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
Hauptverfasser: van Wezenbeek, Martin R, Smulders, Frans J F, de Zoete, Jean-Paul J G M, Luyer, Misha D, van Montfort, Gust, Nienhuijs, Simon W
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container_end_page 245
container_issue 3
container_start_page 238
container_title World journal of gastrointestinal surgery
container_volume 8
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. 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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. 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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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