Revision of failed gastric banding to mini-gastric bypass.

Abstract:

BACKGROUND:Although laparoscopic adjustable gastric banding (LAGB) has been found to be a generally successful weight loss operation, there are reports of occasional LAGB failure. The results of rescue procedures for these patients are important. The mini-gastric bypass (MGB) is a safe and effective alternative to other bariatric surgical procedures. We report the results of conversion of 3 failed LAGB procedures to MGB. METHODS:In a series of 2,595 patients who underwent MGB, 3 had previously undergone an LAGB that failed to sustain weight loss. RESULTS:Average operative time was 54 minutes in LAGB conversions to MGB (compared to 37.5 minutes in primary MGB), and length of stay was 1 day. There were no complications in the patients converted MGB. The weight loss in converted MGB patients was similar to the weight loss in primary MGB patients, with a mean weight loss at 1 year of 60 kg (79% of excess weight) CONCLUSION:Conversion of failed LAGB to MGB was a safe procedure that added approximately 20 minutes to the short MGB operating time. Patient satisfaction was high, recovery was rapid, and weight loss was very good.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Rutledge R

doi

10.1381/096089206776327387

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

521-3

issue

4

eissn

0960-8923

issn

1708-0428

journal_volume

16

pub_type

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