Skip to main content
SpringerLink
Log in

Systematic Review and Meta-Analysis of Outcomes After Revisional Bariatric Surgery Following a Failed Adjustable Gastric Band

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Introduction

Laparoscopic adjustable gastric band (LAGB)-related complications have been reported in significant numbers of patients often leading to band removal. Increasingly revisional bariatric surgery (RBS) is offered, most commonly either band to Roux-en-Y gastric bypass (B-RYGB) or band to sleeve gastrectomy (B-SG).

Objectives

We conducted a systematic review and meta-analysis of studies to evaluate the efficacy of RBS following failed LAGB.

Methods

Medline, Embase, The Cochrane Library and NHS Evidence were searched for English language studies assessing patients who had undergone LAGB and who subsequently underwent either B-RYGB or B-SG.

Results

Thirty-six studies met the inclusion criteria. There were 2617 patients. B-RYGB was performed in 60.5% (n = 1583). There was one death within 30 days (0.0004%). The overall pooled morbidity rate was 13.2%. There was no difference between the B-RYGB and B-SG groups in morbidity, leak rate or return to theatre. Percentage excess weight loss (%EWL) following the revisional procedure for all patients combined at 6, 12 and 24 months was 44.5, 55.7 and 59.7%, respectively. There was no statistical difference in %EWL between B-RYGB and B-SG at any time point. The rates of remission of diabetes, hypertension and obstructive sleep apnoea were 46.5, 35.9 and 80.8%, respectively.

Conclusions

Randomised controlled trials (RCTs) do not exist on this issue but the available observational evidence does suggest that RBS is associated with generally good outcomes similar to those experienced after primary surgery. Further, high-quality research, particularly RCTs, is required to assess long-term weight loss, comorbidity and quality of life outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8:36–41.

    Google Scholar 

  2. Courcoulas AP, Yanovski SZ, Bonds D, et al. Long-term outcomes of bariatric surgery: a National Institutes of Health symposium. JAMA Surg. 2014;149(12):1323–9.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f5934.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Chapman AE, Kiroff G, Game P, et al. Laparoscopic adjustable gastric banding in the treatment of obesity: a systematic literature review. Surgery. 2004;135(3):326–51.

    Article  PubMed  Google Scholar 

  5. Boza C, Gamboa C, Perez G, et al. Laparoscopic adjustable gastric banding (LAGB): surgical results and 5-year follow-up. Surg Endosc. 2011;25(1):292–7.

    Article  PubMed  Google Scholar 

  6. Hutter MM, Schirmer BD, Jones DB, et al. First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass. Ann Surg. 2011;254(3):410–20.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Tice JA, Karliner L, Walsh J, et al. Gastric banding or bypass? A systematic review comparing the two most popular bariatric procedures. Am J Med. 2008;121(10):885–93.

    Article  PubMed  Google Scholar 

  8. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427–36.

    Article  PubMed  Google Scholar 

  9. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg. 2009;19(12):1605–11.

    Article  PubMed  Google Scholar 

  10. Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg. 2015;25(10):1822–32.

    Article  CAS  PubMed  Google Scholar 

  11. Gustavsson S, Westling A. Laparoscopic adjustable gastric banding: complications and side effects responsible for the poor long-term outcome. Semin Laparosc Surg. 2002;9(2):115–24.

    Article  PubMed  Google Scholar 

  12. Lanthaler M, Aigner F, Kinzl J, et al. Long-term results and complications following adjustable gastric banding. Obes Surg. 2010;20(8):1078–85.

    Article  PubMed  Google Scholar 

  13. Suter M, Calmes JM, Paroz A, et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2006;16(7):829–35.

    Article  CAS  PubMed  Google Scholar 

  14. Spivak H, Abdelmelek MF, Beltran OR, et al. Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States. Surg Endosc. 2012;26(7):1909–19.

