Laparoscopic Adjustable Gastric Band Explantation and Implantation at Academic Centers.

Abstract:

BACKGROUND:The laparoscopic adjustable gastric band (LAGB) was approved for use in the US in 2001 and has been found to be a safe and effective surgical treatment for morbid obesity. However, there is a recent trend toward reduced use of LAGB nationwide. The objective of this study was to examine the prevalence and outcomes of primary LAGB implantation compared with revision and explantation at academic centers. STUDY DESIGN:Data were obtained from the Vizient database from 2007 through 2015. The ICD-9-Clinical Modification and ICD-10-Clinical Modification were used to select patients with a primary diagnosis of obesity who had undergone LAGB implantation, revision, or explantation. Prevalence and outcomes of primary LAGB implantation compared with revision or explantation were analyzed. Outcomes measures included length of stay, ICU admission, morbidity, mortality, and cost. RESULTS:From 2007 through 2015, a total of 28,202 patients underwent LAGB implantation for surgical weight loss. The annual number of LAGB implantation procedures decreased steadily after 2010. In the same time period, 12,157 patients underwent LAGB explantation. In 2013, the number of LAGB explantation procedures exceeded that of implantation. Laparoscopic adjustable gastric band revision rates remained stable throughout the study period. Mean length of stay, serious morbidity, and proportion of patients requiring ICU admission were higher for gastric band revision and explantation cases compared with primary LAGB implantation cases. There was no statistically significant difference in mortality or mean cost between the 2 groups. CONCLUSIONS:Since 2013, the number of gastric band explantation procedures has exceeded that of implantation procedures at academic centers. Laparoscopic adjustable gastric band revision or explantation is associated with longer length of stay, higher rate of postoperative ICU admissions, and higher overall morbidity compared with LAGB implantation.

journal_name

J Am Coll Surg

authors

Koh CY,Inaba CS,Sujatha-Bhaskar S,Hohmann S,Ponce J,Nguyen NT

doi

10.1016/j.jamcollsurg.2017.06.015

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

532-537

issue

4

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(17)31131-6

journal_volume

225

pub_type

杂志文章
  • Hilar lobar vascular occlusion for hepatic resection.

    abstract::Limited resection can be a therapeutic approach in patients with cirrhosis with very low remnant hepatic function after resection. In this study, two hilar vascular clamping methods (hilar selective clamping [n = 13] and hilar lobar clamping method [n = 8]), which were used for resection of hepatocellular carcinoma in...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Gotoh M,Monden M,Sakon M,Kanai T,Umeshita K,Nagano H,Mori T

    更新日期:1994-01-01 00:00:00

  • Experimental hindlimb ischemia increases neutrophil-mediated matrix metalloproteinase activity: a potential mechanism for lung injury after limb ischemia.

    abstract:BACKGROUND:Acute limb ischemia initiates a systemic inflammatory response, including pulmonary polymorphonuclear leukocyte (PMN) sequestration and acute lung injury. Lung injury is partly attributed to release by PMN's of extracellular matrix (ECM) modifying metalloproteinases (MMPs). We hypothesized that acute hindlim...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/S1072-7515(03)00134-0

    authors: Plitas G,Gagne PJ,Muhs BE,Ianus IA,Shaw JP,Beudjekian M,Delgado Y,Jacobowitz G,Rockman C,Shamamian P

    更新日期:2003-05-01 00:00:00

  • Effect of Surgeon and Hospital Volume on Emergency General Surgery Outcomes.

    abstract:BACKGROUND:Emergency general surgery (EGS) contributes to half of all surgical mortality nationwide, is associated with a 50% complication rate, and has a 15% readmission rate within 30 days. We assessed associations between surgeon and hospital EGS volume with these outcomes. STUDY DESIGN:Using Maryland's Health Serv...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jamcollsurg.2017.08.009

    authors: Mehta A,Efron DT,Canner JK,Dultz L,Xu T,Jones C,Haut ER,Higgins RSD,Sakran JV

