| Literature DB >> 26843080 |
Jerry T Dang1, Noah J Switzer2, Jeremy Wu3, Richdeep S Gill4, Xinzhe Shi5, Jérémie Thereaux6, Daniel W Birch5, Christopher de Gara5, Shahzeer Karmali5.
Abstract
We aimed to systematically review the literature comparing the safety of one-step versus two-step revisional bariatric surgery from laparoscopic adjustable gastric banding (LAGB) to Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). There is debate on the safety of removing the gastric band and performing revisional surgery immediately or in a delayed, two-step fashion due to potential higher complications in one-step revisions. A systematic and comprehensive search of the literature was conducted. Included studies directly compared one-step and two-step revisional surgery. Eleven studies were included with 1370 patients. Meta-analysis found comparable rates of complications, morbidity, and mortality between one-step and two-step revisions for both RYGB and SG groups. This suggests that immediate or delayed revisional bariatric surgeries are both safe options for LAGB revisions.Entities:
Keywords: Bariatric surgery; Gastric band; Gastric bypass; Laparoscopic; Minimally invasive; Revision; Sleeve gastrectomy
Mesh:
Year: 2016 PMID: 26843080 DOI: 10.1007/s11695-016-2082-7
Source DB: PubMed Journal: Obes Surg ISSN: 0960-8923 Impact factor: 4.129