Single Stage Conversion from Laparoscopic Adjustable Gastric Band to Laparoscopic Sleeve Gastrectomy is Safer than Laparoscopic Adjustable Gastric Band to Roux-en-Y Gastric Bypass: Results of a 10-Year Analysis of Complications

Howell Raelina S,Petrone Patrizio,Boinpally Harika,Brathwaite Collin Em,Barkan Alexander,Akerman Meredith,Woods Jon S,Perez-Calvo Javier,Hall Keneth

doi:10.36959/367/445

Abstract

Conversion from laparoscopic Adjustable Gastric Band (AGB) to Roux-en-y gastric bypass (RNY) or Sleeve Gastrectomy (SG) is now common. Complication rates up to 25% have been reported. We reviewed the experience at a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Center of Excellence.

Highlights

Laparoscopic adjustable gastric banding (AGB), once the bariatric procedure par excellence, has diminished in popularity due to insufficient weight loss or band-related complications, which have been reported in up to 53% of cases [1,2]
The risk of leak appears to be higher with conversion to Roux-en-y gastric bypass (RNY) vs. Sleeve Gastrectomy (SG)
In the two-stage process the Adjustable Gastric Band (AGB) hardware is removed in the first stage and the gastric sleeve or bypass is created in a separate, shorter, subsequent procedure [3]

Summary

Introduction

Laparoscopic adjustable gastric banding (AGB), once the bariatric procedure par excellence, has diminished in popularity due to insufficient weight loss or band-related complications, which have been reported in up to 53% of cases [1,2]. Conversion from AGB to sleeve gastrectomy (SG) or Roux-en-y gastric bypass (RNY) can be performed in one or two stages. In the single-stage procedure, the AGB components are removed and the gastric sleeve or bypass is created during the same operation. In the two-stage process the AGB hardware is removed in the first stage and the gastric sleeve or bypass is created in a separate, shorter, subsequent procedure [3]. Conversion from laparoscopic Adjustable Gastric Band (AGB) to Roux-en-y gastric bypass (RNY) or Sleeve Gastrectomy (SG) is common. We reviewed the experience at a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Center of Excellence

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Discussion

Conclusion