    Article  PubMed  Google Scholar 

  15. Weber M, Muller MK, Michel JM, et al. Laparoscopic Roux-en-Y gastric bypass, but not rebanding, should be proposed as rescue procedure for patients with failed laparoscopic gastric banding. Ann Surg. 2003;238(6):827–33.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Biertho L, Steffen R, Branson R, et al. Management of failed adjustable gastric banding. Surgery. 2005;137(1):33–41.

    Article  PubMed  Google Scholar 

  17. Mahawar KK, Graham Y, Carr WR, et al. Revisional Roux-en-Y gastric bypass and sleeve gastrectomy: a systematic review of comparative outcomes with respective primary procedures. Obes Surg. 2015;25(7):1271–80.

    Article  PubMed  Google Scholar 

  18. Cheung D, Switzer NJ, Gill RS, et al. Revisional bariatric surgery following failed primary laparoscopic sleeve gastrectomy: a systematic review. Obes Surg. 2014;24(10):1757–63.

    Article  PubMed  Google Scholar 

  19. Elnahas A, Graybiel K, Farrokhyar F, et al. Revisional surgery after failed laparoscopic adjustable gastric banding: a systematic review. Surg Endosc. 2013;27(3):740–5.

    Article  PubMed  Google Scholar 

  20. Zhang L, Tan WH, Chang R, et al. Perioperative risk and complications of revisional bariatric surgery compared to primary Roux-en-Y gastric bypass. Surg Endosc. 2015;29(6):1316–20.

    Article  PubMed  Google Scholar 

  21. Mor A, Keenan E, Portenier D, et al. Case-matched analysis comparing outcomes of revisional versus primary laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2013;27(2):548–52.

    Article  PubMed  Google Scholar 

  22. Aftab H, Risstad H, Sovik TT, et al. Five-year outcome after gastric bypass for morbid obesity in a Norwegian cohort. Surg Obes Relat Dis. 2014;10(1):71–8.

    Article  PubMed  Google Scholar 

  23. Kanoupakis E, Michaloudis D, Fraidakis O, et al. Left ventricular function and cardiopulmonary performance following surgical treatment of morbid obesity. Obes Surg. 2001;11(5):552–8.

    Article  CAS  PubMed  Google Scholar 

  24. Sarkhosh K, Switzer NJ, El-Hadi M, et al. The impact of bariatric surgery on obstructive sleep apnea: a systematic review. Obes Surg. 2013;23(3):414–23.

    Article  PubMed  Google Scholar 

  25. Sovik TT, Aasheim ET, Taha O, et al. Weight loss, cardiovascular risk factors, and quality of life after gastric bypass and duodenal switch: a randomized trial. Ann Intern Med. 2011;155(5):281–91.

    Article  PubMed  Google Scholar 

  26. Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.

    Article  PubMed  Google Scholar 

  27. Kushner RF, Foster GD. Obesity and quality of life. Nutrition. 2000;16(10):947–52.

    Article  CAS  PubMed  Google Scholar 

  28. Driscoll S, Gregory DM, Fardy JM, et al. Long-term health-related quality of life in bariatric surgery patients: a systematic review and meta-analysis. Obesity (Silver Spring). 2016;24(1):60–70.

    Article  Google Scholar 

  29. Major P, Matlok M, Pedziwiatr M, et al. Quality of life after bariatric surgery. Obes Surg. 2015;25(9):1703–10.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Andersen JR, Aasprang A, Karlsen TI, et al. Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies. Surg Obes Relat Dis. 2015;11(2):466–73.

    Article  PubMed  Google Scholar 

  31. Hachem A, Brennan L. Quality of life outcomes of bariatric surgery: a systematic review. Obes Surg. 2016;26(2):395–409.

    Article  PubMed  Google Scholar 

  32. Gordon PC, Sallet JA, Sallet PC. The impact of temperament and character inventory personality traits on long-term outcome of Roux-en-Y gastric bypass. Obes Surg. 2014;24(10):1647–55.

