Abstract:
:We aimed to systematically review the literature comparing the safety of one-step versus two-step revisional bariatric surgery from laparoscopic adjustable gastric banding (LAGB) to Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). There is debate on the safety of removing the gastric band and performing revisional surgery immediately or in a delayed, two-step fashion due to potential higher complications in one-step revisions. A systematic and comprehensive search of the literature was conducted. Included studies directly compared one-step and two-step revisional surgery. Eleven studies were included with 1370 patients. Meta-analysis found comparable rates of complications, morbidity, and mortality between one-step and two-step revisions for both RYGB and SG groups. This suggests that immediate or delayed revisional bariatric surgeries are both safe options for LAGB revisions.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Dang JT,Switzer NJ,Wu J,Gill RS,Shi X,Thereaux J,Birch DW,de Gara C,Karmali Sdoi
10.1007/s11695-016-2082-7subject
Has Abstractpub_date
2016-04-01 00:00:00pages
866-73issue
4eissn
0960-8923issn
1708-0428pii
10.1007/s11695-016-2082-7journal_volume
26pub_type
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