Comparison of the mid-term outcomes of banded and non-banded sleeve gastrectomy: safety, food tolerance, and weight regain.
Banded- and non-banded sleeve
Bariatric surgery
Food tolerance
Safety
Weight regain
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
received:
22
02
2022
accepted:
06
06
2022
pubmed:
29
6
2022
medline:
16
11
2022
entrez:
28
6
2022
Statut:
ppublish
Résumé
Long-term weight regain (WR) after sleeve gastrectomy (SG) is a major challenge. Laparoscopic banded SG (BSG) was introduced to overcome pouch dilation and, consequently, WR; however, its mid-and long-term outcomes have not been sufficiently demonstrated. This study retrospectively evaluated the mid-term weight loss efficacy and morbidity over at least a 4-year follow-up after laparoscopic banded SG using a MiniMizer Gastric Ring® and laparoscopic non-banded SG. The data of 1586 bariatric surgeries were retrospectively evaluated. To ensure homogeneity in our study cohort, propensity score matching (PSM) was performed. The final cohort comprised 1392 patients: the non-banded SG (n = 1260) and BSG (n = 132) groups. In our matched cohort (SG, n = 655 and BSG, n = 132), WR was noted in 4 (3.0%) and 71 (10.8%) patients in the BSG and SG groups, respectively. Gastric band erosion or slippage was not noted in the BSG cohort. The levels of cholesterol and triglyceride were similar in the two groups. Postoperative glycemic control was significantly reduced in the BSG group. Although the percentage of weight loss achieved in the BSG group was low in the first year postoperatively, the mid-term (sustained) weight loss associated with BSG was superior to that associated with non-banded SG. BSG is a safe procedure with no significant mid-term band-related morbidity; its impact on the resolution of comorbidities is equivalent and perhaps superior to SG.
Sections du résumé
BACKGROUND
Long-term weight regain (WR) after sleeve gastrectomy (SG) is a major challenge. Laparoscopic banded SG (BSG) was introduced to overcome pouch dilation and, consequently, WR; however, its mid-and long-term outcomes have not been sufficiently demonstrated.
OBJECTIVE
This study retrospectively evaluated the mid-term weight loss efficacy and morbidity over at least a 4-year follow-up after laparoscopic banded SG using a MiniMizer Gastric Ring® and laparoscopic non-banded SG.
METHOD
The data of 1586 bariatric surgeries were retrospectively evaluated. To ensure homogeneity in our study cohort, propensity score matching (PSM) was performed.
RESULTS
The final cohort comprised 1392 patients: the non-banded SG (n = 1260) and BSG (n = 132) groups. In our matched cohort (SG, n = 655 and BSG, n = 132), WR was noted in 4 (3.0%) and 71 (10.8%) patients in the BSG and SG groups, respectively. Gastric band erosion or slippage was not noted in the BSG cohort. The levels of cholesterol and triglyceride were similar in the two groups. Postoperative glycemic control was significantly reduced in the BSG group.
CONCLUSION
Although the percentage of weight loss achieved in the BSG group was low in the first year postoperatively, the mid-term (sustained) weight loss associated with BSG was superior to that associated with non-banded SG. BSG is a safe procedure with no significant mid-term band-related morbidity; its impact on the resolution of comorbidities is equivalent and perhaps superior to SG.
Identifiants
pubmed: 35764843
doi: 10.1007/s00464-022-09395-4
pii: 10.1007/s00464-022-09395-4
pmc: PMC9652222
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
9146-9155Informations de copyright
© 2022. The Author(s).
