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Published in: Obesity Surgery 4/2016

01-04-2016 | Review Article

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

Authors: Jerry T. Dang, Noah J. Switzer, Jeremy Wu, Richdeep S. Gill, Xinzhe Shi, Jérémie Thereaux, Daniel W. Birch, Christopher de Gara, Shahzeer Karmali

Published in: Obesity Surgery | Issue 4/2016

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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.
Literature
1.
go back to reference Hinojosa MW, Varela JE, Parikh D, et al. National trends in use and outcome of laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2009;5(2):150–5.CrossRefPubMed Hinojosa MW, Varela JE, Parikh D, et al. National trends in use and outcome of laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2009;5(2):150–5.CrossRefPubMed
2.
go back to reference DeMaria EJ, Sugerman HJ, Meador JG, et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity. Ann Surg. 2001;233(6):809.CrossRefPubMedPubMedCentral DeMaria EJ, Sugerman HJ, Meador JG, et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity. Ann Surg. 2001;233(6):809.CrossRefPubMedPubMedCentral
3.
go back to reference Himpens J, Cadière G-B, Bazi M, et al. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011;146(7):802–7.CrossRefPubMed Himpens J, Cadière G-B, Bazi M, et al. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011;146(7):802–7.CrossRefPubMed
4.
go back to reference Gagner M, Gumbs AA. Gastric banding: conversion to sleeve, bypass, or DS. Surg Endosc. 2007;21(11):1931–5.CrossRefPubMed Gagner M, Gumbs AA. Gastric banding: conversion to sleeve, bypass, or DS. Surg Endosc. 2007;21(11):1931–5.CrossRefPubMed
5.
go back to reference Van Nieuwenhove Y, Ceelen W, Van Renterghem K, et al. Conversion from band to bypass in two steps reduces the risk for anastomotic strictures. Obes Surg. 2011;21(4):501–5.CrossRefPubMed Van Nieuwenhove Y, Ceelen W, Van Renterghem K, et al. Conversion from band to bypass in two steps reduces the risk for anastomotic strictures. Obes Surg. 2011;21(4):501–5.CrossRefPubMed
6.
go back to reference Obeid NR, Schwack BF, Kurian MS, et al. Single-stage versus 2-stage sleeve gastrectomy as a conversion after failed adjustable gastric banding: 30-day outcomes. Surg Endosc. 2014;28(11):3186–92.CrossRefPubMed Obeid NR, Schwack BF, Kurian MS, et al. Single-stage versus 2-stage sleeve gastrectomy as a conversion after failed adjustable gastric banding: 30-day outcomes. Surg Endosc. 2014;28(11):3186–92.CrossRefPubMed
7.
go back to reference Emous M, Apers J, Hoff C, et al. Conversion of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass is safe as a single-step procedure. Surg Endosc Other Interv Tech. 2014. Emous M, Apers J, Hoff C, et al. Conversion of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass is safe as a single-step procedure. Surg Endosc Other Interv Tech. 2014.
8.
go back to reference Stroh C, Benedix D, Weiner R, et al. Obesity surgery working group CNO. Is a one-step sleeve gastrectomy indicated as a revision procedure after gastric banding? Data analysis from a quality assurance study of the surgical treatment of obesity in Germany. Obes Surg. 2014;24(1):9–14.CrossRefPubMed Stroh C, Benedix D, Weiner R, et al. Obesity surgery working group CNO. Is a one-step sleeve gastrectomy indicated as a revision procedure after gastric banding? Data analysis from a quality assurance study of the surgical treatment of obesity in Germany. Obes Surg. 2014;24(1):9–14.CrossRefPubMed
9.
go back to reference Stroh C, Weiner R, Wolff S, et al. One versus two-step Roux-en-Y gastric bypass after gastric banding—data analysis of the German bariatric surgery registry. Obes Surg. 2015;25(5):755–62.CrossRefPubMed Stroh C, Weiner R, Wolff S, et al. One versus two-step Roux-en-Y gastric bypass after gastric banding—data analysis of the German bariatric surgery registry. Obes Surg. 2015;25(5):755–62.CrossRefPubMed
10.
go back to reference Carr WRJ, Jennings NA, Boyle M, et al. A retrospective comparison of early results of conversion of failed gastric banding to sleeve gastrectomy or gastric bypass. Surg Obes Relat Dis. 2015;11(2):379–85.CrossRefPubMed Carr WRJ, Jennings NA, Boyle M, et al. A retrospective comparison of early results of conversion of failed gastric banding to sleeve gastrectomy or gastric bypass. Surg Obes Relat Dis. 2015;11(2):379–85.CrossRefPubMed
