PMID- 30767186
OWN - NLM
STAT- MEDLINE
DCOM- 20200422
LR  - 20200422
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 29
IP  - 6
DP  - 2019 Jun
TI  - Outcomes After Laparoscopic Conversion of Failed Adjustable Gastric Banding 
      (LAGB) to Laparoscopic Sleeve Gastrectomy (LSG) or Single Anastomosis Duodenal 
      Switch (SADS).
PG  - 1726-1733
LID - 10.1007/s11695-019-03729-3 [doi]
AB  - BACKGROUND: Inadequate weight loss following LAGB (laparoscopic adjusted gastric 
      banding) requiring band removal and conversion to another bariatric procedure is 
      common. There is a paucity of objective data to guide procedure selection. Single 
      anastomosis modifications (SIPS, SADI, SADS) of the duodenal switch 
      biliopancreatic division (DS-BPD) are being investigated. Laparoscopic sleeve 
      gastrectomy (LSG) has become the most prevalent primary bariatric procedure and 
      has been used for revision following LAGB. PURPOSE: The purpose is to investigate 
      single-stage LAGB removal to LSG SADS (single anastomosis duodenal switch). A 
      matched cohort analysis compared each revision to a similar patient having a 
      primary procedure. This was performed to understand the impact of prior banding 
      on outcomes with each procedure. MATERIALS AND METHODS: This is a retrospective 
      study to investigate the outcomes of revision of LAGB for inadequate weight loss 
      to LSG or SADS. To determine whether prior banding impairs results, a matched 
      cohort was done comparing each revision to a patient that had a primary 
      procedure. RESULTS: As expected, patients who had SADS had greater weight loss 
      than LSG. There was no difference in peri-operative and early complications. Both 
      procedures resulted in weight loss. Importantly, with matched cohort, prior LAGB 
      decreased weight loss outcomes in LSG, but not SADS. CONCLUSION: Conversion of 
      LAGB to LSG or SADS results in weight loss. The presence of LAGB decreases weight 
      loss in LSG, but not in SADS. This can have important implications for long-term 
      outcomes.
FAU - Pearlstein, Sarah
AU  - Pearlstein S
AD  - Department of General surgery, Zucker School of Medicine at Hofstra/Northwell at 
      Lenox Hill Hospital Program, New York, NY, 10021, USA.
FAU - Sabrudin, Sarah A
AU  - Sabrudin SA
AD  - Department of General surgery, Zucker School of Medicine at Hofstra/Northwell at 
      Lenox Hill Hospital Program, New York, NY, 10021, USA.
FAU - Shayesteh, Ali
AU  - Shayesteh A
AUID- ORCID: 0000-0002-1553-8159
AD  - Department of General surgery, Zucker School of Medicine at Hofstra/Northwell at 
      Lenox Hill Hospital Program, New York, NY, 10021, USA. a.shayesteh3@gmail.com.
FAU - Tecce, Eric R
AU  - Tecce ER
AD  - Department of General surgery, Zucker School of Medicine at Hofstra/Northwell at 
      Lenox Hill Hospital Program, New York, NY, 10021, USA.
FAU - Roslin, Mitchell
AU  - Roslin M
AD  - Department of General surgery, Zucker School of Medicine at Hofstra/Northwell at 
      Lenox Hill Hospital Program, New York, NY, 10021, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
EIN - Obes Surg. 2019 Mar 7;:. PMID: 30847763
MH  - Adult
MH  - Cohort Studies
MH  - Female
MH  - *Gastrectomy
MH  - *Gastroplasty
MH  - Humans
MH  - *Laparoscopy
MH  - Male
MH  - Middle Aged
MH  - Obesity, Morbid/*surgery
MH  - Reoperation
MH  - Treatment Outcome
MH  - Weight Loss
OTO - NOTNLM
OT  - Failed/revision LAGB
OT  - Laparoscopic adjustable gastric banding (LAGB)
OT  - Laparoscopic vertical sleeve gastrectomy
OT  - Nutrition
OT  - Outcome of revision LAGB
OT  - Single anastomosis duodenal switch
EDAT- 2019/02/16 06:00
MHDA- 2020/04/23 06:00
CRDT- 2019/02/16 06:00
PHST- 2019/02/16 06:00 [pubmed]
PHST- 2020/04/23 06:00 [medline]
PHST- 2019/02/16 06:00 [entrez]
AID - 10.1007/s11695-019-03729-3 [pii]
AID - 10.1007/s11695-019-03729-3 [doi]
PST - ppublish
SO  - Obes Surg. 2019 Jun;29(6):1726-1733. doi: 10.1007/s11695-019-03729-3.