Long-term results after revisions of failed primary vertical banded gastroplasty
AIM: To compare the results after revision of primary vertical banded gastroplasty (Re-VBG) and conversion to sleeve gastrectomy (cSG) or gastric bypass (cRYGB).METHODS: In this retrospective single-center study, all patients with a failed VBG who underwent revisional surgery were included. Medical...
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Veröffentlicht in: | World journal of gastrointestinal surgery 2016-03, Vol.8 (3), p.238-245 |
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creator | van Wezenbeek, Martin R Smulders, Frans J F de Zoete, Jean-Paul J G M Luyer, Misha D van Montfort, Gust Nienhuijs, Simon W |
description | AIM: To compare the results after revision of primary vertical banded gastroplasty (Re-VBG) and conversion to sleeve gastrectomy (cSG) or gastric bypass (cRYGB).METHODS: In this retrospective single-center study, all patients with a failed VBG who underwent revisional surgery were included. Medical charts were reviewed and additional postal questionnaires were sent to update follow-up. Weight loss, postoperative complications and long-term outcome were assessed.RESULTS: A total 152 patients were included in this study, of which 21 underwent Re-VBG, 16 underwent cSG and 115 patients underwent cRYGB. Sixteen patients necessitated a second revisional procedure. No patients were lost-to-follow-up. Two patients deceased during the follow-up period, 23 patients did not return the questionnaire. Main reasons for revision were dysphagia/vomiting, weight regain and insufficient weight loss. Excess weight loss (%EWL) after Re-VBG,cSG and cRYGB was, respectively, 45%, 57% and 72%.Eighteen patients (11.8%) reported postoperative complications and 27% reported long-term complaints. CONCLUSION: In terms of additional weight loss,postoperative complaints and reintervention rate, Rouxen-Y gastric bypass seems feasible as a revision for a failed VBG. |
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Medical charts were reviewed and additional postal questionnaires were sent to update follow-up. Weight loss, postoperative complications and long-term outcome were assessed.RESULTS: A total 152 patients were included in this study, of which 21 underwent Re-VBG, 16 underwent cSG and 115 patients underwent cRYGB. Sixteen patients necessitated a second revisional procedure. No patients were lost-to-follow-up. Two patients deceased during the follow-up period, 23 patients did not return the questionnaire. Main reasons for revision were dysphagia/vomiting, weight regain and insufficient weight loss. Excess weight loss (%EWL) after Re-VBG,cSG and cRYGB was, respectively, 45%, 57% and 72%.Eighteen patients (11.8%) reported postoperative complications and 27% reported long-term complaints. CONCLUSION: In terms of additional weight loss,postoperative complaints and reintervention rate, Rouxen-Y gastric bypass seems feasible as a revision for a failed VBG.</description><identifier>ISSN: 1948-9366</identifier><identifier>EISSN: 1948-9366</identifier><identifier>DOI: 10.4240/wjgs.v8.i3.238</identifier><identifier>PMID: 27022451</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Additional ; banded ; bypass ; Conversion;Revision ; gastrectomy ; Gastric ; gastroplasty ; loss ; Retrospective Study ; Sleeve ; Vertical ; weight</subject><ispartof>World journal of gastrointestinal surgery, 2016-03, Vol.8 (3), p.238-245</ispartof><rights>The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. 2016</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-1549ae35548039c0f548e89ff5435a7a47d2ae60df444db6891f2b41b5a996a33</citedby><cites>FETCH-LOGICAL-c348t-1549ae35548039c0f548e89ff5435a7a47d2ae60df444db6891f2b41b5a996a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/71421X/71421X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4807325/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4807325/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27022451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Wezenbeek, Martin R</creatorcontrib><creatorcontrib>Smulders, Frans J F</creatorcontrib><creatorcontrib>de Zoete, Jean-Paul J G M</creatorcontrib><creatorcontrib>Luyer, Misha D</creatorcontrib><creatorcontrib>van Montfort, Gust</creatorcontrib><creatorcontrib>Nienhuijs, Simon W</creatorcontrib><title>Long-term results after revisions of failed primary vertical banded gastroplasty</title><title>World journal of gastrointestinal surgery</title><addtitle>World Journal of Gastrointestinal Surgery</addtitle><description>AIM: To compare the results after revision of primary vertical banded gastroplasty (Re-VBG) and conversion to sleeve gastrectomy (cSG) or gastric bypass (cRYGB).METHODS: In this retrospective single-center study, all patients with a failed VBG who underwent revisional surgery were included. Medical charts were reviewed and additional postal questionnaires were sent to update follow-up. Weight loss, postoperative complications and long-term outcome were assessed.RESULTS: A total 152 patients were included in this study, of which 21 underwent Re-VBG, 16 underwent cSG and 115 patients underwent cRYGB. Sixteen patients necessitated a second revisional procedure. No patients were lost-to-follow-up. Two patients deceased during the follow-up period, 23 patients did not return the questionnaire. Main reasons for revision were dysphagia/vomiting, weight regain and insufficient weight loss. Excess weight loss (%EWL) after Re-VBG,cSG and cRYGB was, respectively, 45%, 57% and 72%.Eighteen patients (11.8%) reported postoperative complications and 27% reported long-term complaints. CONCLUSION: In terms of additional weight loss,postoperative complaints and reintervention rate, Rouxen-Y gastric bypass seems feasible as a revision for a failed VBG.