Laparoscopic Roux-en-Y gastric bypass for management of failed vertical banded gastroplasty and adjustable gastric banding: a prospective study

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Abstract

Background
Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is currently one of the most commonly used procedures for revisional surgery after failed vertical banded gastroplasty or adjustable gastric banding. The aim of our study was to analyze the surgical outcomes of 70 consecutive patients who underwent revisional surgery to LRYGBP in 2 years.
Patients and methods
The prospectively constructed database, medical records, demographic and surgical details, results, and complication of all patients who underwent revision to LRYGBP were analyzed.
Results
There were 70 patients, comprising 50 females and 20 males, with a mean age of 42.3±8.6 years (range, 28–60 years) and mean;Deg;BM;Deg;I of 40.0±9.5 kg/m (range, 38.4–65.5 kg/m). The primary operation was adjustable gastric banding in 45 cases and vertical banded gastroplasty in 25 cases. In 20 patients, band removal was done before revision, and in 25 patients, band removal occurred during operation. There were five conversions to open surgery. A total of seven patients presented with major complications; the hospital stay averaged 5.8 days (range, 4–22 days). The mean percent excess body weight loss at 6 and 12 months was 60.4±25.5 and 82.3±21.4, respectively. Mean percent low;Deg;BM;Deg;I at 6 and 12 months was 20±6.1 and 30.2±12.4 kg/m, respectively.
Conclusion
The LRYGBP as a revisional procedure is feasible, safe, and effective in most patients, but surgical complications are not uncommon.

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