Single-center experience in single-stage conversions of gastric banding to sleeve gastrectomy : is it as safe as 2-stage conversions?
Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved..
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) can be performed after obesity persistence following laparoscopic adjustable gastric banding (LAGB) with a positive safety profile. However, some argue that the conversion should be performed in 2 stages rather than 1 because of perioperative complications. The aim of this study is to determine the safety profile of single-stage LAGB to LSG conversion.
SETTING: Academic hospital, United States.
MATERIAL AND METHODS: From October 2009 to July 2016, a total of 76 patients underwent conversions to a LSG because of obesity persistence after LAGB. Of these cases, 65 were done as single-stage procedures and 11 were done in 2 stages. Perioperative complications were compared between the 1-stage and 2-stage conversion groups.
RESULTS: Mean operative time was 122.5±26.1 minutes (range, 75-186) in the single-stage group and 103.6±29.7 minutes (range, 66-145) in the 2-stage group (P>0.08). Mean length of hospital stay was 1.5±.6 days (range, 1-3) in the single-stage group and 1.6±.7 days (range, 1-3) in the 2-stage group (sleeve gastrectomy portion) (P> .58). Two patients (3.1%) in the single-stage group required readmission within 60 days after the conversion because of dehydration (n = 1) and abdominal wall cellulitis (n = 1). Both patients were treated conservatively, and no patient in the 2-stage group required readmission within 60 days from LSG. No patient required reoperation within 60 days, and no patient developed a staple line leakage during the period of follow-up.
CONCLUSION: Single-stage laparoscopic conversion of LAGB to LSG is feasible and, in appropriately selected patients, does not seem to increase the risk of complications compared with 2-stage procedures.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:13 |
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| Enthalten in: |
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery - 13(2017), 11 vom: 15. Nov., Seite 1830-1834 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Moon, Rena C [VerfasserIn] |
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| Links: |
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| Themen: |
2 stage |
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| Anmerkungen: |
Date Completed 20.07.2018 Date Revised 20.07.2018 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.soard.2017.01.013 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM269258523 |
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| 245 | 1 | 0 | |a Single-center experience in single-stage conversions of gastric banding to sleeve gastrectomy |b is it as safe as 2-stage conversions? |
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| 500 | |a Date Revised 20.07.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) can be performed after obesity persistence following laparoscopic adjustable gastric banding (LAGB) with a positive safety profile. However, some argue that the conversion should be performed in 2 stages rather than 1 because of perioperative complications. The aim of this study is to determine the safety profile of single-stage LAGB to LSG conversion | ||
| 520 | |a SETTING: Academic hospital, United States | ||
| 520 | |a MATERIAL AND METHODS: From October 2009 to July 2016, a total of 76 patients underwent conversions to a LSG because of obesity persistence after LAGB. Of these cases, 65 were done as single-stage procedures and 11 were done in 2 stages. Perioperative complications were compared between the 1-stage and 2-stage conversion groups | ||
| 520 | |a RESULTS: Mean operative time was 122.5±26.1 minutes (range, 75-186) in the single-stage group and 103.6±29.7 minutes (range, 66-145) in the 2-stage group (P>0.08). Mean length of hospital stay was 1.5±.6 days (range, 1-3) in the single-stage group and 1.6±.7 days (range, 1-3) in the 2-stage group (sleeve gastrectomy portion) (P> .58). Two patients (3.1%) in the single-stage group required readmission within 60 days after the conversion because of dehydration (n = 1) and abdominal wall cellulitis (n = 1). Both patients were treated conservatively, and no patient in the 2-stage group required readmission within 60 days from LSG. No patient required reoperation within 60 days, and no patient developed a staple line leakage during the period of follow-up | ||
| 520 | |a CONCLUSION: Single-stage laparoscopic conversion of LAGB to LSG is feasible and, in appropriately selected patients, does not seem to increase the risk of complications compared with 2-stage procedures | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a 2 stage | |
| 650 | 4 | |a Conversion | |
| 650 | 4 | |a Gastric band | |
| 650 | 4 | |a Single stage | |
| 650 | 4 | |a Sleeve gastrectomy | |
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| 700 | 1 | |a Lind, Romulo |e verfasserin |4 aut | |
| 700 | 1 | |a Teixeira, Andre F |e verfasserin |4 aut | |
| 700 | 1 | |a Jawad, Muhammad A |e verfasserin |4 aut | |
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