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Decreasing complication rates for one-stage conversion band to laparoscopic sleeve gastrectomy: A retrospective cohort study
- Source :
- Journal of Minimal Access Surgery, Journal of Minimal Access Surgery, Vol 16, Iss 3, Pp 264-268 (2020)
- Publication Year :
- 2020
- Publisher :
- Wolters Kluwer - Medknow, 2020.
-
Abstract
- Background: Laparoscopic adjustable gastric banding (LAGB) revision surgery is often necessary because of its high failure rate. The objective of this study was to demonstrate that better patient selection, when converting a failed LAGB to a laparoscopic sleeve gastrectomy (LSG) as a one-stage revision procedure, is safe, feasible and improves the complication rate. Patients and Methods: A retrospective chart review was performed on patients who underwent a one-stage conversion of failed gastric banding to a LSG. Collected data included age, sex, body mass index (BMI), intraoperative complications, length of stay and post-operative complications. The results were compared to a previous study of 90 cases of LSG as a revision procedure for failed LAGB. Results: There were 75 patients in the current study, 61 women and 14 men, aged 25–67 (average: 46), with a mean BMI of 45 kg/m2 (32–66). Seventy patients (93.3%) were operated for insufficient weight loss and 5 patients (6.7%) for intolerance to the band. In our previous study, 35 patients (39%) were operated for slippage, erosion or obstruction and 14 (15.6%) had post-operative complications as opposed to only 4 patients (5.3%) in this series (P = 0.0359). Gastric leak also improved to 1.3% compared to 5.5% previously. Average hospitalisation time was 2.5 days (1–40). Conclusions: Rigorous patient selection, without band complications such as slippage, erosion or obstruction, allows for a significantly lower rate of operative complications for a one-stage conversion of failed gastric banding to a LSG.
- Subjects :
- medicine.medical_specialty
lcsh:Surgery
03 medical and health sciences
0302 clinical medicine
Weight loss
Chart review
Laparoscopic adjustable gastric banding
Medicine
revisional surgery
lcsh:RC799-869
Laparoscopic sleeve gastrectomy
business.industry
One stage
Retrospective cohort study
lcsh:RD1-811
Surgery
morbid obesity
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
lcsh:Diseases of the digestive system. Gastroenterology
Original Article
medicine.symptom
laparoscopic sleeve gastrectomy
business
Complication
Body mass index
Subjects
Details
- Language :
- English
- ISSN :
- 19983921 and 09729941
- Volume :
- 16
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Minimal Access Surgery
- Accession number :
- edsair.doi.dedup.....77d949bdb17d019d26687d4db2bd3831