1. Conversion from laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) to one anastomosis gastric bypass (OAGB): preliminary data from a multicenter retrospective study
- Author
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Musella, M., Bruni, V., Greco, F., Raffaelli, Marco, Lucchese, Matteo, Susa, A., De Luca, M., Vuolo, G., Manno, E., Vitiello, A., Velotti, N., D'Alessio, R., Facchiano, E., Tirone, Chiara, Iovino, G., Veroux, G., Piazza, L., Raffaelli M. (ORCID:0000-0002-1259-2491), Lucchese M., Tirone A., Musella, M., Bruni, V., Greco, F., Raffaelli, Marco, Lucchese, Matteo, Susa, A., De Luca, M., Vuolo, G., Manno, E., Vitiello, A., Velotti, N., D'Alessio, R., Facchiano, E., Tirone, Chiara, Iovino, G., Veroux, G., Piazza, L., Raffaelli M. (ORCID:0000-0002-1259-2491), Lucchese M., and Tirone A.
- Abstract
Background: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure, while laparoscopic adjustable gastric banding (LAGB) has been for a decade one of the most popular interventions for weight loss. After LSG and LAGB, some patients may require a second surgery due to weight regain or late complications. One anastomosis gastric bypass (OAGB) is a promising bariatric procedure, which provides effective long-term weight loss and has a favorable effect on type 2 diabetes. Objectives: To retrospectively analyze data from 10 Italian centers on conversion from LAGB and LSG to OAGB. Setting: High-volume centers for bariatric surgery. Methods: Prospectively collected data from 10 high-volume centers were retrospectively reviewed. Body mass index (BMI), percentage of excess BMI loss, reasons for redo, remission from co-morbidities (hypertension, diabetes, gastroesophageal reflux, and dyslipidemia), and major complications were recorded. Results: Three hundred patients were included in the study; 196 patients underwent conversion from LAGB to OAGB and 104 were converted from LSG. BMI was 45.1 ± 7 kg/m2 at the time of first intervention, 41.8 ± 6.3 kg/m2 at redo time, and 30.5 ± 5.5 kg/m2 at last follow-up appointment. Mean percentage of excess BMI loss was 13.2 ± 28.2 at conversion and 73.4 ± 27.5 after OAGB. Remission rates from hypertension, diabetes, gastroesophageal reflux, and dyslipidemia were 40%, 62.5%, 58.7% and 52%, respectively. Mean follow-up was 20.8 (range, 6–156) months and overall complications rate was 8.6%. Conclusion: Our data show that OAGB is a safe and effective revisional procedure after failed restrictive bariatric surgery.
- Published
- 2019