title: Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy as Revisional Procedures after Adjustable Gastric Band: 5-Year Outcomes.
abstract: In 2013, a worldwide bariatric surgery survey showed that laparoscopic adjustable gastric banding (LAGB) has been abandoned in favor of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-y gastric bypass (LRYGBP).
  
  
  
  The aim of this study was to compare results of LRYGBP and LSG performed as a revisional procedure after LAGB.
  
  
  
  All patients converted from LAGB to LSG or to LRYGBP from January 2007 to December 2011 were included in the study. Clinical data collected were age, gender, indications for revision, complications, body mass index (BMI), and body weight at revisional procedures. Weight loss was calculated at 1, 3, and 5 years after conversion.
  
  
  
  Fifty-one patients were included in this study, 43 females and 8 males. Twenty-four patients were converted to LRYGBP (LRYGBP group) and 27 to LSG (LSG group). Indication for conversion was weight loss failure in 34 (67%) patients and band complications in 17 (33%) patients. No significant difference in age, BMI, and body weight in the two groups was found at the time of revision. One patient converted to LRYGBP had an internal hernia; one patient initially scheduled for LSG was intraoperatively converted to LRYGBP due to staple line leak. No other major perioperative complication was observed. Follow-up rate at 5 years was 84.3% (43 patients out of 51 patients) Delta-BMI and percentage of excess weight loss (%EWL) were not significantly different in the two groups at 1, 3, and 5 years (p > 0.05).
  
  
  
  LRYGBP or LSG are feasible and effective surgical options after LAGB. Satisfactory weight loss was achieved after both procedures.
authors.affiliation: General and Endoscopic Surgery Unit, San Giovanni Bosco Hospital, Naples, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Angrisani
authors.affiliation: Department of Endocrinology, Gastroenterology and Surgery, University Hospital of Naples "Federico II", Naples, Italy. antoniovitiello_@hotmail.it.
authors.forename: Antonio
authors.identifier: 0000-0003-1514-7112
authors.initials: A
authors.lastname: Vitiello
authors.affiliation: Gastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
authors.forename: Antonella
authors.initials: A
authors.lastname: Santonicola
authors.affiliation: Department of Clinical Medicine and Surgery, University of Naples "Federico II", Naples, Italy.
authors.forename: Ariola
authors.initials: A
authors.lastname: Hasani
authors.affiliation: Thoracic and Abdominal Surgery Department, Montebelluna-Treviso Hospital, Montebelluna, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: De Luca
authors.affiliation: Gastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Iovino
mesh_terms: D000328:Adult; D016208:Databases, Factual; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D015390:Gastric Bypass; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007558:Italy; D010535:Laparoscopy / Q000379:methods; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D017211:Treatment Failure; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Laparoscopic Roux-en-Y gastric bypass; Laparoscopic adjustable gastric banding; Laparoscopic sleeve gastrectomy; Long-term results; Revisional surgery