Rena C Moon1, Ashley Frommelt1, Andre F Teixeira1, Muhammad A Jawad2. 1. Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 Copeland Dr, 1st Floor, Orlando, FL, USA. 2. Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 Copeland Dr, 1st Floor, Orlando, FL, USA. muhammad.jawad@orlandohealth.com.
Abstract
BACKGROUND: Variations have been proposed in order to improve weight loss and decrease complication profiles in Roux-en-Y gastric bypass (RYGB) patients. We previously reported a preliminary result of pericardial patch ring RYGB. We aim to report a detailed result of banded RYGB by comparing these patients to non-banded RYGB patients with larger case number and longer follow-up. MATERIAL AND METHODS: A retrospective chart review was performed in 543 banded RYGB and 607 non-banded RYGB patients who underwent laparoscopic RYGB between January 2009 and December 2014. RESULTS: Thirty-day readmission rate was 3.1% (n = 16) in the banded group and 3.8% (n = 23) in the non-banded group. Thirty-day reoperation rate was 1.5% (n = 8) in the banded group and 1.6% (n = 10) in the non-banded group. Two mortalities occurred after a mesenteric venous thrombosis and an intracranial hemorrhage in the non-banded group. The differences in 30-day readmission and reoperation rates were not statistically significant between the two groups. Mean percentage of excess BMI loss (%EBMIL) dating from the time of RYGB was 53.1, 72.5, 76.5, 78.8, and 73.3% in the banded group, and 51.5, 73.5, 78.8, 79.0, and 74.8% in the non-banded group at 6, 12, 18, 24, and 36 months, respectively, adjusted for preoperative BMI. The differences in %EBMIL were not significant at any follow-up points between the two groups. CONCLUSIONS: Banded laparoscopic RYGB with a pericardial patch may not demonstrate a significant additional weight loss or prevent future weight regain. We were not able to demonstrate a clear advantage of banded RYGB over non-banded RYGB.
BACKGROUND: Variations have been proposed in order to improve weight loss and decrease complication profiles in Roux-en-Y gastric bypass (RYGB) patients. We previously reported a preliminary result of pericardial patch ring RYGB. We aim to report a detailed result of banded RYGB by comparing these patients to non-banded RYGB patients with larger case number and longer follow-up. MATERIAL AND METHODS: A retrospective chart review was performed in 543 banded RYGB and 607 non-banded RYGB patients who underwent laparoscopic RYGB between January 2009 and December 2014. RESULTS: Thirty-day readmission rate was 3.1% (n = 16) in the banded group and 3.8% (n = 23) in the non-banded group. Thirty-day reoperation rate was 1.5% (n = 8) in the banded group and 1.6% (n = 10) in the non-banded group. Two mortalities occurred after a mesenteric venous thrombosis and an intracranial hemorrhage in the non-banded group. The differences in 30-day readmission and reoperation rates were not statistically significant between the two groups. Mean percentage of excess BMI loss (%EBMIL) dating from the time of RYGB was 53.1, 72.5, 76.5, 78.8, and 73.3% in the banded group, and 51.5, 73.5, 78.8, 79.0, and 74.8% in the non-banded group at 6, 12, 18, 24, and 36 months, respectively, adjusted for preoperative BMI. The differences in %EBMIL were not significant at any follow-up points between the two groups. CONCLUSIONS: Banded laparoscopic RYGB with a pericardial patch may not demonstrate a significant additional weight loss or prevent future weight regain. We were not able to demonstrate a clear advantage of banded RYGB over non-banded RYGB.
Authors: Marc Bessler; Amna Daud; Mary F DiGiorgi; William B Inabnet; Beth Schrope; Lorraine Olivero-Rivera; Daniel Davis Journal: Surg Obes Relat Dis Date: 2009-10-09 Impact factor: 4.734