Obesity Surgery

, Volume 23, Issue 11, pp 1899–1914

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

  • Usha K. Coblijn
  • Caroline J. Verveld
  • Bart A. van Wagensveld
  • Sjoerd M. Lagarde
Review Article

DOI: 10.1007/s11695-013-1058-0

Cite this article as:
Coblijn, U.K., Verveld, C.J., van Wagensveld, B.A. et al. OBES SURG (2013) 23: 1899. doi:10.1007/s11695-013-1058-0

Abstract

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.

Keywords

Bariatric surgeryConversionInsufficient weight loss laparoscopic adjustable gastric bandLaparoscopic Roux-en-Y gastric bypassLaparoscopic sleeve gastrectomyLRYGBLSGMalabsorptionRestrictiveRevisionWeight regain

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Usha K. Coblijn
    • 1
  • Caroline J. Verveld
    • 1
  • Bart A. van Wagensveld
    • 1
  • Sjoerd M. Lagarde
    • 1
  1. 1.Department of Surgery, Obesity Center AmsterdamSint Lucas Andreas HospitalAmsterdamThe Netherlands