11.
go back to reference Thereaux J, Veyrie N, Barsamian C, et al. Similar postoperative safety between primary and revisional gastric bypass for failed gastric banding. JAMA Surg. 2014;149(8):780–6.CrossRefPubMed Thereaux J, Veyrie N, Barsamian C, et al. Similar postoperative safety between primary and revisional gastric bypass for failed gastric banding. JAMA Surg. 2014;149(8):780–6.CrossRefPubMed
12.
go back to reference Robert M, Poncet G, Boulez J, et al. Laparoscopic gastric bypass for failure of adjustable gastric banding: a review of 85 cases. Obes Surg. 2011;21(10):1513–9.CrossRefPubMed Robert M, Poncet G, Boulez J, et al. Laparoscopic gastric bypass for failure of adjustable gastric banding: a review of 85 cases. Obes Surg. 2011;21(10):1513–9.CrossRefPubMed
13.
14.
go back to reference Gonzalez-Heredia R, Masrur M, Patton K, et al. Revisions after failed gastric band: sleeve gastrectomy and Roux-en-Y gastric bypass. Surg Endosc. 2014:1–5. Gonzalez-Heredia R, Masrur M, Patton K, et al. Revisions after failed gastric band: sleeve gastrectomy and Roux-en-Y gastric bypass. Surg Endosc. 2014:1–5.
15.
go back to reference Gagniere J, Slim K, Launay-Savary MV, et al. Previous gastric banding increases morbidity and gastric leaks after laparoscopic sleeve gastrectomy for obesity. J Visceral Surg. 2011;148(3):e205–9.CrossRef Gagniere J, Slim K, Launay-Savary MV, et al. Previous gastric banding increases morbidity and gastric leaks after laparoscopic sleeve gastrectomy for obesity. J Visceral Surg. 2011;148(3):e205–9.CrossRef
16.
go back to reference Tan MH, Yee GY, Jorgensen JO, et al. A histologic evaluation of the laparoscopic adjustable gastric band capsule by tissue sampling during sleeve gastrectomy performed at different time points after band removal. Surg Obes Relat Dis: Off J Am Soc Bariatric Surg. 2014;10(4):620–5. doi:10.1016/j.soard.2014.02.037.CrossRef Tan MH, Yee GY, Jorgensen JO, et al. A histologic evaluation of the laparoscopic adjustable gastric band capsule by tissue sampling during sleeve gastrectomy performed at different time points after band removal. Surg Obes Relat Dis: Off J Am Soc Bariatric Surg. 2014;10(4):620–5. doi:10.​1016/​j.​soard.​2014.​02.​037.CrossRef
19.
go back to reference Hii M, Lake A, Kenfield C, et al. Laparoscopic conversion of failed gastric banding to Roux-en-Y gastric bypass. Short-term follow-up and technical considerations. Obes Surg. 2012;22(7):1022–8.CrossRefPubMed Hii M, Lake A, Kenfield C, et al. Laparoscopic conversion of failed gastric banding to Roux-en-Y gastric bypass. Short-term follow-up and technical considerations. Obes Surg. 2012;22(7):1022–8.CrossRefPubMed
20.
go back to reference Lanthaler M, Strasser S, Aigner F, et al. Weight loss and quality of life after gastric band removal or deflation. Obes Surg. 2009;19(10):1401–8.CrossRefPubMed Lanthaler M, Strasser S, Aigner F, et al. Weight loss and quality of life after gastric band removal or deflation. Obes Surg. 2009;19(10):1401–8.CrossRefPubMed
21.
go back to reference Chalasani N, Younossi Z, Lavine JE, et al. American Association for the Study of Liver D, American College of G. The diagnosis and management of non-alcoholic fatty liver disease: practice guideline by the American Gastroenterological Association, American Association for the Study of Liver Diseases, and American College of Gastroenterology. Gastroenterology. 2012;142(7):1592–609. doi:10.1053/j.gastro.2012.04.001.CrossRefPubMed Chalasani N, Younossi Z, Lavine JE, et al. American Association for the Study of Liver D, American College of G. The diagnosis and management of non-alcoholic fatty liver disease: practice guideline by the American Gastroenterological Association, American Association for the Study of Liver Diseases, and American College of Gastroenterology. Gastroenterology. 2012;142(7):1592–609. doi:10.​1053/​j.​gastro.​2012.​04.​001.CrossRefPubMed
Metadata
Title
Gastric Band Removal in Revisional Bariatric Surgery, One-Step Versus Two-Step: a Systematic Review and Meta-analysis
Authors
Jerry T. Dang
Noah J. Switzer
Jeremy Wu
Richdeep S. Gill
Xinzhe Shi
Jérémie Thereaux
Daniel W. Birch
Christopher de Gara
Shahzeer Karmali
Publication date
01-04-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 4/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2082-7

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