Roux-en-Y gastric bypass, sleeve gastrectomy, or one anastomosis gastric bypass as rescue therapy after failed adjustable gastric banding: a multicenter comparative study

Sep 22, 2018Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Comparing three types of weight-loss surgery used after adjustable gastric banding does not work

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Abstract

Of 1219 patients analyzed, 75% achieved greater than 50% excess BMI loss after converting failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass.

  • 74% of patients underwent Roux-en-Y gastric bypass (RYGB) after banding failure.
  • The mean age of patients was 38 years, with 82% being women.
  • Postoperative complications occurred in 13% of RYGB patients, 5% of those who had one anastomosis gastric bypass (OAGB), and 15% of sleeve gastrectomy (SG) patients.
  • Percentage excess BMI loss >50% was achieved by 85% of OAGB and 67% of SG patients at the latest follow-up.
  • The mean follow-up duration was 33 months, with follow-up rates of 100%, 87%, and 52% at 1, 3, and 5 years, respectively.

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