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Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database

2022Journal article Open access
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dc.contributor.authorPujol-Rafols, J
dc.contributor.authorUyanik, O
dc.contributor.authorCurbelo-Peña, Y
dc.contributor.authorAbbas, AA
dc.contributor.authorDevriendt, S
dc.contributor.authorGuerra, A
dc.contributor.authorHerrera, MF
dc.contributor.authorHimpens, J
dc.contributor.authorPardina, E
dc.contributor.authorPouwels, S
dc.contributor.authorRamos, A
dc.contributor.authorRibeiro, RJ
dc.contributor.authorSafadi, B
dc.contributor.authorSanchez-Aguilar, H
dc.contributor.authorDe Vries, CE
dc.contributor.authorVan Wagensveld, B
dc.date.accessioned2022-03-18T20:39:54Z
dc.date.available2022-03-18T20:39:54Z
dc.date.issued2022
dc.description.abstractIntroduction: One anastomosis gastric bypass (OAGB) has been proposed as a rescue technique for laparoscopic adjustable gastric banding (LAGB) poor responders. Aim: We sought to analyze, complications, mortality, and medium-term weight loss results after LAGB conversion to OAGB. Methods: Data analysis of an international multicenter database. Results: One hundred eighty-nine LAGB-to-OAGB operations were retrospectively analyzed. Eighty-seven (46.0%) were converted in one stage. Patients operated on in two stages had a higher preoperative body mass index (BMI) (37.9 vs. 41.3 kg/m2, p = 0.0007) and were more likely to have encountered technical complications, such as slippage or erosions (36% vs. 78%, p < 0.0001). Postoperative complications occurred in 4.8% of the patients (4.6% and 4.9% in the one-stage and the two-stage group, respectively). Leak rate, bleeding episodes, and mortality were 2.6%, 0.5%, and 0.5%, respectively. The final BMI was 30.2 at a mean follow-up of 31.4 months. Follow-up at 1, 3, and 5 years was 100%, 88%, and 70%, respectively. Conclusion: Conversion from LAGB to OAGB is safe and effective. The one-stage approach appears to be the preferred option in non-complicate cases, while the two-step approach is mostly done for more complicated cases.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Gastrointest Surg . 2022 Mar 1. doi: 10.1007/s11605-022-05277-1pt_PT
dc.identifier.doi10.1007/s11605-022-05277-1pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/39773
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectBypass Gástricopt_PT
dc.subjectGastroplastiapt_PT
dc.subjectGastric Bypasspt_PT
dc.subjectGastroplastypt_PT
dc.titleAdjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Databasept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJournal of Gastrointestinal Surgerypt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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