    Article  PubMed  Google Scholar 

  33. Kalarchian MA, Marcus MD, Levine MD, et al. Relationship of psychiatric disorders to 6-month outcomes after gastric bypass. Surg Obes Relat Dis. 2008;4(4):544–9.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Livhits M, Mercado C, Yermilov I, et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2012;22(1):70–89.

    Article  PubMed  Google Scholar 

  35. van Hout GC, Verschure SK, van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.

    Article  PubMed  Google Scholar 

  36. Wedin S, Madan A, Correll J, et al. Emotional eating, marital status and history of physical abuse predict 2-year weight loss in weight loss surgery patients. Eat Behav. 2014;15(4):619–24.

    Article  PubMed  Google Scholar 

  37. Wimmelmann CL, Dela F, Mortensen EL. Psychological predictors of weight loss after bariatric surgery: a review of the recent research. Obes Res Clin Pract. 2014;8(4):e299–313.

    Article  PubMed  Google Scholar 

  38. Moher D, Liberati A, Tetzlaff J, et al. PRISMA group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8(5):336–41.

    Article  PubMed  Google Scholar 

  39. Deitel M, Gawdat K, Melissas J. Reporting weight loss 2007. Obes Surg. 2007;17(5):565–8.

    Article  PubMed  Google Scholar 

  40. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7(3):177–88.

    Article  CAS  PubMed  Google Scholar 

  41. Higgins JP, Thompson SG, Deeks JJ, et al. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557–60.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Aarts E, Koehestanie P, Dogan K, et al. Revisional surgery after failed gastric banding: results of one-stage conversion to RYGB in 195 patients. Surg Obes Relat Dis. 2014;10(6):1077–83.

    Article  PubMed  Google Scholar 

  43. Abu-Gazala S, Keidar A. Conversion of failed gastric banding into four different bariatric procedures. Surg Obes Relat Dis. 2012;8(4):400–7.

    Article  PubMed  Google Scholar 

  44. Acholonu E, McBean E, Court I, et al. Safety and short-term outcomes of laparoscopic sleeve gastrectomy as a revisional approach for failed laparoscopic adjustable gastric banding in the treatment of morbid obesity. Obes Surg. 2009;19(12):1612–6.

    Article  PubMed  Google Scholar 

  45. Alqahtani AR, Elahmedi M, Alamri H, et al. Laparoscopic removal of poor outcome gastric banding with concomitant sleeve gastrectomy. Obes Surg. 2013;23(6):782–7.

    Article  PubMed  Google Scholar 

  46. Carandina S, Maldonado PS, Tabbara M, et al. Two-step conversion surgery after failed laparoscopic adjustable gastric banding. Comparison between laparoscopic Roux-en-Y gastric bypass and laparoscopic gastric sleeve. Surg Obes Relat Dis. 2014;10(6):1085–91.

    Article  PubMed  Google Scholar 

  47. Carr WR, Jennings NA, Boyle M, et al. A retrospective comparison of early results of conversion of failed gastric banding to sleeve gastrectomy or gastric bypass. Surg Obes Relat Dis. 2015;11(2):379–84.

    Article  PubMed  Google Scholar 

  48. Delko T, Kostler T, Peev M, et al. Revisional versus primary Roux-en-Y gastric bypass: a case-matched analysis. Surg Endosc. 2014;28(2):552–8.

    Article  PubMed  Google Scholar 

  49. Emous M, Apers J, Hoff C, et al. Conversion of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass is safe as a single-step procedure. Surg Endosc. 2015;29(8):2217–23.

    Article  CAS  PubMed  Google Scholar 

  50. Frezza EE, Jaramillo-de la Torre EJ, Calleja Enriquez C, et al. Laparoscopic sleeve gastrectomy after gastric banding removal: a feasibility study. Surg Innov. 2009;16(1):68–72.

