Sleeve gastrectomy as a rescue of failed gastric banding: comparison of 1- and 2-step approaches.
Gastric banding
Sleeve gastrectomy
Weight loss
Journal
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
ISSN: 1878-7533
Titre abrégé: Surg Obes Relat Dis
Pays: United States
ID NLM: 101233161
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
10
09
2019
revised:
10
03
2020
accepted:
11
03
2020
pubmed:
14
5
2020
medline:
28
4
2021
entrez:
14
5
2020
Statut:
ppublish
Résumé
Series comparing gastric banding (GB) removal and sleeve gastrectomy (SG) when procedures are performed as a 1- or a 2-step approach are contradictory in their outcomes. No series comparing these approaches with midterm weight loss is available. Compare the outcomes and weight loss of SG performed as 1- and 2-step approaches as a revisional procedure for GB failure. University Hospital, France, public practice. Between February 2006 and January 2017, all patients undergoing SG with a previous history of implementation of GB (n = 358) were included in this 2-center, retrospective, observational study. Revisional surgery was proposed in patients with insufficient excess weight loss (excess weight loss ≤50%) or weight regain after GB. A 1-step (1-step group, n = 270) or 2-step (2-step group, n = 88) approach was decided depending on patient's choice and/or surgeon's preference. The primary efficacy endpoint was the comparison of weight loss in the 1- and 2-step groups at the 2-year follow-up. The secondary efficacy endpoints were short-term outcomes (overall mortality and morbidity at postoperative day 30, specific morbidity, reoperation, length of hospital stay, and readmission). In the 1-step group, the mean preoperative body mass index before SG was 40.5 kg/m SG after previous GB is efficient with similar outcomes depending on the 1- or 2-step approach. The 1-step approach seems to have increased weight loss compared with the 2-step approach.
Sections du résumé
BACKGROUND
BACKGROUND
Series comparing gastric banding (GB) removal and sleeve gastrectomy (SG) when procedures are performed as a 1- or a 2-step approach are contradictory in their outcomes. No series comparing these approaches with midterm weight loss is available.
OBJECTIVES
OBJECTIVE
Compare the outcomes and weight loss of SG performed as 1- and 2-step approaches as a revisional procedure for GB failure.
SETTING
METHODS
University Hospital, France, public practice.
METHODS
METHODS
Between February 2006 and January 2017, all patients undergoing SG with a previous history of implementation of GB (n = 358) were included in this 2-center, retrospective, observational study. Revisional surgery was proposed in patients with insufficient excess weight loss (excess weight loss ≤50%) or weight regain after GB. A 1-step (1-step group, n = 270) or 2-step (2-step group, n = 88) approach was decided depending on patient's choice and/or surgeon's preference. The primary efficacy endpoint was the comparison of weight loss in the 1- and 2-step groups at the 2-year follow-up. The secondary efficacy endpoints were short-term outcomes (overall mortality and morbidity at postoperative day 30, specific morbidity, reoperation, length of hospital stay, and readmission).
RESULTS
RESULTS
In the 1-step group, the mean preoperative body mass index before SG was 40.5 kg/m
CONCLUSIONS
CONCLUSIONS
SG after previous GB is efficient with similar outcomes depending on the 1- or 2-step approach. The 1-step approach seems to have increased weight loss compared with the 2-step approach.
Identifiants
pubmed: 32402733
pii: S1550-7289(20)30144-1
doi: 10.1016/j.soard.2020.03.015
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1045-1051Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.