Laparoscopic Roux-en-Y Gastric Bypass or Laparoscopic Sleeve Gastrectomy as Revisional Procedure after Adjustable Gastric Band-a Systematic Review

被引：69
|
作者：
Coblijn, Usha K. [1 ]
Verveld, Caroline J. [1 ]
van Wagensveld, Bart A. [1 ]
Lagarde, Sjoerd M. [1 ]
机构：
[1] Sint Lucas Andreas Hosp, Obes Ctr Amsterdam, Dept Surg, NL-1061 Amsterdam, Netherlands
来源：
OBESITY SURGERY | 2013年 / 23卷 / 11期
关键词：
Bariatric surgery; Conversion; Insufficient weight loss laparoscopic adjustable gastric band; Laparoscopic Roux-en-Ygastric bypass; Laparoscopic sleeve gastrectomy; LRYGB; LSG; Malabsorption; Restrictive; Revision; Weight regain; BARIATRIC PROCEDURES; MORBID-OBESITY; WEIGHT-LOSS; FOLLOW-UP; CONVERSION; EXPERIENCE; SURGERY; COMPLICATIONS; GASTROPLASTY; DILATATION;
D O I：
10.1007/s11695-013-1058-0
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The adjustable gastric band (L)AGB gained popularity as a weight loss procedure. However, long-term results are disappointing; many patients need revision to laparoscopic Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (LSG). The purpose of this study was to assess morbidity, mortality, and results of these two revisional procedures. Fifteen LRYGB studies with a total of 588 patients and eight LSG studies with 286 patients were included. The reason for revision was insufficient weight loss or weight regain in 62.2 and 63.9 % in LRYGB and LSG patients. Short-term complications occurred in 8.5 and 15.7 % and long-term complications in 8.9 and 2.5 %. Reoperation was performed in 6.5 and 3.5 %. Revision to LRYGB or LSG after (L)AGB is feasible and relatively safe. Complication rate is higher than in primary procedures.
引用
收藏
页码：1899 / 1914
页数：16
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