title: Laparoscopic Conversion of Vertical Banded Gastroplasty into Roux-en-Y Gastric Bypass.
abstract: Laparoscopic conversion of vertical banded gastroplasty (VBG) into Roux-en-Y gastric bypass is a technically demanding procedure. This article demonstrates the feasibility of conversion of failed VBG to Roux-en-Y gastric bypass (RYGBP).We have a series of 15 patients who underwent conversion from VBG to RYGBP, and the results were satisfactory regarding the percent excess weight loss and the resolution of the comorbidities, without a significant increase in the complications. In patients with a difficult anatomy below the cardia, dividing the esophagus just above the esophagogastric junction and performing an esophagojejunostomy may be a safe alternative to converting to a Scopinaro-BPD. Laparoscopic conversion of failed VBG to RYGBP is safe and feasible.
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Avenue Albert Raimond, 42270, Saint Etienne, France. Radwankassir42@hotmail.Fr.
authors.forename: Radwan
authors.initials: R
authors.lastname: Kassir
authors.affiliation: Department of Digestive Surgery, Clinique Chirurgicale Mutualiste, Saint Etienne, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Blanc
authors.affiliation: Department of Bariatric Surgery, Hospital Archet 2, Nice, France.
authors.forename: Jean
authors.initials: J
authors.lastname: Gugenheim
authors.affiliation: Department of Bariatric Surgery, Hospital Archet 2, Nice, France.
authors.forename: Imed Ben
authors.initials: IB
authors.lastname: Amor
authors.affiliation: Department of Bariatric Surgery, Hospital Archet 2, Nice, France.
authors.forename: Tarek
authors.initials: T
authors.lastname: Debs
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Avenue Albert Raimond, 42270, Saint Etienne, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: TIffet
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D015390:Gastric Bypass / Q000379:methods*; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000601:surgery*; D017211:Treatment Failure; D016896:Treatment Outcome; D014741:Video Recording
keywords: Gastric pouch resizing; Mason MacLean; Roux-en-Y gastric bypass; Surgical technique; Weight loss