Article
Comparison of long-term follow-up results of revisional gastric bypass for failed gastric banding to primary gastric bypass
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Authors
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Tomasz Dziodzio
- Charité - Universitätsmedizin Berlin, Klinik für Allgemein-, Visceral- und Transplantationschirurgie, Berlin, Deutschland
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Julian Umlauft
- Medizinische Universität Innsbruck, Universitätsklinik für Visceral-, Transplantations- und Thoraxchirurgie, Innsbruck, Österreich
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Robert Sucher
- Charité - Universitätsmedizin Berlin, Klinik für Allgemein-, Visceral- und Transplantationschirurgie, Berlin, Deutschland
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Christian Denecke
- Charité - Universitätsmedizin Berlin, Klinik für Allgemein-, Visceral- und Transplantationschirurgie, Berlin, Deutschland
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Sascha Weiss
- Medizinische Universität Innsbruck, Universitätsklinik für Visceral-, Transplantations- und Thoraxchirurgie, Innsbruck, Österreich
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Alexander Perathoner
- Medizinische Universität Innsbruck, Universitätsklinik für Visceral-, Transplantations- und Thoraxchirurgie, Innsbruck, Österreich
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Katrin Kienzl-Wagner
- Medizinische Universität Innsbruck, Universitätsklinik für Visceral-, Transplantations- und Thoraxchirurgie, Innsbruck, Österreich
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Andreas Brandl
- Medizinische Universität Innsbruck, Universitätsklinik für Visceral-, Transplantations- und Thoraxchirurgie, Innsbruck, Österreich
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Heinz Wykypiel
- Medizinische Universität Innsbruck, Universitätsklinik für Visceral-, Transplantations- und Thoraxchirurgie, Innsbruck, Österreich
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Johann Pratschke
- Charité - Universitätsmedizin Berlin, Klinik für Allgemein-, Visceral- und Transplantationschirurgie, Berlin, Deutschland
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Matthias Biebl
- Charité - Universitätsmedizin Berlin, Klinik für Allgemein-, Visceral- und Transplantationschirurgie, Berlin, Deutschland
| Published: | April 24, 2015 |
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Outline
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Introduction: Laparoscopic revisional Roux Y-en gastric bypass (LRGB) is an established rescue procedure for patients with failed laparoscopic adjustable gastric banding (LAGB). Aim of the study was to compare short- and long-term outcomes of LRGBs following failed adjustable gastric banding to pallrimary laparoscopic Roux-en-Y gastric bypass (LRYGB).
Material and methods: Retrospective analysis of individuals, who underwent LRYGB or LRGB from June 2002 to April 2014 at our institute. Data are presented as total numbers (%) and continuous variables as mean ± standard deviation.
Results: One-hundred-twenty-four LRGBs after failed LAGBs (group-1) and 205 primary LRYGBs (group-2) were performed at our institute. Mean follow-up time in in group-1 vs. group-2 was 47.4±34.0 vs. 33.7±31.1 months, with a mean age of 43.9±10.8 vs. 41.0±12.6 years and a mean BMI before bypass procedure of 38.2±7.3 kg/m2 vs. 44.7±6.2 kg/m2 (p≤0.05). Mean operative time was 196±60 in group-1 vs. 153±57 min in group-2 (p≤0.05). There was no difference in length of hospital stay: 8.8±4.6 vs 9.3±16.0 days. The 30-days complication rate was 21.7 (group-1) vs. 19.5% (group-1), with wound dehiscence being the leading complication. Anastomotic complications where comparable in both groups: 8% vs. 8.7%. EWL% at 1, 3 and 5 years were 37.9±30.0, 37.0±41.6 and 42.9±34.4 in group-1 and 69.3±16.7, 52.8±16.5 and 60.6±18.9 in group-2.
Conclusion: LRGB is a safe and durable option for patients with failure of previous LAGB, showing similar short and long-term result to primary LRYGB in regards to weigh loss hospital stay and overall complication rate.
