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

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 surgery Conversion Insufficient weight loss laparoscopic adjustable gastric band Laparoscopic Roux-en-Y gastric bypass Laparoscopic sleeve gastrectomy LRYGB LSG Malabsorption Restrictive Revision Weight 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

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