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Laparoscopic conversion of failed vertical banded gastroplasty to Roux-en-Y gastric bypass or biliopancreatic diversion
Switching from Failed Vertical Banded Gastroplasty to Roux-en-Y Gastric Bypass or Biliopancreatic Diversion Using Laparoscopy
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Abstract
Of 39 patients undergoing conversion of failed Silastic ring vertical gastroplasty, 89% had successful laparoscopic procedures.
- The mean operative time was 195 minutes for Roux-en-Y gastric bypass and 200 minutes for biliopancreatic diversion.
- No mortality was reported among the patients during the study.
- Complications occurred in 28% of patients, with 19% in Roux-en-Y gastric bypass and 42% in biliopancreatic diversion.
- At 3-year follow-up, body mass index decreased from 43 kg/m² to 34 kg/m² for Roux-en-Y gastric bypass, and from 47 kg/m² to 26 kg/m² for biliopancreatic diversion.
- Weight loss at 1 year was similar for both procedures, but biliopancreatic diversion showed better outcomes at 3 years.
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