    更新日期:2017-11-01 00:00:00

  • The nitric oxide donor molsidomine improves survival and reduces hepatocyte apoptosis in cholestasis and endotoxemia.

    abstract:BACKGROUND:Cholestasis and endotoxemia have been demonstrated to cause hepatocyte apoptosis through caspase-mediated pathways. In vitro nitric oxide (NO) donors reduce hepatocyte apoptosis and caspase activation in several models. The nitric oxide donor molsidomine improves survival in an in vivo model of endotoxemia. ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/S1072-7515(03)00386-7

    authors: Brown KM,Brems JJ,Moazzam FN,Hartman GG,Gamelli RL,Ding JW

    更新日期:2003-08-01 00:00:00

  • Patient-Centered Outcomes after Laparoscopic Paraesophageal Hernia Repair.

    abstract:BACKGROUND:The aim of this study is to investigate patient-centered quality of life (QOL) outcomes in patients undergoing laparoscopic paraesophageal hernia repair. STUDY DESIGN:We prospectively followed patients who underwent laparoscopic paraesophageal hernia repair between 2009 and 2016. The QOL outcomes were measu...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2017.12.054

    authors: Hall T,Warnes N,Kuchta K,Novak S,Hedberg H,Linn JG,Haggerty S,Denham W,Joehl RJ,Ujiki M

    更新日期:2018-07-01 00:00:00

  • Primary hyperparathyroidism in patients who have received radiation therapy and in patients who have not received radiation therapy.

    abstract:BACKGROUND:Primary hyperparathyroidism (HPT) occurs more frequently in persons who have been exposed to low-dose therapeutic radiation. Little information is available concerning whether or not the clinical, metabolic, and pathologic manifestations, as well as outcome, differ in these patients when compared with patien...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Tezelman S,Rodriguez JM,Shen W,Siperstein AE,Duh QY,Clark OH

    更新日期:1995-01-01 00:00:00

  • Congenital stenosis of the intrahepatic bile duct associated with choledochal cysts.

    abstract:BACKGROUND:There are few studies that report on stenosis of the intrahepatic bile ducts associated with choledochal cysts. We investigated the presence and clinical significance of stenosis of the intrahepatic bile ducts associated with choledochal cysts. STUDY DESIGN:We examined intrahepatic bile ducts in patients wi...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Ando H,Ito T,Kaneko K,Seo T

    更新日期:1995-11-01 00:00:00

  • Surgical treatment of early-stage breast cancer in the Department of Defense Healthcare System.

    abstract:BACKGROUND:The choice between breast-conserving surgery and modified radical mastectomy in the treatment of women with early stage breast cancer in the Department of Defense Healthcare System may be influenced by demographic factors. STUDY DESIGN:The Department of Defense Automated Central Tumor Registry (ACTUR) was q...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(00)00803-6

    authors: Kelemen JJ 3rd,Poulton T,Swartz MT,Jatoi I

    更新日期:2001-03-01 00:00:00

  • Hospital costs by cost center of inpatient hospitalization for medicare patients undergoing major abdominal surgery.

    abstract:BACKGROUND:This study aims to describe the magnitude of hospital costs among patients undergoing elective colectomy, cholecystectomy, and pancreatectomy, determine whether these costs relate as expected to duration of care, patient case-mix severity and comorbidities, and whether risk-adjusted costs vary significantly ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2014.10.021

    authors: Stey AM,Brook RH,Needleman J,Hall BL,Zingmond DS,Lawson EH,Ko CY

    更新日期:2015-02-01 00:00:00

  • Upregulation of lung chemokines associated with hemorrhage is reversed with a small molecule multiple selectin inhibitor.

