Revisional versus primary Roux-en-Y gastric bypass: a case-matched analysis
Background Laparoscopic adjustable gastric banding (LAGB) has been a widely performed bariatric procedure. Unfortunately, revisional surgery is required in 20–30 % of cases. Data comparing revisional and primary gastric bypass procedures are scarce. This study compared revisional malabsorptive lapar...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2014-02, Vol.28 (2), p.552-558 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 558 |
|---|---|
| container_issue | 2 |
| container_start_page | 552 |
| container_title | Surgical endoscopy |
| container_volume | 28 |
| creator | Delko, Tarik Köstler, Thomas Peev, Miroslav Esterman, Adrian Oertli, Daniel Zingg, Urs |
| description | Background
Laparoscopic adjustable gastric banding (LAGB) has been a widely performed bariatric procedure. Unfortunately, revisional surgery is required in 20–30 % of cases. Data comparing revisional and primary gastric bypass procedures are scarce. This study compared revisional malabsorptive laparoscopic very very long limb (VVLL) Roux-en-Y gastric bypass (RYGB) with primary VVLL RYGB and tested the hypothesis that one-stage revisional laparoscopic VVLL RYGB is an effective procedure after failed LAGB.
Methods
In this study, 48 revisional VVLL RYGBs were matched one-to-one with 48 primary VVLL RYGBs. The outcome measures were operating time, conversion to open surgery, excess weight loss (EWL), and early and late morbidity.
Results
Surgical and medical morbidities did not differ significantly. No conversions occurred. The revisional group showed an EWL of 41.8 % after 12 months of follow-up evaluation and 45.1 % after 24 months based on the pre-revisional weight. The total EWL based on the weight before the LAGB was calculated to be 54.3 % after 12 months and 57.2 % after 24 months. The EWL in the primary RYGB group was significantly higher for both types of calculation: 41.8 %/54.3 % versus 64.1 % (
p
|
| doi_str_mv | 10.1007/s00464-013-3204-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1503552640</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1503552640</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-f18f04c458b67699df1b1f3c10c8d374208e174374c3fab8a7aad39621ae28023</originalsourceid><addsrcrecordid>eNp1kE1Lw0AQhhdRbP34AV4k4MXL6uxHko03KX5hQSh68LRsNpua0jR1Jyn237s1VUTwNAPzzDvDQ8gJgwsGkF4igEwkBSao4BCaHTJkUnDKOVO7ZAiZAMrTTA7IAeIMAp6xeJ8MuGRZEotsSB4nblVh1SzMPFo5jx1GS1_Vxq-jSdN9ULegr9HUYOsrG-XrpUG8ikxkDTpam9a-uSIyYXmNFR6RvdLM0R1v6yF5ub15Ht3T8dPdw-h6TK1IeUtLpkqQVsYqT9Iky4qS5awUloFVhUglB-VYKkNnRWlyZVJjCpElnBnHFXBxSM773KVv3juHra4rtG4-NwvXdKhZDCKOeSIhoGd_0FnT-fDvF8W5UCoVgWI9ZX2D6F2ptw40A70xrXvTOpjWG9N6k3y6Te7y2hU_G99qA8B7AMNoMXX-1-l_Uz8B0SeHDA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1502238873</pqid></control><display><type>article</type><title>Revisional versus primary Roux-en-Y gastric bypass: a case-matched analysis</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Delko, Tarik ; Köstler, Thomas ; Peev, Miroslav ; Esterman, Adrian ; Oertli, Daniel ; Zingg, Urs</creator><creatorcontrib>Delko, Tarik ; Köstler, Thomas ; Peev, Miroslav ; Esterman, Adrian ; Oertli, Daniel ; Zingg, Urs</creatorcontrib><description>Background
Laparoscopic adjustable gastric banding (LAGB) has been a widely performed bariatric procedure. Unfortunately, revisional surgery is required in 20–30 % of cases. Data comparing revisional and primary gastric bypass procedures are scarce. This study compared revisional malabsorptive laparoscopic very very long limb (VVLL) Roux-en-Y gastric bypass (RYGB) with primary VVLL RYGB and tested the hypothesis that one-stage revisional laparoscopic VVLL RYGB is an effective procedure after failed LAGB.
Methods
In this study, 48 revisional VVLL RYGBs were matched one-to-one with 48 primary VVLL RYGBs. The outcome measures were operating time, conversion to open surgery, excess weight loss (EWL), and early and late morbidity.