    Article  PubMed  Google Scholar 

  51. Goitein D, Feigin A, Segal-Lieberman G, et al. Laparoscopic sleeve gastrectomy as a revisional option after gastric band failure. Surg Endosc. 2011;25(8):2626–30.

    Article  PubMed  Google Scholar 

  52. Gonzalez-Heredia R, Masrur M, Patton K, et al. Revisions after failed gastric band: sleeve gastrectomy and Roux-en-Y gastric bypass. Surg Endosc. 2015;29(9):2533–7.

    Article  PubMed  Google Scholar 

  53. Hii MW, Lake AC, Kenfield C, et al. Laparoscopic conversion of failed gastric banding to Roux-en-Y gastric bypass: short-term follow-up and technical considerations. Obes Surg. 2012;22(7):1022–8.

    Article  CAS  PubMed  Google Scholar 

  54. Jacobs M, Gomez E, Romero R, et al. Failed restrictive surgery: is sleeve gastrectomy a good revisional procedure? Obes Surg. 2011;21(2):157–60.

    Article  PubMed  Google Scholar 

  55. Jennings NA, Boyle M, Mahawar K, et al. Revisional laparoscopic Roux-en-Y gastric bypass following failed laparoscopic adjustable gastric banding. Obes Surg. 2013;23(7):947–52.

    Article  CAS  PubMed  Google Scholar 

  56. Kafri N, Valfer R, Nativ O, et al. Behavioral outcomes following laparoscopic sleeve gastrectomy performed after failed laparoscopic adjustable gastric banding. Obes Surg. 2013;23(3):346–52.

    Article  PubMed  Google Scholar 

  57. Khoursheed M, Al-Bader I, Mouzannar A, et al. Sleeve gastrectomy or gastric bypass as revisional bariatric procedures: retrospective evaluation of outcomes. Surg Endosc. 2013;27(11):4277–83.

    Article  PubMed  Google Scholar 

  58. Langer FB, Bohdjalian A, Shakeri-Manesch S, et al. Inadequate weight loss vs secondary weight regain: laparoscopic conversion from gastric banding to Roux-en-Y gastric bypass. Obes Surg. 2008;18(11):1381–6.

    Article  CAS  PubMed  Google Scholar 

  59. Liu KH, Diana M, Vix M, et al. Revisional surgery after failed adjustable gastric banding: institutional experience with 90 consecutive cases. Surg Endosc. 2013;27(11):4044–8.

    Article  PubMed  Google Scholar 

  60. Marin-Perez P, Betancourt A, Lamota M, et al. Outcomes after laparoscopic conversion of failed adjustable gastric banding to sleeve gastrectomy or Roux-en-Y gastric bypass. Br J Surg. 2014;101(3):254–60.

    Article  CAS  PubMed  Google Scholar 

  61. Mognol P, Chosidow D, Marmuse JP. Laparoscopic conversion of laparoscopic gastric banding to Roux-en-Y gastric bypass: a review of 70 patients. Obes Surg. 2004;14(10):1349–53.

    Article  PubMed  Google Scholar 

  62. Moon RC, Teixeira AF, Jawad MA. Conversion of failed laparoscopic adjustable gastric banding: sleeve gastrectomy or Roux-en-Y gastric bypass? Surg Obes Relat Dis. 2013;9(6):901–7.

    Article  PubMed  Google Scholar 

  63. Moore R, Perugini R, Czerniach D, et al. Early results of conversion of laparoscopic adjustable gastric band to Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2009;5(4):439–43.

    Article  PubMed  Google Scholar 

  64. Muller MK, Attigah N, Wildi S, et al. High secondary failure rate of rebanding after failed gastric banding. Surg Endosc. 2008;22(2):448–53.

    Article  CAS  PubMed  Google Scholar 

  65. Noel P, Schneck AS, Nedelcu M, et al. Laparoscopic sleeve gastrectomy as a revisional procedure for failed gastric banding: lessons from 300 consecutive cases. Surg Obes Relat Dis. 2014;10(6):1116–22.