Références
Buchwald H, Oien DM (2013) Metabolic/bariatric surgery worldwide 2011. Obes Surg 23:427–436
doi: 10.1007/s11695-012-0864-0
pubmed: 23338049
Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N (2015) Bariatric surgery worldwide 2013. Obes Surg 25:1822–1832
doi: 10.1007/s11695-015-1657-z
pubmed: 25835983
Alvarenga ES, Lo Menzo E, Szomstein S, Rosenthal RJ (2016) Safety and efficacy of 1020 consecutive laparoscopic sleeve gastrectomies performed as a primary treatment modality for morbid obesity. A single-center experience from the metabolic and bariatric surgical accreditation quality and improvement program. Surg Endosc 30:2673–2678
doi: 10.1007/s00464-015-4548-4
pubmed: 26541727
Clapp B, Wynn M, Martyn C, Foster C, O’Dell M, Tyroch A (2018) Long term (7 or more years) outcomes of the sleeve gastrectomy: a meta-analysis. Surg Obes Relat Dis 14:741–747
doi: 10.1016/j.soard.2018.02.027
pubmed: 29625744
Colpaert J, Van Nieuwenhove Y (2021) Novel techniques, same complications: slippage and erosion of a MiniMizer band after Banded laparoscopic Roux-En-Y gastric bypass. Obes Surg 31:4188–4190
doi: 10.1007/s11695-021-05481-z
pubmed: 34018098
Lemmens L, Van Den Bossche J, Zaveri H, Surve A (2018) Banded sleeve gastrectomy: better long-term results? A long-term cohort study until 5 years follow-up in obese and superobese patients. Obes Surg 28:2687–2695
doi: 10.1007/s11695-018-3248-2
pubmed: 29671124
pmcid: 6132784
O’Brien PE, McPhail T, Chaston TB, Dixon JB (2006) Systematic review of medium-term weight loss after bariatric operations. Obes Surg 16:1032–1040
doi: 10.1381/096089206778026316
pubmed: 16901357
Greenstein AJ, Jacob BP (2008) Placement of a laparoscopic adjustable gastric band after failed sleeve gastrectomy. Surg Obes Relat Dis 4:556–558
doi: 10.1016/j.soard.2008.05.002
pubmed: 18586565
Arceo-Olaiz R, Espana-Gomez MN, Montalvo-Hernandez J, Velazquez-Fernandez D, Pantoja JP, Herrera MF (2008) Maximal weight loss after banded and unbanded laparoscopic Roux-en-Y gastric bypass: a randomized controlled trial. Surg Obes Relat Dis 4:507–511
doi: 10.1016/j.soard.2007.11.006
pubmed: 18226982
Aarts EO, Dogan K, Koehestanie P, Aufenacker TJ, Janssen IM, Berends FJ (2014) Long-term results after laparoscopic adjustable gastric banding: a mean fourteen-year follow-up study. Surg Obes Relat Dis 10:633–640
doi: 10.1016/j.soard.2014.03.019
pubmed: 25066440
Kowalewski PK, Olszewski R, Kwiatkowski A, Galazka-Swiderek N, Cichon K, Pasnik K (2017) Life with a gastric band. long-term outcomes of laparoscopic adjustable gastric banding-a retrospective study. Obes Surg 27:1250–1253
doi: 10.1007/s11695-016-2435-2
pubmed: 27787760
Buchwald H, Consensus Conference P (2005) Consensus conference statement bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. Surg Obes Relat Dis 1:371–381
doi: 10.1016/j.soard.2005.04.002
pubmed: 16925250
NIH conference (1991) Gastrointestinal surgery for severe obesity. consensus development conference panel. Ann Intern Med 115:956–961
doi: 10.7326/0003-4819-115-12-956
Suter M, Calmes JM, Paroz A, Giusti V (2007) A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg 17:2–8
doi: 10.1007/s11695-007-9016-3
pubmed: 17355761
Wang X, Chang XS, Gao L, Zheng CZ, Zhao X, Yin K, Fang GE (2016) Effectiveness of laparoscopic sleeve gastrectomy for weight loss and obesity-associated co-morbidities: a 3-year outcome from Mainland Chinese patients. Surg Obes Relat Dis 12:1305–1311
doi: 10.1016/j.soard.2016.03.004
pubmed: 27297975
Nedelcu M, Khwaja HA, Rogula TG (2016) Weight regain after bariatric surgery-how should it be defined? Surg Obes Relat Dis 12:1129–1130
doi: 10.1016/j.soard.2016.04.028
pubmed: 27350180