    abstract:BACKGROUND:Hemorrhage can modify the leukocyte-endothelial cell response leading to tissue injury. The selectin family of adhesion molecules and chemokines mediate the leukocyte-endothelial cell interaction, resulting in neutrophil sequestration and activation. This work studies whether a small molecule inhibitor of se...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(99)00213-6

    authors: Ramos-Kelly JR,Toledo-Pereyra LH,Jordan JA,Rivera-Chavez FA,Dixon RA,Ward PA

    更新日期:1999-12-01 00:00:00

  • Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19).

    abstract::The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency on March 13 in the US. Many hospitals, healthcare networks, and s...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2020.03.019

    authors: Ross SW,Lauer CW,Miles WS,Green JM,Christmas AB,May AK,Matthews BD

    更新日期:2020-06-01 00:00:00

  • Hepatic resection for metastatic colorectal adenocarcinoma: a proposal of a prognostic scoring system.

    abstract:BACKGROUND:Hepatic resection for metastatic colorectal cancer provides excellent longterm results in a substantial proportion of patients. Although various prognostic risk factors have been identified, there has been no dependable staging or prognostic scoring system for metastatic hepatic tumors. STUDY DESIGN:Various...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(99)00089-7

    authors: Iwatsuki S,Dvorchik I,Madariaga JR,Marsh JW,Dodson F,Bonham AC,Geller DA,Gayowski TJ,Fung JJ,Starzl TE

    更新日期:1999-09-01 00:00:00

  • Hepatic resection under the intermittent selective portal branch occlusion by balloon catheter.

    abstract:BACKGROUND:In hepatic resection, it is important to control intrahepatic blood flow to minimize blood loss. Intermittent and selective vascular occlusion, if possible, are advisable. STUDY DESIGN:For this purpose, we created the double balloon catheter, which when introduced into a lobar or a smaller branch of the int...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Goseki N,Kato S,Takamatsu S,Dobashi Y,Hara Y,Teramoto K,Nakamura H,Endo M,Shimojyu K

    更新日期:1994-12-01 00:00:00

  • Impact of the New Kidney Allocation System on Perioperative Outcomes and Costs in Kidney Transplantation.

    abstract:BACKGROUND:In December 2014, a new kidney allocation system (KAS) was implemented nationwide with the goal of improving longevity matching, increasing access to sensitized patients, and improving racial/ethnic disparities. STUDY DESIGN:National cohort study of US kidney transplantation programs, analyzing hospital-lev...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2016.12.009

    authors: Taber DJ,DuBay D,McGillicuddy JW,Nadig S,Bratton CF,Chavin KD,Baliga PK

    更新日期:2017-04-01 00:00:00

  • Predictors of comprehension during surgical informed consent.

    abstract:BACKGROUND:Patient comprehension during surgical informed consent remains problematic. Using data from our randomized trial of methods to improve informed consent comprehension, we performed an additional analysis to define independent factors associated with improved patient understanding. STUDY DESIGN:Patients sched...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jamcollsurg.2010.02.049

    authors: Fink AS,Prochazka AV,Henderson WG,Bartenfeld D,Nyirenda C,Webb A,Berger DH,Itani K,Whitehill T,Edwards J,Wilson M,Karsonovich C,Parmelee P

    更新日期:2010-06-01 00:00:00

  • Nationwide volume and mortality after elective surgery in cirrhotic patients.

    abstract:BACKGROUND:The outcomes after elective surgery in patients with cirrhosis have not been well studied. STUDY DESIGN:We used the Nationwide Inpatient Sample (NIS) to identify all patients undergoing elective surgery for four index operations (cholecystectomy, colectomy, abdominal aortic aneurysm repair, and coronary art...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2008.09.006

    authors: Csikesz NG,Nguyen LN,Tseng JF,Shah SA

    更新日期:2009-01-01 00:00:00

  • Portal vein resection in borderline resectable pancreatic cancer: a United Kingdom multicenter study.

    abstract:BACKGROUND:Until recently, in the United Kingdom, borderline resectable pancreatic cancer with invasion into the portomesenteric veins often resulted in surgical bypass because of the presumed high risk for complications and the uncertainty of a survival benefit associated with a vascular resection. Portomesenteric vei...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jamcollsurg.2013.11.017

    authors: Ravikumar R,Sabin C,Abu Hilal M,Bramhall S,White S,Wigmore S,Imber CJ,Fusai G,UK Vascular Resection in Pancreatic Cancer Study Group.