Results
Surgical and medical morbidities did not differ significantly. No conversions occurred. The revisional group showed an EWL of 41.8 % after 12 months of follow-up evaluation and 45.1 % after 24 months based on the pre-revisional weight. The total EWL based on the weight before the LAGB was calculated to be 54.3 % after 12 months and 57.2 % after 24 months. The EWL in the primary RYGB group was significantly higher for both types of calculation: 41.8 %/54.3 % versus 64.1 % (
p
< 0.001 and <0.01) after 12 months and 45.1 %/57.2 % versus 70.4 % (
p
< 0.001 and <0.002) after 24 months.
Conclusions
Revisional laproscopic VVLL RYGB can be performed as a one-stage procedure by experienced bariatric surgeons but shows less effective EWL than primary RYGB procedures.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-013-3204-0</identifier><identifier>PMID: 24196539</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Abdominal Surgery ; Adult ; Body mass index ; Female ; Follow-Up Studies ; Gastric Bypass - methods ; Gastroenterology ; Gastrointestinal surgery ; Gynecology ; Hepatology ; Hospitals ; Humans ; Laparoscopy ; Laparoscopy - methods ; Male ; Medicine ; Medicine & Public Health ; Morbidity ; Obesity ; Obesity, Morbid - surgery ; Patients ; Proctology ; Prospective Studies ; Reoperation ; Surgeons ; Surgery ; Surgical anastomosis ; Time Factors ; Weight control ; Weight Loss</subject><ispartof>Surgical endoscopy, 2014-02, Vol.28 (2), p.552-558</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-f18f04c458b67699df1b1f3c10c8d374208e174374c3fab8a7aad39621ae28023</citedby><cites>FETCH-LOGICAL-c372t-f18f04c458b67699df1b1f3c10c8d374208e174374c3fab8a7aad39621ae28023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-013-3204-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-013-3204-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24196539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Delko, Tarik</creatorcontrib><creatorcontrib>Köstler, Thomas</creatorcontrib><creatorcontrib>Peev, Miroslav</creatorcontrib><creatorcontrib>Esterman, Adrian</creatorcontrib><creatorcontrib>Oertli, Daniel</creatorcontrib><creatorcontrib>Zingg, Urs</creatorcontrib><title>Revisional versus primary Roux-en-Y gastric bypass: a case-matched analysis</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Laparoscopic adjustable gastric banding (LAGB) has been a widely performed bariatric procedure. Unfortunately, revisional surgery is required in 20–30 % of cases. Data comparing revisional and primary gastric bypass procedures are scarce. This study compared revisional malabsorptive laparoscopic very very long limb (VVLL) Roux-en-Y gastric bypass (RYGB) with primary VVLL RYGB and tested the hypothesis that one-stage revisional laparoscopic VVLL RYGB is an effective procedure after failed LAGB.
Methods
In this study, 48 revisional VVLL RYGBs were matched one-to-one with 48 primary VVLL RYGBs. The outcome measures were operating time, conversion to open surgery, excess weight loss (EWL), and early and late morbidity.
Results
Surgical and medical morbidities did not differ significantly. No conversions occurred. The revisional group showed an EWL of 41.8 % after 12 months of follow-up evaluation and 45.1 % after 24 months based on the pre-revisional weight. The total EWL based on the weight before the LAGB was calculated to be 54.3 % after 12 months and 57.2 % after 24 months. The EWL in the primary RYGB group was significantly higher for both types of calculation: 41.8 %/54.3 % versus 64.1 % (
p
< 0.001 and <0.01) after 12 months and 45.1 %/57.2 % versus 70.4 % (
p
< 0.001 and <0.002) after 24 months.
