Laparoscopic Conversion of Laparoscopic Gastric Banding to Roux-en-Y Gastric Bypass: a Review of 70 Patients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-11

AUTHORS

Philippe Mognol, Denis Chosidow, Jean-Pierre Marmuse

ABSTRACT

BACKGROUND: The feasibility and outcomes of conversion of laparoscopic adjustable gastric banding (LAGB) to laparoscopic Roux-en-Y gastric bypass (LRYGBP) was evaluated. METHODS: From November 2000 to March 2004, all patients who underwent laparoscopic conversion of LAGB to LRYGBP were retrospectively analyzed. The procedure included adhesiolysis, resection of the previous band, creation of an isolated gastric pouch, 100-cm Roux-limb, side-to-side jejuno-jejunostomy, and end-to-end gastro-jejunostomy. RESULTS: 70 patients (58 female, mean age 41) with a median BMI of 45+/-11 (27-81) underwent attempted laparoscopic conversion of LAGB to an RYGBP. Indications for conversion were insufficient weight loss or weight regain after band deflation for gastric pouch dilatation in 34 patients (49%), inadequate weight loss in 17 patients (25%), symptomatic proximal gastric pouch dilatation in 15 patients (20%), intragastric band migration in 3 patients (5%), and psychological band intolerance in 1 patient. 3 of 70 patients (4.3%) had to be converted to a laparotomy because of severe adhesions. Mean operative time was 240+/-40 SD min (210-280). Mean hospital length of stay was 7.2 days. Early complication rate was 14.3% (10/70). Late major complications occurred in 6 patients (8.6%). There was no mortality. Median excess body weight loss was 70+/-20%. 60% of patients achieved a BMI of <33 with mean follow-up 18 months. CONCLUSION: Laparoscopic conversion of LAGB to RYGBP is a technically challenging procedure that can be safely integrated into a bariatric treatment program with good results. Short-term weight loss is very good. More... »

PAGES

1349-1353

References to SciGraph publications

  • 2002-04. Laparoscopic Reoperative Bariatric Surgery: Experience from 27 Consecutive Patients in OBESITY SURGERY
  • 2004-03. Complications after Laparoscopic Adjustable Gastric Banding for Morbid Obesity: Experience with 1,000 Patients over 7 Years in OBESITY SURGERY
  • 2000-06. Laparoscopic Gastric Bypass, Roux en-Y - 500 Patients: Technique and Results, with 3-60 month follow-up in OBESITY SURGERY
  • 2001-08. Laparoscopic Band Repositioning for Pouch Dilatation / Slippage after Gastric Banding: Disappointing Results in OBESITY SURGERY
  • 2002-12. Results of the Italian Multicenter Study on 239 Super-obese Patients Treated by Adjustable Gastric Banding in OBESITY SURGERY
  • 2002-04. Roux-en-Y gastric bypass after previous unsuccessful gastric restrictive surgery in JOURNAL OF GASTROINTESTINAL SURGERY
  • 1994-11. Laparoscopic Gastric Bypass, Roux-en-Y: Preliminary Report of Five Cases in OBESITY SURGERY
  • 2000-06. A 3-year experience with laparoscopic gastric banding for obesity in SURGICAL ENDOSCOPY
  • 2002-12. Re-operations Following Laparoscopic Adjustable Gastric Banding in OBESITY SURGERY
  • 1999-08. Three-Year Results of Laparoscopic Vertical Banded Gastroplasty in OBESITY SURGERY
  • 2001-12. 30% Complications with Adjustable Gastric Banding: What did we do Wrong? in OBESITY SURGERY
  • 1997-08. Laparoscopic Adjustable Silicone Gastric Banding (Lap-Band®): How To Avoid Comlications in OBESITY SURGERY
  • 2000-12. Bariatric Re-operations: Are They Preventable? in OBESITY SURGERY
  • 2004-02. Reduction in Co-morbidities 4 Years after Laparoscopic Adjustable Gastric Banding in OBESITY SURGERY
  • Identifiers

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    http://scigraph.springernature.com/pub.10.1381/0960892042584003

    DOI

    http://dx.doi.org/10.1381/0960892042584003

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1028479813

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/15603650


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