    更新日期:2014-03-01 00:00:00

  • The migrated liver transplantation candidate: insight into geographic disparities in liver distribution.

    abstract:BACKGROUND:A minority of liver transplantation (LT) candidates pursue listing at multiple centers to achieve transplantation. The purpose of this study was to assess the characteristics and outcomes of the migrated LT candidates, that is, those who travel to secondary centers seeking LT. STUDY DESIGN:Single-center ret...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2013.12.056

    authors: Kohn R,Kratz JR,Markmann JF,Vagefi PA

    更新日期:2014-06-01 00:00:00

  • Results of curative gastrectomy for carcinoma.

    abstract:BACKGROUND:In the western literature, controversy exists regarding the operative management of carcinoma of the stomach. Still debated are the extent of gastric resection, the role of splenectomy, and the significance of lymphadenectomy. STUDY DESIGN:We performed a retrospective study of 646 consecutive patients who u...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Stipa S,Di Giorgio A,Ferri M,Botti C

    更新日期:1994-11-01 00:00:00

  • Zero mortality after 152 consecutive pancreaticoduodenectomies with pancreaticogastrostomy.

    abstract:BACKGROUND:Since 1968, there have been three published reports in the United States literature of 41, 118, and 145 consecutive patients undergoing pancreaticoduodenectomy without mortality. In all of these series, the pancreatic remnant was anastomosed to the jejunum. STUDY DESIGN:This study was designed to review 152...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/S1072-7515(03)00331-4

    authors: Aranha GV,Hodul PJ,Creech S,Jacobs W

    更新日期:2003-08-01 00:00:00

  • Outcomes of synthetic mesh in contaminated ventral hernia repairs.

    abstract:BACKGROUND:Given the questionable long-term durability of biologic meshes, additional prosthetic options for ventral hernia repairs (VHR) in contaminated fields are necessary. Recent evidence suggests improved bacterial resistance of reduced-weight, large-pore synthetics, giving a potential mesh alternative for repair ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jamcollsurg.2013.07.382

    authors: Carbonell AM,Criss CN,Cobb WS,Novitsky YW,Rosen MJ

    更新日期:2013-12-01 00:00:00

  • Cerebrovascular resuscitation after polytrauma and fluid restriction.

    abstract:BACKGROUND:There are few reproducible models of blast injury, so it is difficult to evaluate new or existing therapies. We developed a clinically relevant polytrauma model to test the hypothesis that cerebrovascular resuscitation is optimized when intravenous fluid is restricted. STUDY DESIGN:Anesthetized swine (42+/-...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2006.11.014

    authors: Earle SA,de Moya MA,Zuccarelli JE,Norenberg MD,Proctor KG

    更新日期:2007-02-01 00:00:00

  • Complex gastrointestinal surgery: impact of provider experience on clinical and economic outcomes.

    abstract:BACKGROUND:Commonly performed elective gastrointestinal surgical procedures are carried out with low morbidity and mortality in hospitals throughout the United States. Complex operative procedures on the alimentary tract are performed with a relatively low frequency and are associated with higher mortality. Volume and ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(99)00072-1

    authors: Gordon TA,Bowman HM,Bass EB,Lillemoe KD,Yeo CJ,Heitmiller RF,Choti MA,Burleyson GP,Hsieh G,Cameron JL

    更新日期:1999-07-01 00:00:00

  • Minimally invasive radioguided parathyroidectomy.

