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Revisional Roux-en-Y gastric bypass after failed gastric banding: a case-matched study

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Abstract

Background

Revisional surgery is technically demanding and is usually associated with higher intraoperative and perioperative risks than primary procedures. The objective of this study is to compare outcomes of patients who had gastric bypass procedures performed as a rescue procedure for failed gastric banding, with those who had a primary gastric bypass.

Materials and methods

The group of patients undergoing revisional gastric bypass for failed gastric band was matched in a 1:2 ratio with control patients who underwent a primary RYGB, based on gender, score, preoperative body mass index, and comorbidities. Data were retrospectively retrieved.

Results

Thirty one (33.3%) patients underwent band removal and gastric bypass (group A) and 62 (66.6%) only primary gastric bypass (group B). Nonsignificant differences were seen in operative time, operative bleeding, or length of stay. Complications were more frequent in group A. Postoperative weight at 12-month follow-up was greater in group A, however, not statistically significant. Changes in weight, both absolute, and percentage were not different between groups. This observation was also true for BMI, in which no significant differences were seen. Overall, mean follow-up was 16 ± 3.2 months.

Conclusion

Gastric bypass can be performed as revisional bariatric surgery, with low complication rates and acceptable outcomes, though not with the same safety as a primary procedure. Gastric bypass is a satisfactory option for patients with a failed gastric band.

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Acknowledgements

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sector.

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Authors and Affiliations

  1. Tecnologico de Monterrey, School of Medicine and Health Sciences, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Nuevo León, Mexico

    Mauricio Gonzalez-Urquijo, David E. Hinojosa-Gonzalez, Ale Gibran Alam Gidi, Sofia Hurtado Arellano & Javier Rojas-Mendez

  2. Tecnologico de Monterrey, School of Engineering and Sciences, Av. Eugenio Garza Sada 2501 Sur, Tecnológico, 64849, Monterrey, Nuevo León, Mexico

    Eduardo Flores-Villalba

Authors
  1. Mauricio Gonzalez-Urquijo
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  2. David E. Hinojosa-Gonzalez
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  3. Ale Gibran Alam Gidi
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  4. Sofia Hurtado Arellano
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  5. Eduardo Flores-Villalba
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  6. Javier Rojas-Mendez
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Correspondence to Mauricio Gonzalez-Urquijo.

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Disclosure

Mauricio Gonzalez-Urquijo, David Eugenio Hinojosa Gonzalez, Ale Alam Gibram Gidi, Sofia Hurtado Arellano, Eduardo Flores-Villalba, and Javier Rojas Mendez have no conflict of interest or financial ties to disclosure.

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Written informed consent was obtained from the patients for publication of this case series. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.

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Gonzalez-Urquijo, M., Hinojosa-Gonzalez, D.E., Gidi, A.G.A. et al. Revisional Roux-en-Y gastric bypass after failed gastric banding: a case-matched study. Surg Endosc 36, 4815–4820 (2022). https://doi.org/10.1007/s00464-021-08825-z

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  • DOI: https://doi.org/10.1007/s00464-021-08825-z

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