    Article  PubMed  Google Scholar 

  66. Perathoner A, Zitt M, Lanthaler M, et al. Long-term follow-up evaluation of revisional gastric bypass after failed adjustable gastric banding. Surg Endosc. 2013;27(11):4305–12.

    Article  PubMed  Google Scholar 

  67. Rebibo L, Mensah E, Verhaeghe P, et al. Simultaneous gastric band removal and sleeve gastrectomy: a comparison with front-line sleeve gastrectomy. Obes Surg. 2012;22(9):1420–6.

    Article  PubMed  Google Scholar 

  68. Robert M, Poncet G, Boulez J, et al. Laparoscopic gastric bypass for failure of adjustable gastric banding: a review of 85 cases. Obes Surg. 2011;21(10):1513–9.

    Article  PubMed  Google Scholar 

  69. Silecchia G, Rizzello M, De Angelis F, et al. Laparoscopic sleeve gastrectomy as a revisional procedure for failed laparoscopic gastric banding with a “2-step approach”: a multicenter study. Surg Obes Relat Dis. 2014;10(4):626–31.

    Article  PubMed  Google Scholar 

  70. Slegtenhorst BR, van der Harst E, Demirkiran A, et al. Effect of primary versus revisional Roux-en-Y gastric bypass: inferior weight loss of revisional surgery after gastric banding. Surg Obes Relat Dis. 2013;9(2):253–8.

    Article  PubMed  Google Scholar 

  71. Spivak H, Beltran OR, Slavchev P, et al. Laparoscopic revision from LAP-BAND to gastric bypass. Surg Endosc. 2007;21(8):1388–92.

    Article  PubMed  Google Scholar 

  72. Topart P, Becouarn G, Ritz P. One-year weight loss after primary or revisional Roux-en-Y gastric bypass for failed adjustable gastric banding. Surg Obes Relat Dis. 2009;5(4):459–62.

    Article  PubMed  Google Scholar 

  73. Topart P, Becouarn G, Ritz P. Biliopancreatic diversion with duodenal switch or gastric bypass for failed gastric banding: retrospective study from two institutions with preliminary results. Surg Obes Relat Dis. 2007;3(5):521–5.

    Article  PubMed  Google Scholar 

  74. Tran TT, Pauli E, Lyn-Sue JR, et al. Revisional weight loss surgery after failed laparoscopic gastric banding: an institutional experience. Surg Endosc. 2013;27(11):4087–93.

    Article  PubMed  Google Scholar 

  75. Yazbek T, Safa N, Denis R, et al. Laparoscopic sleeve gastrectomy (LSG)—a good bariatric option for failed laparoscopic adjustable gastric banding (LAGB): a review of 90 patients. Obes Surg. 2013;23(3):300–5.

    Article  PubMed  Google Scholar 

  76. Yeung L, Durkan B, Barrett A, et al. Single-stage revision from gastric band to gastric bypass or sleeve gastrectomy: 6- and 12-month outcomes. Surg Endosc. 2016;30(6):2244–50.

    Article  PubMed  Google Scholar 

  77. Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg. 1998;8(5):487–99.

    Article  CAS  PubMed  Google Scholar 

  78. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.

    Article  CAS  PubMed  Google Scholar 

  79. Christou NV, Sampalis JS, Liberman M, et al. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg. 2004;240(3):416–23.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess. 2009;13(41):1–190.

    Article  CAS  Google Scholar 

  81. Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.

    Article  PubMed  Google Scholar 

  82. Aurora AR, Khaitan L, Saber AA. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc. 2012;26(6):1509–15.

    Article  PubMed  Google Scholar 

  83. Morales MP, Miedema BW, Scott JS, et al. Management of postsurgical leaks in the bariatric patient. Gastrointest Endosc Clin N Am. 2011;21(2):295–304.

