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• W2014863712 abstract "Laparoscopic adjustable gastric banding (LAGB) is a well-tolerated procedure but has high long-term complication and failure rates. Laparoscopic conversion to Roux-en-Y gastric bypass (LRYGB) is one of the rescue strategies.To analyze short- and long-term results of reoperative LRYGB after failed LAGB.Three European expert bariatric center (2 university hospitals and 1 regional hospital).A retrospective review of prospectively collected data, including all consecutive patients submitted to revisional LRYGB for failed LAGB between 1999 and 2013, was performed. Complications were classified according to the Dindo-Clavien system. Long-term results in terms of weight loss were analyzed in a subgroup of patients.A total of 642 patients (569 women and 73 men) were included. Mean±standard deviation operating time was 188±43 minutes. There was no mortality and an overall complication rate of 9.7%, including 3.6% major complications, with no difference between the 1- or 2-step approaches. Follow-up rate was 88% at 10 years for the Swiss patient cohort. The mean excess body mass index loss was between 65% and 70% throughout the study period, and the mean total weight loss was between 28% and 30% based on the maximum weight. The mean body mass index decreased from 44.7 kg/m(2) before LAGB to 31.6, 32.2, and 32.5 kg/m(2) at 1, 5, and 10 years after revision.Revisional LRYGB is well tolerated and feasible after failed LAGB. A 1-step approach, in cases without erosion, does not increase operative morbidity. Results up to 10 years after revision are comparable to those reported after primary LRYGB." @default.
• W2014863712 created "2016-06-24" @default.
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• W2014863712 date "2016-02-01" @default.
• W2014863712 modified "2023-09-22" @default.
• W2014863712 title "Laparoscopic Roux-en-Y gastric bypass for failed gastric banding: outcomes in 642 patients" @default.
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• W2014863712 doi "https://doi.org/10.1016/j.soard.2015.04.007" @default.
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