The fate of laparoscopic adjustable gastric band removal

被引:14
|
作者
Falk, Vanessa [1 ]
Sheppard, Caroline [2 ]
Kanji, Aliyah [1 ,2 ]
Birch, Daniel [1 ,2 ]
Karmali, Shazeer [1 ,2 ]
de Gara, Christopher [1 ,2 ]
机构
[1] Univ Alberta, Div Gen Surg, Edmonton, AB, Canada
[2] Royal Alexandra Hosp, Ctr Adv Minimally Invas Surg, Edmonton, AB, Canada
关键词
ALL-CAUSE MORTALITY; BODY-MASS INDEX; BARIATRIC SURGERY; FOLLOW-UP; METAANALYSIS; OBESITY;
D O I
10.1503/cjs.001918
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Long-term complications and lack of weight loss have caused a surge in laparoscopic adjustable gastric band (LAGB) removal. This study reviews the trend of LAGB removal and examines outcomes of patients undergoing subsequent revision bariatric surgery at a single tertiary care centre in Canada. Methods: All LAGB removals performed between January 2008 and December 2016 were reviewed. A subset of patients who underwent revision surgery was then analyzed for patient demographics, weight, body mass index and postoperative complications. Results: During the study period, 211 patients underwent LAGB removal (87.7% female). Most bands were inserted out of province. Reasons for band removal included dysphagia, band slip and weight recidivism. Fifty-nine patients (28%) underwent revision surgery at a mean of 12.8 +/- 9.3 (range 0-55) months after LAGB removal. Mean age was 47 +/- 9.7 (range 26-63) years, and mean pre-LAGB weight was 131.0 +/- 30.0 kg. Following LAGB, the mean weight decreased to 120.5 +/- 26.4 kg, but most regained weight after removal to a mean prerevision weight of 125.1 +/- 27.0 kg. The lowest mean weight was achieved 12 months after revision surgery (98.7 +/- 30.2 kg). The mean percent total weight loss was not significantly different after revision laparoscopic Roux-en-Y gastric bypass compared with revision laparoscopic sleeve gastrectomy (22.8 +/- 9.6% v. 17.5 +/- 6.5%, p = 0.179). The overall revision surgery 30-day complication rate was 18.6% and increased to 23.7% long-term. No deaths occurred. Conclusion: The number of LAGB removals is increasing. Revision bariatric surgery leads to improved weight loss; however, revision surgery is associated with complications.
引用
收藏
页码:328 / 333
页数:6
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