Omar A Khan1, Emma Rose McGlone2, William Maynard3, James Hopkins4, Simon Dexter5, Ian Finlay6, David Hewin7, Peter Sedman8, Peter Walton9, Shaw Somers10, Marcus Reddy11, Peter Small12, Marco Adamo13, Richard Welbourn14. 1. Department of Upper Gastrointestinal and Bariatric Surgery, St George's Hospital, London, United Kingdom; Population Health Research Institute, St George's, University of London, London, United Kingdom. 2. Department of Metabolic and Investigative Medicine, Commonwealth Building, Hammersmith Hospital, Imperial College London, London, United Kingdom. Electronic address: e.mcglone@ic.ac.uk. 3. Department of Upper Gastrointestinal and Bariatric Surgery, St George's Hospital, London, United Kingdom. 4. Southmead Hospital, Bristol, United Kingdom. 5. Leeds Teaching Hospitals, Leeds, United Kingdom. 6. Royal Cornwall Hospital, Truro, United Kingdom. 7. Gloucestershire Hospitals NHS Trust, Cheltenham, United Kingdom. 8. Hull and East Yorkshire Hospital, Hull, United Kingdom. 9. Dendrite Clinical Systems Ltd, Henley-on-Thames, United Kingdom. 10. Queen Alexandra Hospital, Portsmouth, United Kingdom. 11. Department of Upper Gastrointestinal and Bariatric Surgery, St George's Hospital, London, United Kingdom; Department of Upper GI and Bariatrics, Hebei Medical University, Hebei Sheng, China. 12. Sunderland Hospital, Sunderland, United Kingdom. 13. University College Hospital, London, London, United Kingdom. 14. Department of Upper Gastrointestinal and Bariatric Surgery, Musgrove Park Hospital, Taunton, United Kingdom.
Abstract
BACKGROUND: For patients in whom laparoscopic adjustable gastric band has failed, conversion to Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy are both options for further surgical treatment. There are limited data comparing these 2 procedures. The National Bariatric Surgery Registry is a comprehensive United Kingdom-wide database of bariatric procedures, in which preoperative demographic characteristics and clinical outcomes are prospectively recorded. OBJECTIVES: To compare perioperative complication rate and short-term outcomes of patients undergoing single-stage conversion of gastric band to Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy. SETTING: United Kingdom national bariatric surgery database. METHODS: From the National Bariatric Surgical Registry data set, we identified 141 patients undergoing single-stage conversion from gastric band to either gastric bypass (113) or sleeve gastrectomy (28) between 2009 and 2014, and analyzed their clinical outcomes. RESULTS: With respect to perioperative outcomes gastric bypass was associated with a higher incidence of readmission or reintervention postoperatively (16 versus 0; P = .04). There was no difference in percentage excess weight loss between sleeve gastrectomy and gastric bypass at final follow-up at 1 year (52.1% versus 57.1% respectively; P = .4). CONCLUSIONS: Conversion from band to sleeve or bypass give comparable good early excess weight loss; however, conversion to sleeve is associated with a better perioperative safety profile. Crown
BACKGROUND: For patients in whom laparoscopic adjustable gastric band has failed, conversion to Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy are both options for further surgical treatment. There are limited data comparing these 2 procedures. The National Bariatric Surgery Registry is a comprehensive United Kingdom-wide database of bariatric procedures, in which preoperative demographic characteristics and clinical outcomes are prospectively recorded. OBJECTIVES: To compare perioperative complication rate and short-term outcomes of patients undergoing single-stage conversion of gastric band to Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy. SETTING: United Kingdom national bariatric surgery database. METHODS: From the National Bariatric Surgical Registry data set, we identified 141 patients undergoing single-stage conversion from gastric band to either gastric bypass (113) or sleeve gastrectomy (28) between 2009 and 2014, and analyzed their clinical outcomes. RESULTS: With respect to perioperative outcomes gastric bypass was associated with a higher incidence of readmission or reintervention postoperatively (16 versus 0; P = .04). There was no difference in percentage excess weight loss between sleeve gastrectomy and gastric bypass at final follow-up at 1 year (52.1% versus 57.1% respectively; P = .4). CONCLUSIONS: Conversion from band to sleeve or bypass give comparable good early excess weight loss; however, conversion to sleeve is associated with a better perioperative safety profile. Crown
Authors: Cristina Fiorani; Sophie R Coles; Myutan Kulendran; Emma Rose McGlone; Marcus Reddy; Omar A Khan Journal: Obes Surg Date: 2020-10-16 Impact factor: 4.129
Authors: Julia Xie; Nicolas H Dreifuss; Francisco Schlottmann; Antonio Cubisino; Alberto Mangano; Carolina Vanetta; Carolina Baz; Valentina Valle; Francesco M Bianco; Antonio Gangemi; Mario A Masrur Journal: Front Surg Date: 2022-04-01