    abstract:BACKGROUND:Minimally invasive radioguided parathyroidectomy (MIRP) combines technetium sestamibi scan, intraoperative gamma probe, methylene blue dye, and measurement of circulating parathyroid hormone (PTH) levels. STUDY DESIGN:All patients presented with biochemically proved primary hyperparathyroidism. A technetium...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(00)00297-0

    authors: Flynn MB,Bumpous JM,Schill K,McMasters KM

    更新日期:2000-07-01 00:00:00

  • Crohn's colitis: experience with segmental resections; results in a series of 84 patients.

    abstract:BACKGROUND:Colonic Crohn's disease can be treated surgically by total colonic resection or by segmental colonic resection. The aim of this study was to analyze the outcomes of patients treated by segmental colectomy for colonic Crohn's disease. STUDY DESIGN:Among 413 patients undergoing operations for Crohn's disease,...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(02)01122-5

    authors: Martel P,Betton PO,Gallot D,Malafosse M

    更新日期:2002-04-01 00:00:00

  • Thyroid and parathyroid operations in veterans affairs and selected university medical centers: results of the patient safety in surgery study.

    abstract:BACKGROUND:There is increasing interest in surgical outcomes. The Patient Safety in Surgery (PSS) Study database was examined about thyroid and parathyroid procedures to determine risk factors for adverse outcomes and outcomes rates. Relative outcomes performance for the Veterans Affairs (VA) and private-sector populat...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.02.073

    authors: Hall BL,Hirbe M,Yan Y,Khuri SF,Henderson WG,Hamilton BH

    更新日期:2007-06-01 00:00:00

  • Three thousand one hundred seventy-five primary inguinal hernia repairs: advantages of ambulatory open mesh repair using local anesthesia.

    abstract:BACKGROUND:Controversy exists over the relative advantages of open mesh repair compared with open stitching methods and the laparoscopic approach. STUDY DESIGN:Two thousand nine hundred six (2,906) consecutive unselected adult patients underwent 3,175 primary inguinal hernia repairs using polypropylene mesh, under loc...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(98)00057-x

    authors: Kark AE,Kurzer MN,Belsham PA

    更新日期:1998-04-01 00:00:00

  • No Survival Difference with Neoadjuvant Chemoradiotherapy Compared with Chemotherapy in Resectable Esophageal and Gastroesophageal Junction Adenocarcinoma: Results from the National Cancer Data Base.

    abstract:BACKGROUND:Neoadjuvant treatment improves survival in resectable esophageal adenocarcinoma, but the optimal regimen has not been defined. Neoadjuvant chemoradiation (nCRT) is associated with higher pathologic complete response (pCR) relative to chemotherapy (nCTX), but has not been shown to improve survival; however, p...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2016.09.002

    authors: Al-Sukhni E,Gabriel E,Attwood K,Kukar M,Nurkin SJ,Hochwald SN

    更新日期:2016-12-01 00:00:00

  • Certification by the American Board of Surgery among US medical school graduates.

    abstract:BACKGROUND:We sought to identify variables associated with American Board of Medical Specialties (ABMS)-member board certification and lack thereof among US medical graduates who planned at medical school graduation to become certified in surgery and entered graduate medical education in general surgery. STUDY DESIGN:...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2012.01.049

    authors: Andriole DA,Jeffe DB

    更新日期:2012-05-01 00:00:00

  • Time Is Money: Can Punctuality Decrease Operating Room Cost?

    abstract:BACKGROUND:Inefficient operating room (OR) use wastes resources. Studies have suggested "first case on-time starts" (FCOTS) reduce OR "idle time," yet no direct association between FCOTS and markers of OR efficiency, like "last case on-time end" (LCOTE) or overtime costs, have been reported. We performed this study to ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2019.10.017

    authors: Chapman WC Jr,Luo X,Doyle M,Khan A,Chapman WC,Kangrga I,Martin J Jr,Wellen J

    更新日期:2020-02-01 00:00:00