PMID- 37081459
OWN - NLM
STAT- MEDLINE
DCOM- 20230424
LR  - 20230424
IS  - 1471-2482 (Electronic)
IS  - 1471-2482 (Linking)
VI  - 23
IP  - 1
DP  - 2023 Apr 20
TI  - Revisional bariatric surgery after adjustable gastric band: a multicenter Polish 
      Revision Obesity Surgery Study (PROSS).
PG  - 94
LID - 10.1186/s12893-023-02002-w [doi]
LID - 94
AB  - BACKGROUND: Adjustable gastric band (AGB) hadbeen the preferred treatment for 
      morbid obesity because it is minimally invasive and reversible. But now it seems 
      to be slowly becoming a historic procedure due to the disappointing effects. The 
      aim of the study was to systematize and present the available data on revisional 
      bariatric surgery (RBS) after AGB among Polish patients. METHODS: It is a 
      multicenter, retrospective analysis of patients undergoing laparoscopic RBS after 
      AGB in 12 Polish bariatric centers. The database included patient demographics, 
      comorbidities and surgical outcomes. RESULTS: The group consisted of 234 patients 
      who underwent AGB, which accounted for 29% of revisional cases recorded in the 
      Polish Revisional Obesity Surgery Study (PROSS). 195 were women (83%), and 39 
      were men (17%). One hundred seventy-five patients after AGB experienced a weight 
      regain (74.5%), 36 patients a gastric band slippage (15.0%), 14 patients had 
      gastric band intolerance (6.0%). Types of RBS included 116 sleeve gastrectomies 
      (SG) (49.4%), 86 Roux-en Y gastric by-passes (RYGB) (36.6%), 20 one anastomosis 
      gastric by-passes (OAGB) (8,5%). The highest weight loss expressed as %EBMIL was 
      observed after OAGB (63.5 +/- 32.4%). CONCLUSIONS: The main indication for RBS 
      after AGB was weight regain. SG was the most frequently chosen type of RBS after 
      AGB. RBS after AGB leads to weight loss and improvement in type 2 diabetes and 
      hypertension with an acceptable low risk of complications. TRIAL REGISTRATION: 
      NCT05108532.
CI  - (c) 2023. The Author(s).
FAU - Dowgiallo-Gornowicz, Natalia
AU  - Dowgiallo-Gornowicz N
AD  - Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, 
      University of Warmia and Mazury, Olsztyn, Poland. natalia.dowgiallo@gmail.com.
FAU - Janik, Michal
AU  - Janik M
AD  - Department of Surgery, Military Institute of Aviation Medicine, Warsaw, Poland.
FAU - Lech, Pawel
AU  - Lech P
AD  - Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, 
      University of Warmia and Mazury, Olsztyn, Poland.
FAU - Kowalski, Grzegorz
AU  - Kowalski G
AD  - Surgery Clinic Mazan, Katowice, Poland.
FAU - Major, Piotr
AU  - Major P
AD  - 2nd Department of General Surgery, Jagiellonian University Medical College, 
      Cracow, Poland.
CN  - PROSS -Collaborative Study Group
LA  - eng
SI  - ClinicalTrials.gov/NCT05108532
PT  - Journal Article
PT  - Multicenter Study
DEP - 20230420
PL  - England
TA  - BMC Surg
JT  - BMC surgery
JID - 100968567
SB  - IM
MH  - Male
MH  - Humans
MH  - Female
MH  - *Gastroplasty/adverse effects
MH  - *Diabetes Mellitus, Type 2/surgery
MH  - Retrospective Studies
MH  - Poland
MH  - Treatment Outcome
MH  - *Bariatric Surgery/methods
MH  - *Obesity, Morbid/surgery
MH  - Reoperation/adverse effects
MH  - Weight Loss
MH  - Weight Gain
MH  - *Gastric Bypass/methods
MH  - *Laparoscopy/methods
PMC - PMC10120208
OTO - NOTNLM
OT  - AGB
OT  - Adjustable gastric band
OT  - Bariatric surgery
OT  - Revision surgery
OT  - Revisional bariatric surgery
COIS- The authors declare no competing interests.
FIR - Pedziwiatr, Michal
IR  - Pedziwiatr M
FIR - Rymarowicz, Justyna
IR  - Rymarowicz J
FIR - Zarzycki, Piotr
IR  - Zarzycki P
FIR - Stefura, Tomasz
IR  - Stefura T
FIR - Ciszek, Karol
IR  - Ciszek K
FIR - Malczak, Piotr
IR  - Malczak P
FIR - Mysliwiec, Piotr
IR  - Mysliwiec P
FIR - Hady, Hady Razak
IR  - Hady HR
FIR - Gluszynska, Paulina
IR  - Gluszynska P
FIR - Proczko-Stepaniak, Monika
IR  - Proczko-Stepaniak M
FIR - Szymanski, Michal
IR  - Szymanski M
FIR - Waledziak, Maciej
IR  - Waledziak M
FIR - Kwiatkowski, Andrzej
IR  - Kwiatkowski A
FIR - Materlak, Magdalena
IR  - Materlak M
FIR - Bartosiak, Katarzyna
IR  - Bartosiak K
FIR - Czyzykowski, Lukasz
IR  - Czyzykowski L
FIR - Mawlichanow, Maciej
IR  - Mawlichanow M
FIR - Kowalewski, Piotr
IR  - Kowalewski P
FIR - Szeliga, Jacek
IR  - Szeliga J
FIR - Kupczyk, Wojciech
IR  - Kupczyk W
FIR - Haran, Anna
IR  - Haran A
FIR - Mulek, Rafal
IR  - Mulek R
FIR - Krefft, Michal
IR  - Krefft M
FIR - Wysocki, Michal
IR  - Wysocki M
FIR - Orlowski, Michal
IR  - Orlowski M
FIR - Franczak, Paula
IR  - Franczak P
FIR - Binda, Artur
IR  - Binda A
FIR - Tarnowski, Wieslaw
IR  - Tarnowski W
FIR - Jaworski, Pawel
IR  - Jaworski P
FIR - Kaminski, Mateusz
IR  - Kaminski M
FIR - Pastuszka, Maciej
IR  - Pastuszka M
FIR - Lisik, Wojciech
IR  - Lisik W
FIR - Szymanski, Pawel
IR  - Szymanski P
FIR - Katkowski, Bartosz
IR  - Katkowski B
FIR - Lesniak, Michal
IR  - Lesniak M
FIR - Labul, Michal
IR  - Labul M
EDAT- 2023/04/21 00:41
MHDA- 2023/04/24 06:41
PMCR- 2023/04/20
CRDT- 2023/04/20 23:38
PHST- 2022/10/31 00:00 [received]
PHST- 2023/04/11 00:00 [accepted]
PHST- 2023/04/24 06:41 [medline]
PHST- 2023/04/21 00:41 [pubmed]
PHST- 2023/04/20 23:38 [entrez]
PHST- 2023/04/20 00:00 [pmc-release]
AID - 10.1186/s12893-023-02002-w [pii]
AID - 2002 [pii]
AID - 10.1186/s12893-023-02002-w [doi]
PST - epublish
SO  - BMC Surg. 2023 Apr 20;23(1):94. doi: 10.1186/s12893-023-02002-w.