title: Safety and Outcome of Laparoscopic Sleeve Gastrectomy Following Removal of Adjustable Gastric Banding: Lessons from 109 Patients in a Single Center and Review of the Literature.
abstract: Although considered a common bariatric procedure, laparoscopic adjustable gastric banding (LAGB) is associated with high rates of weight loss failure and long-term complications.
  
  
  
  The purpose of this study was to re-assess the safety and outcome of conversion of failed LAGB to laparoscopic sleeve gastrectomy (LSG).
  
  
  
  One hundred and nine patients underwent conversion from LAGB to LSG (78 females, mean age 43 ± 11.3 years, mean BMI 42.4 ± 7.4 kg/m2). Patient demographics, obesity-related co-morbidities, BMI before and after the procedure, post-operative complications, and length of hospital stay were documented.
  
  
  
  All cases were completed laproscopically, with 88% (n = 96) performed in a single stage. Fourteen patients developed early post-operative complications (12.8%), including two leaks and three post-operative bleeding. There were no mortalities in this series. Average BMI at least 1-year following surgery was 33 ± 5.3 kg/m2(excess weight loss (EWL) = 53.7%).
  
  
  
  Our data suggests that conversion of failed LAGB to LSG is both safe and effective. Randomized controlled studies comparing conversion of a failed LAGB to sleeve gastrectomy versus other bariatric operations are necessary to clarify the optimal conversion procedure.
authors.affiliation: Division of General Surgery, The Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel.
authors.forename: Niv
authors.initials: N
authors.lastname: Pencovich
authors.affiliation: Division of General Surgery, The Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel.|Bariatric Surgery Unit, Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel.
authors.forename: Guy
authors.initials: G
authors.lastname: Lahat
authors.affiliation: Bariatric Surgery Unit, Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel.
authors.forename: Orit
authors.initials: O
authors.lastname: Goldray
authors.affiliation: Division of General Surgery, The Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel.|Bariatric Surgery Unit, Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel.
authors.forename: Subhi
authors.initials: S
authors.lastname: Abu-Abeid
authors.affiliation: Division of General Surgery, The Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel.
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Klausner
authors.affiliation: Division of General Surgery, The Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel. shaime@tlvmc.gov.il.|Bariatric Surgery Unit, Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel. shaime@tlvmc.gov.il.
authors.forename: Shai
authors.initials: S
authors.lastname: Meron Eldar
mesh_terms: D000328:Adult; D020878:Device Removal; D005260:Female; D005743:Gastrectomy; D015391:Gastroplasty; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D017211:Treatment Failure; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Conversion; Gastric banding; Laparoscopy; Obesity; Sleeve gastrectomy