Safety of one-stage conversion surgery after failed gastric band: our experience and review of the literature.
Publication/Presentation Date
9-1-2019
Abstract
The laparoscopic adjustable gastric band (AGB) has fallen out of favor due to poor long-term weight loss and frequent complications. Many patients stand to benefit from elective conversion of AGB to more durable procedures such as sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB). Whether it is safer to perform this conversion in one or two stages, however, remains controversial. We performed an IRB-approved review of prospectively collected data from all one-stage band conversions performed at our institution from January 2012 to December 2017. Patients were separated into two groups: those who underwent conversion to either a RYGB or SG. Demographics, indications, and outcomes of each group were compared using Fisher's exact test, Mann-Whitney rank sums, and chi-squared tests. Outcomes were recorded within a 1-year follow-up period and compared to published outcomes for one-stage band conversions. Thirty-eight patients were included for analysis. Average age and BMI were was 50.8 years and 41.1 kg/m
Volume
71
Issue
3
First Page
445
Last Page
450
ISSN
2038-3312
Published In/Presented At
Lundberg, P. W., Gotsch, A., Kim, E., Claros, L., Stotlzfus, J., & El Chaar, M. (2019). Safety of one-stage conversion surgery after failed gastric band: our experience and review of the literature. Updates in surgery, 71(3), 445–450. https://doi.org/10.1007/s13304-018-0598-1
Disciplines
Medicine and Health Sciences
PubMedID
30467789
Department(s)
Department of Surgery
Document Type
Article