Laparoscopic sleeve gastrectomy as a revisional surgery for failed gastric banding: reports of 14 patients

doi:10.3877/cma.j.issn.2095-9605.2015.01.006

Abstract

Abstract:

Objective

To analyse the effectiveness and safty of laparoscopic sleeve gastrectomy (LSG)as a revision procedure after failed gastric banding.

Methods

Clinical data of 14 patients from General Hospital of PLA who had underwent LSG as a revision procedure after failed gastric banding between June 2011 and June 2013 were analysed, including operative time, hospitalization, reduction of body mass index(BMI), percentage of excess weight loss (EWL%) and postoperative complications.

Results

Fourteen procedures were preformed successfully without conversion to open surgery. The mean operative time was(128±15) minutes, the mean hospitalization in General Surgery was (9±3) days, the reduction of BMI in 3 mouths (n=14), 6 mouths (n=12), 12 mouths (n=10), 18 mouths (n=8) and 24 mouths (n=5) after procedures was (4.0±1.4) kg/m²、(6.8±2.1) kg/m²、(9.4±3.4) kg/m²、(11.0±3.4) kg/m² and（12.1±4.6） kg/m² respectively. No more operative complications happened except 1 case of infection.

Conclusions

LSG is an ideal bariatric procedure with less injury, fewer postoperative complications and better effectiveness of weight loss as a revision procedure for failed LAGB.

Key words: Laparoscopic sleeve gastrectomy, Gastric banding, Revision procedure

Guanglong Dong, Jingwen Liu, Yanbing Jian, Yulin Guo, Xiao Xu, Jin Du, Jie Feng, Changyong Xue, Gang Ji. Laparoscopic sleeve gastrectomy as a revisional surgery for failed gastric banding: reports of 14 patients[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2015, 01(01): 21-25.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhfpydxbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9605.2015.01.006

https://zhfpydxbdzzz.cma-cmc.com.cn/EN/Y2015/V01/I01/21

References 18

[1]	O’Brien P. Outcome of laparoscopic adjustable gastric banding and the prevalence of band revision and explantation at academic centers:2007-2009[J]. Surg Obes Relat Dis, 2012, 8(6):727-728.
[2]	Hii MW, Lake AC, Kenfield C, et al. Laparoscopic conversion of failed gastric banding to Roux-en-Y gastric bypass: short-term followup and technical considerations[J]. Obes Surg, 2012, 22(7):1022-1028.
[3]	Schouten R, Japink D, Meesters B, et al. Systematic literature review of reoperations after gastric banding: is a stepwise approach justified?[J]. Surg Obes Relat Dis, 2011, 7(1):99-109.
[4]	Goitein D, Feigin A, Segal-Lieberman G, et al. Laparoscopic sleeve gastrectomy as a revisional option after gastric band failure[J]. Surg Endosc, 2011, 25(8):2626-2630.
[5]	Kodner C, Hartman DR. Complications of adjustable gastric banding surgery for obesity[J]. Am Fam Physician, 2014, 89(10):813-818.
[6]	Manatakis DK, Terzis I, Kyriazanos ID, et al. Simultaneous Gastric and Duodenal Erosions due to Adjustable Gastric Banding for Morbid Obesity[J]. Case Rep Surg, 2014, 2014:146980.
[7]	Carandina S, Maldonado PS, Tabbara M, et al. Two-step conversion surgery after failed laparoscopic adjustable gastric banding.Comparison between laparoscopic Roux-en-Y gastric bypass and laparoscopic gastric sleeve[J]. Surg Obes Relat Dis, 2014,10(6):1085-1091.
[8]	Chand B. Effect of primary versus revisional Roux-en-Y gastric bypass: inferior weight loss of revisional surgery after gastric banding[J]. Surg Obes Relat Dis, 2013, 9(2):258-259.
[9]	Khoursheed MA, Al-Bader IA, Al-asfar FS, et al. Revision of failed bariatric procedures to Roux-en-Y gastric bypass (RYGB)[J]. Obes Surg, 2011, 21(8):1157-1160.
[10]	Tran TT, Pauli E, Lyn-Sue JR, et al. Revisional weight loss surgery after failed laparoscopic gastric banding: an institutional experience[J]. Surg Endosc, 2013, 27(11):4087-4093.
[11]	Park YH, Kim SM. Laparoscopic sleeve gastrectomy as revisional surgery for adjustable gastric band erosion[J]. J Laparoendosc Adv Surg Tech A, 2014, 24(9):593-600.
[12]	Peterli R, Steinert RE, Woelnerhanssen B, et al. Metabolic and hormonal changes after laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy: a randomized, prospective trial[J]. Obes Surg,2012, 22(5):740-748.
[13]	Müller MK, Attigah N, Wildi S, et al. High secondary failure rate of rebanding after failed gastric banding[J]. Surg Endosc, 2008,22(2):448-453.
[14]	Kehagias I, Karamanakos SN, Argentou M, et al. Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI＜50 kg/m²[J]. Obes Surg, 2011, 21(11):1650-1656.
[15]	Deitel M, Gagner M, Erickson AL, et al. Third International Summit:Current status of sleeve gastrectomy[J]. Surg Obes Relat Dis, 2011,7(6):749-759.
[16]	Casella G, Soricelli E, Rizzello M, et al. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy[J]. Obes Surg,2009, 19(7):821-826.
[17]	Gagnière J, Slim K, Launay-Savary MV, et al. Previous gastric banding increases morbidity and gastric leaks after laparoscopic sleeve gastrectomy for obesity[J]. J Visc Surg, 2011, 148(3):e205-209.
[18]	Rebibo L, Mensah E, Verhaeghe P, et al. Simultaneous gastric band removal and sleeve gastrectomy: a comparison with front-line sleeve gastrectomy[J]. Obes Surg, 2012, 22(9):1420-1426.

Please choose a citation manager

Content to export