Revision of Mason's procedure (vertical banded gastroplasty) to Roux-en-Y gastric bypass: role of an associated fundectomy in weight loss outcomes.
Fundectomy
Mason
Revisional surgery
VBG
VBG to RYGB conversion
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:
May 2021
May 2021
Historique:
received:
18
11
2020
revised:
21
12
2020
accepted:
30
12
2020
pubmed:
8
2
2021
medline:
25
5
2021
entrez:
7
2
2021
Statut:
ppublish
Résumé
Vertical banded gastroplasty (VBG) presents a significant rate of long-term complications, and revisions are often necessary. Conversion to Roux-en-Y gastric bypass (RYGB) seems to be preferred, but literature data remain limited. To analyze the indications, safety, results of conversions from VBG to RYGB, and to identify predictive factors of success or failure. Two specialized centers of bariatric surgery. This bicentric retrospective study included all the patients who benefited from a conversion from VBG to RYGB between 2008 and January 2020. Demographic characteristics, indications, preoperative workups, intraoperative data, complications, and weight loss results were analyzed. During the study period, 85 patients underwent a conversion to RYGB. The mean body mass index (BMI_ before conversion was 40.6 kg/m Conversion from VBG to RYGB remains the procedure of choice to achieve satisfying weight loss and resolution of functional complications. The addition of a fundectomy appeared to have a significant positive impact on weight loss outcomes.
Sections du résumé
BACKGROUND
BACKGROUND
Vertical banded gastroplasty (VBG) presents a significant rate of long-term complications, and revisions are often necessary. Conversion to Roux-en-Y gastric bypass (RYGB) seems to be preferred, but literature data remain limited.
OBJECTIVES
OBJECTIVE
To analyze the indications, safety, results of conversions from VBG to RYGB, and to identify predictive factors of success or failure.
SETTING
METHODS
Two specialized centers of bariatric surgery.
METHODS
METHODS
This bicentric retrospective study included all the patients who benefited from a conversion from VBG to RYGB between 2008 and January 2020. Demographic characteristics, indications, preoperative workups, intraoperative data, complications, and weight loss results were analyzed.
RESULTS
RESULTS
During the study period, 85 patients underwent a conversion to RYGB. The mean body mass index (BMI_ before conversion was 40.6 kg/m
CONCLUSION
CONCLUSIONS
Conversion from VBG to RYGB remains the procedure of choice to achieve satisfying weight loss and resolution of functional complications. The addition of a fundectomy appeared to have a significant positive impact on weight loss outcomes.
Identifiants
pubmed: 33549506
pii: S1550-7289(21)00014-9
doi: 10.1016/j.soard.2020.12.014
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
870-877Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.