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Safety and Outcome of Laparoscopic Sleeve Gastrectomy Following Removal of Adjustable Gastric Banding: Lessons from 109 Patients in a Single Center and Review of the Literature

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Abstract

Background

Although considered a common bariatric procedure, laparoscopic adjustable gastric banding (LAGB) is associated with high rates of weight loss failure and long-term complications.

Purpose

The purpose of this study was to re-assess the safety and outcome of conversion of failed LAGB to laparoscopic sleeve gastrectomy (LSG).

Materials and Methods

One hundred and nine patients underwent conversion from LAGB to LSG (78 females, mean age 43 ± 11.3 years, mean BMI 42.4 ± 7.4 kg/m2). Patient demographics, obesity-related co-morbidities, BMI before and after the procedure, post-operative complications, and length of hospital stay were documented.

Results

All cases were completed laproscopically, with 88% (n = 96) performed in a single stage. Fourteen patients developed early post-operative complications (12.8%), including two leaks and three post-operative bleeding. There were no mortalities in this series. Average BMI at least 1-year following surgery was 33 ± 5.3 kg/m2 (excess weight loss (EWL) = 53.7%).

Conclusions

Our data suggests that conversion of failed LAGB to LSG is both safe and effective. Randomized controlled studies comparing conversion of a failed LAGB to sleeve gastrectomy versus other bariatric operations are necessary to clarify the optimal conversion procedure.

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Authors and Affiliations

  1. Division of General Surgery, The Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel

    Niv Pencovich, Guy Lahat, Subhi Abu-Abeid, Joseph M. Klausner & Shai Meron Eldar

  2. Bariatric Surgery Unit, Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, Israel

    Guy Lahat, Orit Goldray, Subhi Abu-Abeid & Shai Meron Eldar

Authors
  1. Niv Pencovich
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  2. Guy Lahat
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  3. Orit Goldray
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  4. Subhi Abu-Abeid
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  6. Shai Meron Eldar
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Corresponding author

Correspondence to Shai Meron Eldar.

Ethics declarations

The authors declare that they have no conflict of interest.

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent was obtained from all individual participants included in the study.

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Pencovich, N., Lahat, G., Goldray, O. et al. Safety and Outcome of Laparoscopic Sleeve Gastrectomy Following Removal of Adjustable Gastric Banding: Lessons from 109 Patients in a Single Center and Review of the Literature. OBES SURG 27, 1266–1270 (2017). https://doi.org/10.1007/s11695-016-2463-y

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  • DOI: https://doi.org/10.1007/s11695-016-2463-y

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