</description><subject>Additional</subject><subject>banded</subject><subject>bypass</subject><subject>Conversion;Revision</subject><subject>gastrectomy</subject><subject>Gastric</subject><subject>gastroplasty</subject><subject>loss</subject><subject>Retrospective Study</subject><subject>Sleeve</subject><subject>Vertical</subject><subject>weight</subject><issn>1948-9366</issn><issn>1948-9366</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNpVUc9LwzAYDaK4MXf1KAUvXlrzq01zEWT4CwZ60HNI26TLaJst6Sr7781YHZrL-77k5X0f7wFwjWBCMYX33-vaJ0OeGJJgkp-BKeI0jznJsvM_9QTMvV_DcCjNOIeXYIIZxJimaAo-lrar4165NnLK75reR1KHNnSD8cZ2PrI60tI0qoo2zrTS7aNBud6UsokK2VXhvpa-d3bTBNhfgQstG6_mI87A1_PT5-I1Xr6_vC0el3FJaN7HKKVcKpKmNIeEl1CHQuVcBySpZJKyCkuVwUpTSqsiyznSuKCoSCXnmSRkBh6Ouptd0aqqVF3vZCPGFYWVRvx_6cxK1HYQYSAjOA0Cd6OAs9ud8r1ojS9V08hO2Z0XiDEGWQYxDdTkSC2d9d4pfRqDoDgkIQ5JiCEXhoiQRPhw83e5E_3X90C4HRVXwf-t6eoTh4WgEAt2cPIDUoiTGA</recordid><startdate>20160327</startdate><enddate>20160327</enddate><creator>van Wezenbeek, Martin R</creator><creator>Smulders, Frans J F</creator><creator>de Zoete, Jean-Paul J G M</creator><creator>Luyer, Misha D</creator><creator>van Montfort, Gust</creator><creator>Nienhuijs, Simon W</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160327</creationdate><title>Long-term results after revisions of failed primary vertical banded gastroplasty</title><author>van Wezenbeek, Martin R ; Smulders, Frans J F ; de Zoete, Jean-Paul J G M ; Luyer, Misha D ; van Montfort, Gust ; Nienhuijs, Simon W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-1549ae35548039c0f548e89ff5435a7a47d2ae60df444db6891f2b41b5a996a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Additional</topic><topic>banded</topic><topic>bypass</topic><topic>Conversion;Revision</topic><topic>gastrectomy</topic><topic>Gastric</topic><topic>gastroplasty</topic><topic>loss</topic><topic>Retrospective Study</topic><topic>Sleeve</topic><topic>Vertical</topic><topic>weight</topic><toplevel>online_resources</toplevel><creatorcontrib>van Wezenbeek, Martin R</creatorcontrib><creatorcontrib>Smulders, Frans J F</creatorcontrib><creatorcontrib>de Zoete, Jean-Paul J G M</creatorcontrib><creatorcontrib>Luyer, Misha D</creatorcontrib><creatorcontrib>van Montfort, Gust</creatorcontrib><creatorcontrib>Nienhuijs, Simon W</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastrointestinal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Wezenbeek, Martin R</au><au>Smulders, Frans J F</au><au>de Zoete, Jean-Paul J G M</au><au>Luyer, Misha D</au><au>van Montfort, Gust</au><au>Nienhuijs, Simon W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term results after revisions of failed primary vertical banded gastroplasty</atitle><jtitle>World journal of gastrointestinal surgery</jtitle><addtitle>World Journal of Gastrointestinal Surgery</addtitle><date>2016-03-27</date><risdate>2016</risdate><volume>8</volume><issue>3</issue><spage>238</spage><epage>245</epage><pages>238-245</pages><issn>1948-9366</issn><eissn>1948-9366</eissn><abstract>AIM: To compare the results after revision of primary vertical banded gastroplasty (Re-VBG) and conversion to sleeve gastrectomy (cSG) or gastric bypass (cRYGB).METHODS: In this retrospective single-center study, all patients with a failed VBG who underwent revisional surgery were included. Medical charts were reviewed and additional postal questionnaires were sent to update follow-up. Weight loss, postoperative complications and long-term outcome were assessed.RESULTS: A total 152 patients were included in this study, of which 21 underwent Re-VBG, 16 underwent cSG and 115 patients underwent cRYGB. Sixteen patients necessitated a second revisional procedure. No patients were lost-to-follow-up. Two patients deceased during the follow-up period, 23 patients did not return the questionnaire. Main reasons for revision were dysphagia/vomiting, weight regain and insufficient weight loss. Excess weight loss (%EWL) after Re-VBG,cSG and cRYGB was, respectively, 45%, 57% and 72%.Eighteen patients (11.8%) reported postoperative complications and 27% reported long-term complaints. CONCLUSION: In terms of additional weight loss,postoperative complaints and reintervention rate, Rouxen-Y gastric bypass seems feasible as a revision for a failed VBG.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>27022451</pmid><doi>10.4240/wjgs.v8.i3.238</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
subjects | Additional banded bypass Conversion Revision gastrectomy Gastric gastroplasty loss Retrospective Study Sleeve Vertical weight |
title | Long-term results after revisions of failed primary vertical banded gastroplasty |
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