De Raaff CAL, Coblijn UK, de Vries N et al (2016) Predictive factors for insufficient weight loss after bariatric surgery: does obstructive sleep apnea influence weight loss? Obes Surg 26:1048–1056
doi: 10.1007/s11695-015-1830-4
pubmed: 26220241
King WC, Hinerman AS, Belle SH, Wahed AS, Courcoulas AP (2018) Comparison of the performance of common measures of weight regain after bariatric surgery for association with clinical outcomes. JAMA 320:1560–1569
doi: 10.1001/jama.2018.14433
pubmed: 30326125
pmcid: 6233795
da Silva FB, Gomes DL, de Carvalho KM (2016) Poor diet quality and postoperative time are independent risk factors for weight regain after Roux-en-Y gastric bypass. Nutrition 32:1250–1253
doi: 10.1016/j.nut.2016.01.018
pubmed: 27544005
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213
doi: 10.1097/01.sla.0000133083.54934.ae
pubmed: 15273542
pmcid: 1360123
Altman DG (1990) Practical statistics for medical research. CRC Press, Cham
Haukoos JS, Lewis RJ (2015) The propensity score. JAMA 314:1637–1638
doi: 10.1001/jama.2015.13480
pubmed: 26501539
pmcid: 4866501
Gautier T, Sarcher T, Contival N, Le Roux Y, Alves A (2013) Indications and mid-term results of conversion from sleeve gastrectomy to Roux-en-Y gastric bypass. Obes Surg 23:212–215
doi: 10.1007/s11695-012-0782-1
pubmed: 23001598
Himpens J, Dobbeleir J, Peeters G (2010) Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg 252:319–324
doi: 10.1097/SLA.0b013e3181e90b31
pubmed: 20622654
Tognoni V, Benavoli D, Bianciardi E, Perrone F, Ippoliti S, Gaspari A, Gentileschi P (2016) Laparoscopic sleeve gastrectomy versus laparoscopic banded sleeve gastrectomy: first prospective pilot randomized study. Gastroenterol Res Pract 2016:6419603
doi: 10.1155/2016/6419603
pubmed: 27143964
pmcid: 4842065
Burton PR, Brown WA (2011) The mechanism of weight loss with laparoscopic adjustable gastric banding: induction of satiety not restriction. Int J Obes (Lond) 35:S26-30
doi: 10.1038/ijo.2011.144
Karcz WK, Karcz-Socha I, Marjanovic G, Kuesters S, Goos M, Hopt UT, Szewczyk T, Baumann T, Grueneberger JM (2014) To band or not to band–early results of banded sleeve gastrectomy. Obes Surg 24:660–665
doi: 10.1007/s11695-014-1189-y
pubmed: 24464518
Bhandari M, Mathur W, Kosta S, Mishra AK, Cummings DE (2019) Banded versus nonbanded laparoscopic sleeve gastrectomy: 5-year outcomes. Surg Obes Relat Dis 15:1431–1438
doi: 10.1016/j.soard.2019.04.023
pubmed: 31548001
Fink JM, Hetzenecker A, Seifert G, Runkel M, Laessle C, Fichtner-Feigl S, Marjanovic G (2020) Banded versus nonbanded sleeve gastrectomy: a randomized controlled trial with 3 years of follow-up. Ann Surg 272:690–695
doi: 10.1097/SLA.0000000000004174
pubmed: 32657920
Fink JM, von Pigenot A, Seifert G, Laessle C, Fichtner-Feigl S, Marjanovic G (2019) Banded versus nonbanded sleeve gastrectomy: 5-year results of a matched-pair analysis. Surg Obes Relat Dis 15(8):1233–1238
doi: 10.1016/j.soard.2019.05.023
pubmed: 31285129
Soliman AMS, Lasheen M (2015) Effect of banded laparoscopic sleeve gastrectomy on weight loss maintenance: comparative study between banded and non-banded sleeve on weight loss. Bariatr Surg Pract Patient Care 10(3):99–104
doi: 10.1089/bari.2015.0003
Gentileschi P, Bianciardi E, Siragusa L, Tognoni V, Benavoli D, D’Ugo S (2020) Banded sleeve gastrectomy improves weight loss compared to nonbanded sleeve: midterm results from a prospective randomized study. J Obes 2020:9792518
doi: 10.1155/2020/9792518
pubmed: 32566276
pmcid: 7285409
Lazzati A, Bechet S, Jouma S, Paolino L, Jung C (2020) Revision surgery after sleeve gastrectomy: a nationwide study with ten years of follow-up. Surg Obes Relat Dis 16(10):1497–1504
doi: 10.1016/j.soard.2020.05.021
pubmed: 32636173
Fink JM et al (2017) Banding the sleeve improves weight loss in midterm follow-up. Obes Surg 4:1098–1103
doi: 10.1007/s11695-017-2610-0