Gastric Band Removal in Revisional Bariatric Surgery, One-Step Versus Two-Step: a Systematic Review and Meta-analysis.

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 Surg

journal_title

Obesity surgery

authors

Dang JT,Switzer NJ,Wu J,Gill RS,Shi X,Thereaux J,Birch DW,de Gara C,Karmali S

doi

10.1007/s11695-016-2082-7

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

866-73

issue

4

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-016-2082-7

journal_volume

26

pub_type

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