المستخلص: |
In the last few years, laparoscopic adjustable gastric banding (LAGB) for the treatment of morbidly obese patients has become increasingly popular in Europe, Australia, and United States . Despite gastric banding (GB) remains for most the preferred bariatric procedure , the problem of revision of failed GB procedures is a quite common situation in bariatric surgery . The aim of this paper is to assess the safety, feasibility and efficacy of the conversion of failed LAGB into RYGBP in a series of 100 consecutive cases. Materials & methods: From March 1999 to July 2008, 100 patients underwent revisional surgery of LAGB. All patients had the LAGB converted into RYGBP. Data were collected prospectively and included: age, gender, body mass index (BMI), excess weight (EW) at the time of LAGB and at the time of revision of LAGB into LRYGBP. Results: There were 89 women and 11 men, with a mean age of 44 years. Mean initial BMI was 44,6 and 42,1 kg/m²,and mean EW was 63 and 56,8 kg at the time of LAGB and at the time of revision of LAGB into LRYGBP respectively. The indications for conversion to RYGBP were primary inadequate weight loss or secondary weight regain in 59 patients, pouch enlargement in 15 patients, gastro oesophageal reflux disease (GERD) in 11 patients , gastric volvulus in 3 patients, band erosion in 7 patients (7 %), band slippage in 5 patients.
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