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Journal of Gastrointestinal Surgery

, Volume 18, Issue 10, pp 1737–1743 | Cite as

Primary Sleeve Gastrectomy Compared to Sleeve Gastrectomy as Revisional Surgery: Weight Loss and Complications at Intermediate Follow-up

  • Allison M. BarrettEmail author
  • Kim T. Vu
  • Kulmeet K. Sandhu
  • Edward H. Phillips
  • Scott A. Cunneen
  • Miguel A. Burch
Original Article

Abstract

Introduction

The laparoscopic adjustable gastric band (LAGB) can be revised to sleeve gastrectomy (LSG) for various reasons. Data are limited on the safety and efficacy of single-stage removal of LAGB and creation of LSG.

Methods

A retrospective review of cases was performed from 2010 to 2013. From the primary LSG group, a control group was matched in a 2:1 ratio.

Results

Thirty-two patients underwent single-stage revision from LAGB to LSG, with a control group of 64. The most common indication for revision was insufficient weight loss (62.5 %). Operative time for revision and control groups was 134 and 92 min, respectively (p < 0.0001). Hospital stay was 3.22 and 2.59 days, respectively (p = 0.02). Overall, the 30-day complication rate for revision and control patients was 14.71 and 6.25 %, respectively (p = 0.20). There were no leaks, one stricture (3.13 %) in the revision group, and one reoperation for bleeding in the control group (1.56 %). For patients with BMI >30 at surgery, change in BMI at 12 months for revision and control was 8.77 and 11.58, respectively (p = 0.02).

Conclusion

Single-stage revision can be performed safely, with minimal increases in hospital stay and 30-day complications. Weight loss is greater in those who undergo primary LSG compared to those who undergo LSG as revision.

Keywords

Bariatric Gastric band Laparoscopy Obesity Sleeve gastrectomy 

Notes

Disclosures

None

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Copyright information

© The Society for Surgery of the Alimentary Tract 2014

Authors and Affiliations

  • Allison M. Barrett
    • 1
    Email author
  • Kim T. Vu
    • 1
  • Kulmeet K. Sandhu
    • 2
  • Edward H. Phillips
    • 1
  • Scott A. Cunneen
    • 1
  • Miguel A. Burch
    • 1
  1. 1.Cedars-Sinai Medical CenterLos AngelesUSA
  2. 2.University of Southern CaliforniaLos AngelesUSA

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