    Article  PubMed  Google Scholar 

  84. Coblijn UK, Verveld CJ, van Wagensveld BA, et al. Laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy as revisional procedure after adjustable gastric band—a systematic review. Obes Surg. 2013;23(11):1899–914.

    Article  PubMed  Google Scholar 

  85. Chang SH, Stoll CR, Song J, et al. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003–2012. JAMA Surg. 2014;149(3):275–87.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Garb J, Welch G, Zagarins S, et al. Bariatric surgery for the treatment of morbid obesity: a meta-analysis of weight loss outcomes for laparoscopic adjustable gastric banding and laparoscopic gastric bypass. Obes Surg. 2009;19(10):1447–55.

    Article  PubMed  Google Scholar 

  87. Magkos F, Fraterrigo G, Yoshino J, et al. Effects of moderate and subsequent progressive weight loss on metabolic function and adipose tissue biology in humans with obesity. Cell Metab. 2016;23(4):591–601.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  88. Wing RR, Lang W, Wadden TA, et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 2011;34(7):1481–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  89. Van Nieuwenhove Y, Ceelen W, Stockman A, et al. Long-term results of a prospective study on laparoscopic adjustable gastric banding for morbid obesity. Obes Surg. 2011;21(5):582–7.

    Article  CAS  PubMed  Google Scholar 

  90. Himpens J, Cadiere GB, Bazi M, et al. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011;146(7):802–7.

    Article  PubMed  Google Scholar 

  91. O’Brien PE, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257(1):87–94.

    Article  PubMed  Google Scholar 

  92. Stefanidis D, Malireddy K, Kuwada T, et al. Revisional bariatric surgery: perioperative morbidity is determined by type of procedure. Surg Endosc. 2013;27(12):4504–10.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

Dr. A A Tahrani is a clinician scientist supported by the National Institute for Health Research (NIHR) in the UK. The views expressed in this publication are those of the author(s) and not necessarily those of the National Health Service, the NIHR or the Department of Health.

Author information

Authors and Affiliations

  1. Department of Upper GI Surgery, Heart of England NHS Foundation Trust, Birmingham, UK

    Alistair J. Sharples, Vasileios Charalampakis, Markos Daskalakis & Rishi Singhal

  2. Department of Diabetes and Endocrinology, Heart of England NHS Foundation Trust, Birmingham, UK

    Abd A. Tahrani

  3. Institute of Metabolic and Systems Research, University of Birmingham, Birmingham, UK

    Abd A. Tahrani

  4. Centre of Endocrinology Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK

    Abd A. Tahrani

Authors
  1. Alistair J. Sharples
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vasileios Charalampakis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Markos Daskalakis
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Abd A. Tahrani
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Rishi Singhal
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alistair J. Sharples.

Ethics declarations

Conflict of Interest

All authors declare that they have no conflict of interests.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Informed consent does not apply to this study.

Additional information

AAT and RS contribute equally as joint senior authors.

Appendix 1: Electronic Search Strategy

Appendix 1: Electronic Search Strategy

A comprehensive literature search was run Medline, Embase, The Cochrane Library and NHS Evidence up to November 2015. The following search strategy was used:

‘Laparoscopic Adjustable Gastric Banding OR Laparoscopic Sleeve Gastrectomy OR Laparoscopic Roux-en-Y Gastric Bypass’, ‘Revision OR Revisional OR Reoperation OR Salvage OR Rescue OR Repeat’, ‘Weight loss OR Postoperative Complication OR Surgical Complication OR Morbidity OR Mortality OR Quality of Life OR Comorbidities’.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sharples, A.J., Charalampakis, V., Daskalakis, M. et al. Systematic Review and Meta-Analysis of Outcomes After Revisional Bariatric Surgery Following a Failed Adjustable Gastric Band. OBES SURG 27, 2522–2536 (2017). https://doi.org/10.1007/s11695-017-2677-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-017-2677-7

Keywords

Search

Navigation