We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Conversion of Open Vertical Banded Gastroplasty to Roux-en-Y Gastric Bypass: a Single-Center, Single-Surgeon Experience with 6 Years of Follow-up.
- Authors
Gys, Ben; Haenen, Filip; Ruyssers, Michael; Gys, Tobie; Lafullarde, Thierry
- Abstract
Background: The aim of this study is to assess feasibility, relief of complications and mid- and long-term weight loss results following the conversion of open vertical banded gastroplasty (VBG) to Roux-en-Y gastric bypass (RYGB). Materials and Methods: Retrospective analysis of patients undergoing conversion of open VBG to RYGB (open and laparoscopic) between 1 April 2000 and 1 January 2015 was performed. (Post)operative complications were listed. Weight loss was assessed using excess weight (EW), percentage excess weight loss (%EWL) and body mass index (BMI) at 1-year intervals after surgery. Ideal weight was determined by recalculating individual lengths to a BMI of 25 kg/m. Application of polynomial regression models was used to quantify weight loss over time. Results: Ninety patients were identified in the database. Mean time between bariatric interventions was 9.6 years. Reasons for conversion were insufficient weight loss (82.2 %) and outlet obstruction (17.8 %). Early complications were encountered in eight patients of which three were reoperated. Patients who underwent conversion for inadequate weight loss after VBG were retrospectively analyzed regarding weight loss: 78.0 % EWL after 1 year, 71.4 % after 2 years, 62.1 % after 3 years, 64.1 % after 4 years, 70.2 % after 5 years, and 68.9 % after 6 years. Outlet obstruction was relieved in 94 %. Patient satisfaction was assessed by telephone: 86.4 % would repeat the conversion. Conclusions: Conversion of open VBG to RYGB is feasible and safe and can be performed with an acceptable complication rate. It gives excellent weight loss results and relief of outlet obstruction.
- Subjects
GASTRIC bypass complications; FOLLOW-up studies (Medicine); GASTRIC banding; WEIGHT loss; BODY mass index
- Publication
Obesity Surgery, 2016, Vol 26, Issue 4, p805
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-015-1818-0