Laparoscopic Roux-en-Y Gastric Bypass or Laparoscopic Sleeve Gastrectomy as Revisional Procedure after Adjustable Gastric Band-a Systematic Review

被引：71

作者：

Coblijn, Usha K. ^{[1
]}

Verveld, Caroline J. ^{[1
]}

van Wagensveld, Bart A. ^{[1
]}

Lagarde, Sjoerd M. ^{[1
]}

机构：

[1] Sint Lucas Andreas Hosp, Obes Ctr Amsterdam, Dept Surg, NL-1061 Amsterdam, Netherlands

来源：

OBESITY SURGERY | 2013年 / 23卷 / 11期

关键词：

Bariatric surgery; Conversion; Insufficient weight loss laparoscopic adjustable gastric band; Laparoscopic Roux-en-Ygastric bypass; Laparoscopic sleeve gastrectomy; LRYGB; LSG; Malabsorption; Restrictive; Revision; Weight regain; BARIATRIC PROCEDURES; MORBID-OBESITY; WEIGHT-LOSS; FOLLOW-UP; CONVERSION; EXPERIENCE; SURGERY; COMPLICATIONS; GASTROPLASTY; DILATATION;

D O I：

10.1007/s11695-013-1058-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The adjustable gastric band (L)AGB gained popularity as a weight loss procedure. However, long-term results are disappointing; many patients need revision to laparoscopic Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (LSG). The purpose of this study was to assess morbidity, mortality, and results of these two revisional procedures. Fifteen LRYGB studies with a total of 588 patients and eight LSG studies with 286 patients were included. The reason for revision was insufficient weight loss or weight regain in 62.2 and 63.9 % in LRYGB and LSG patients. Short-term complications occurred in 8.5 and 15.7 % and long-term complications in 8.9 and 2.5 %. Reoperation was performed in 6.5 and 3.5 %. Revision to LRYGB or LSG after (L)AGB is feasible and relatively safe. Complication rate is higher than in primary procedures.

引用

页码：1899 / 1914

页数：16

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