title: Laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy as revisional procedure after adjustable gastric band--a systematic review.
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.
authors: Department of Surgery, Obesity Center Amsterdam, Sint Lucas Andreas Hospital, Jan Tooropstraat 164, 1061, Amsterdam, The Netherlands, usha.coblijn@gmail.com.
authors: Usha K
authors: UK
authors: Coblijn
authors: Caroline J
authors: CJ
authors: Verveld
authors: Bart A
authors: BA
authors: van Wagensveld
authors: Sjoerd M
authors: SM
authors: Lagarde
mesh_terms: D000328:Adult; D005260:Female; D005743:Gastrectomy / Q000401:mortality / Q000706:statistics & numerical data; D015390:Gastric Bypass / Q000401:mortality / Q000706:statistics & numerical data; D015391:Gastroplasty / Q000009:adverse effects* / Q000401:mortality; D006801:Humans; D010535:Laparoscopy / Q000401:mortality / Q000706:statistics & numerical data; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D012086:Reoperation / Q000706:statistics & numerical data*; D017211:Treatment Failure; D015431:Weight Loss
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