revisional RYGB for failed weight loss had a significantly lower %EWL at 2 years compared to patients undergoing an SG for failed weight loss (p = .014) or an RYGB for band-related complications (p = .021). Patients undergoing revisional RYGB following band explantation for failed weight loss have a significantly lower %EWL at 2 years compared to patients undergoing an SG for failed weight loss or an RYGB for band-related complications. |
| Databáze: | OpenAIRE |
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