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

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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.

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Authors and Affiliations

  1. Department of Surgery, Obesity Center Amsterdam, Sint Lucas Andreas Hospital, Jan Tooropstraat 164, 1061, Amsterdam, The Netherlands

    Usha K. Coblijn, Caroline J. Verveld, Bart A. van Wagensveld & Sjoerd M. Lagarde

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  1. Usha K. Coblijn
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  2. Caroline J. Verveld
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  3. Bart A. van Wagensveld
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  4. Sjoerd M. Lagarde
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Correspondence to Usha K. Coblijn.

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Usha K. Coblijn and Caroline J. Verveld participated equally in the establishment of this article.

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Coblijn, U.K., Verveld, C.J., van Wagensveld, B.A. et al. Laparoscopic Roux-en-Y Gastric Bypass or Laparoscopic Sleeve Gastrectomy as Revisional Procedure after Adjustable Gastric Band—a Systematic Review. OBES SURG 23, 1899–1914 (2013). https://doi.org/10.1007/s11695-013-1058-0

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