Conclusions
Revisional laproscopic VVLL RYGB can be performed as a one-stage procedure by experienced bariatric surgeons but shows less effective EWL than primary RYGB procedures.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Body mass index</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastric Bypass - methods</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Patients</subject><subject>Proctology</subject><subject>Prospective Studies</subject><subject>Reoperation</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical anastomosis</subject><subject>Time Factors</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1Lw0AQhhdRbP34AV4k4MXL6uxHko03KX5hQSh68LRsNpua0jR1Jyn237s1VUTwNAPzzDvDQ8gJgwsGkF4igEwkBSao4BCaHTJkUnDKOVO7ZAiZAMrTTA7IAeIMAp6xeJ8MuGRZEotsSB4nblVh1SzMPFo5jx1GS1_Vxq-jSdN9ULegr9HUYOsrG-XrpUG8ikxkDTpam9a-uSIyYXmNFR6RvdLM0R1v6yF5ub15Ht3T8dPdw-h6TK1IeUtLpkqQVsYqT9Iky4qS5awUloFVhUglB-VYKkNnRWlyZVJjCpElnBnHFXBxSM773KVv3juHra4rtG4-NwvXdKhZDCKOeSIhoGd_0FnT-fDvF8W5UCoVgWI9ZX2D6F2ptw40A70xrXvTOpjWG9N6k3y6Te7y2hU_G99qA8B7AMNoMXX-1-l_Uz8B0SeHDA</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Delko, Tarik</creator><creator>Köstler, Thomas</creator><creator>Peev, Miroslav</creator><creator>Esterman, Adrian</creator><creator>Oertli, Daniel</creator><creator>Zingg, Urs</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Revisional versus primary Roux-en-Y gastric bypass: a case-matched analysis</title><author>Delko, Tarik ; Köstler, Thomas ; Peev, Miroslav ; Esterman, Adrian ; Oertli, Daniel ; Zingg, Urs</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-f18f04c458b67699df1b1f3c10c8d374208e174374c3fab8a7aad39621ae28023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Body mass index</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastric Bypass - methods</topic><topic>Gastroenterology</topic><topic>Gastrointestinal surgery</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Patients</topic><topic>Proctology</topic><topic>Prospective Studies</topic><topic>Reoperation</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical anastomosis</topic><topic>Time Factors</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Delko, Tarik</creatorcontrib><creatorcontrib>Köstler, Thomas</creatorcontrib><creatorcontrib>Peev, Miroslav</creatorcontrib><creatorcontrib>Esterman, Adrian</creatorcontrib><creatorcontrib>Oertli, Daniel</creatorcontrib><creatorcontrib>Zingg, Urs</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Delko, Tarik</au><au>Köstler, Thomas</au><au>Peev, Miroslav</au><au>Esterman, Adrian</au><au>Oertli, Daniel</au><au>Zingg, Urs</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Revisional versus primary Roux-en-Y gastric bypass: a case-matched analysis</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>28</volume><issue>2</issue><spage>552</spage><epage>558</epage><pages>552-558</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Laparoscopic adjustable gastric banding (LAGB) has been a widely performed bariatric procedure. Unfortunately, revisional surgery is required in 20–30 % of cases. Data comparing revisional and primary gastric bypass procedures are scarce. This study compared revisional malabsorptive laparoscopic very very long limb (VVLL) Roux-en-Y gastric bypass (RYGB) with primary VVLL RYGB and tested the hypothesis that one-stage revisional laparoscopic VVLL RYGB is an effective procedure after failed LAGB.
Methods
In this study, 48 revisional VVLL RYGBs were matched one-to-one with 48 primary VVLL RYGBs. The outcome measures were operating time, conversion to open surgery, excess weight loss (EWL), and early and late morbidity.
Results
Surgical and medical morbidities did not differ significantly. No conversions occurred. The revisional group showed an EWL of 41.8 % after 12 months of follow-up evaluation and 45.1 % after 24 months based on the pre-revisional weight. The total EWL based on the weight before the LAGB was calculated to be 54.3 % after 12 months and 57.2 % after 24 months. The EWL in the primary RYGB group was significantly higher for both types of calculation: 41.8 %/54.3 % versus 64.1 % (
p
< 0.001 and <0.01) after 12 months and 45.1 %/57.2 % versus 70.4 % (
p
< 0.001 and <0.002) after 24 months.
Conclusions
Revisional laproscopic VVLL RYGB can be performed as a one-stage procedure by experienced bariatric surgeons but shows less effective EWL than primary RYGB procedures.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24196539</pmid><doi>10.1007/s00464-013-3204-0</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2014-02, Vol.28 (2), p.552-558 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1503552640 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Adult Body mass index Female Follow-Up Studies Gastric Bypass - methods Gastroenterology Gastrointestinal surgery Gynecology Hepatology Hospitals Humans Laparoscopy Laparoscopy - methods Male Medicine Medicine & Public Health Morbidity Obesity Obesity, Morbid - surgery Patients Proctology Prospective Studies Reoperation Surgeons Surgery Surgical anastomosis Time Factors Weight control Weight Loss |
| title | Revisional versus primary Roux-en-Y gastric bypass: a case-matched analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T20%3A00%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Revisional%20versus%20primary%20Roux-en-Y%20gastric%20bypass:%20a%20case-matched%20analysis&rft.jtitle=Surgical%20endoscopy&rft.au=Delko,%20Tarik&rft.date=2014-02-01&rft.volume=28&rft.issue=2&rft.spage=552&rft.epage=558&rft.pages=552-558&rft.issn=0930-2794&rft.eissn=1432-2218&rft_id=info:doi/10.1007/s00464-013-3204-0&rft_dat=%3Cproquest_cross%3E1503552640%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1502238873&rft_id=info:pmid/24196539&rfr_iscdi=true |