title: Long-term results after revisions of failed primary vertical banded gastroplasty.
abstract: OBJECTIVE
  To compare the results after revision of primary vertical banded gastroplasty (Re-VBG) and conversion to sleeve gastrectomy (cSG) or gastric bypass (cRYGB).
  
  
  METHODS
  In this retrospective single-center study, all patients with a failed VBG who underwent revisional surgery were included. Medical charts were reviewed and additional postal questionnaires were sent to update follow-up. Weight loss, postoperative complications and long-term outcome were assessed.
  
  
  RESULTS
  A total 152 patients were included in this study, of which 21 underwent Re-VBG, 16 underwent cSG and 115 patients underwent cRYGB. Sixteen patients necessitated a second revisional procedure. No patients were lost-to-follow-up. Two patients deceased during the follow-up period, 23 patients did not return the questionnaire. Main reasons for revision were dysphagia/vomiting, weight regain and insufficient weight loss. Excess weight loss (%EWL) after Re-VBG, cSG and cRYGB was, respectively, 45%, 57% and 72%. Eighteen patients (11.8%) reported postoperative complications and 27% reported long-term complaints.
  
  
  CONCLUSIONS
  In terms of additional weight loss, postoperative complaints and reintervention rate, Roux-en-Y gastric bypass seems feasible as a revision for a failed VBG.
authors.affiliation: Martin R van Wezenbeek, Frans J F Smulders, Jean-Paul J G M de Zoete, Misha D Luyer, Gust van Montfort, Simon W Nienhuijs, Department of Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
authors.forename: Martin R
authors.initials: MR
authors.lastname: van Wezenbeek
authors.affiliation: Martin R van Wezenbeek, Frans J F Smulders, Jean-Paul J G M de Zoete, Misha D Luyer, Gust van Montfort, Simon W Nienhuijs, Department of Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
authors.forename: Frans J F
authors.initials: FJ
authors.lastname: Smulders
authors.affiliation: Martin R van Wezenbeek, Frans J F Smulders, Jean-Paul J G M de Zoete, Misha D Luyer, Gust van Montfort, Simon W Nienhuijs, Department of Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
authors.forename: Jean-Paul J G M
authors.initials: JP
authors.lastname: de Zoete
authors.affiliation: Martin R van Wezenbeek, Frans J F Smulders, Jean-Paul J G M de Zoete, Misha D Luyer, Gust van Montfort, Simon W Nienhuijs, Department of Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
authors.forename: Misha D
authors.initials: MD
authors.lastname: Luyer
authors.affiliation: Martin R van Wezenbeek, Frans J F Smulders, Jean-Paul J G M de Zoete, Misha D Luyer, Gust van Montfort, Simon W Nienhuijs, Department of Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
authors.forename: Gust
authors.initials: G
authors.lastname: van Montfort
authors.affiliation: Martin R van Wezenbeek, Frans J F Smulders, Jean-Paul J G M de Zoete, Misha D Luyer, Gust van Montfort, Simon W Nienhuijs, Department of Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
authors.forename: Simon W
authors.initials: SW
authors.lastname: Nienhuijs
keywords: Additional weight loss; Conversion; Gastric bypass; Revision; Sleeve gastrectomy; Vertical banded gastroplasty