Abdelrahman Mohammad Galal1,2,3,4, Evert-Jan Boerma5,6, Sofie Fransen5,6, Berry Meesters5,6, Steven Olde-Damink7, Magdy Khalil Abdelmageed8, Alaa Abass Sabry9, Alaaeldin Hassan M Elsuity8, Jan Willem Greve10,11,12. 1. Surgery Department, Zuyderland Medical Center, Heerlen, The Netherlands. abdrhmangalal@yahoo.com. 2. Dutch Obesity Clinic South, Heerlen, The Netherlands. abdrhmangalal@yahoo.com. 3. Metabolic and Bariatric Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. abdrhmangalal@yahoo.com. 4. General Surgery Department, Sohag Faculty of Medicine, Sohag University Hospitals, Sohag, Egypt. abdrhmangalal@yahoo.com. 5. Surgery Department, Zuyderland Medical Center, Heerlen, The Netherlands. 6. Dutch Obesity Clinic South, Heerlen, The Netherlands. 7. Metabolic and Bariatric Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. 8. General Surgery Department, Sohag Faculty of Medicine, Sohag University Hospitals, Sohag, Egypt. 9. Surgery department, Ainshams Faculty of Medicine, Ainshams University Hospital, Cairo, Egypt. 10. Surgery Department, Zuyderland Medical Center, Heerlen, The Netherlands. j.greve@zuyderland.nl. 11. Dutch Obesity Clinic South, Heerlen, The Netherlands. j.greve@zuyderland.nl. 12. Metabolic and Bariatric Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. j.greve@zuyderland.nl.
Abstract
OBJECTIVE: Evaluate 5-year outcomes of banded gastric bypass (BRYGB) as a primary and conversion bariatric procedure. METHODS: Retrospective review of BRYGB between January 2011and March 2013. Outcomes included percentage of total weight loss (%TWL), weight loss maintenance, and band-related complications. RESULTS: One hundred forty-two patients underwent BRYGB, 106 primary and 36 conversions. Indications for conversion to BRYGB were complications of the primary procedure (n = 19), insufficient weight loss (n = 5), and weight regain (n = 12). In the primary group, mean preoperative BMI was 44.8 kg/m2 (± 6.9 kg/m2). Compared with preoperative weight, mean %TWL was 33.9% (n = 95), 34.1% (n = 82), 34.0% (n = 70), 33.9% (n = 62), and 31.8% (n = 75) after 1, 2, 3, 4, and 5 years, respectively. In conversions secondary to failed primary procedure (insufficient WL and weight regain), mean preoperative BMI was 40.8 kg/m2 (± 6.01 kg/m2). Despite one patient gaining weight, mean %TWL was 25.7% (n = 13), 28% (n = 11), 23.9% (n = 8), 18.3% (n = 8), and 15.1% (n = 12) after 1, 2, 3, 4, and 5 years, respectively. In conversions secondary to primary procedure complications (n = 19), mean preoperative BMI was 28.4 kg/m2 (± 3.5 kg/m2). After 1, 2, 3, 4, and 5 years, mean BMI was 28.1 (n = 15), 29 (n = 10), 29.8 (n = 9), 30.6 (n = 10), and 30.9 (n = 12) kg/m2, respectively. Band-related complications after 5 years: three erosion and five patients complained of persistent dysphagia. One band needed reposition. Perioperative surgical complications: two bleeding, one leakage, one port-site hernia, and one food impaction. CONCLUSION: Banded gastric bypass has good results in terms of weight loss and weight loss maintenance in both primary and conversional bariatric procedures with acceptable incidence of band-related complications.
OBJECTIVE: Evaluate 5-year outcomes of banded gastric bypass (BRYGB) as a primary and conversion bariatric procedure. METHODS: Retrospective review of BRYGB between January 2011and March 2013. Outcomes included percentage of total weight loss (%TWL), weight loss maintenance, and band-related complications. RESULTS: One hundred forty-two patients underwent BRYGB, 106 primary and 36 conversions. Indications for conversion to BRYGB were complications of the primary procedure (n = 19), insufficient weight loss (n = 5), and weight regain (n = 12). In the primary group, mean preoperative BMI was 44.8 kg/m2 (± 6.9 kg/m2). Compared with preoperative weight, mean %TWL was 33.9% (n = 95), 34.1% (n = 82), 34.0% (n = 70), 33.9% (n = 62), and 31.8% (n = 75) after 1, 2, 3, 4, and 5 years, respectively. In conversions secondary to failed primary procedure (insufficient WL and weight regain), mean preoperative BMI was 40.8 kg/m2 (± 6.01 kg/m2). Despite one patient gaining weight, mean %TWL was 25.7% (n = 13), 28% (n = 11), 23.9% (n = 8), 18.3% (n = 8), and 15.1% (n = 12) after 1, 2, 3, 4, and 5 years, respectively. In conversions secondary to primary procedure complications (n = 19), mean preoperative BMI was 28.4 kg/m2 (± 3.5 kg/m2). After 1, 2, 3, 4, and 5 years, mean BMI was 28.1 (n = 15), 29 (n = 10), 29.8 (n = 9), 30.6 (n = 10), and 30.9 (n = 12) kg/m2, respectively. Band-related complications after 5 years: three erosion and five patients complained of persistent dysphagia. One band needed reposition. Perioperative surgical complications: two bleeding, one leakage, one port-site hernia, and one food impaction. CONCLUSION: Banded gastric bypass has good results in terms of weight loss and weight loss maintenance in both primary and conversional bariatric procedures with acceptable incidence of band-related complications.
Entities:
Keywords:
%EWL; %TWL; Banded gastric bypass; Bariatric surgery; Long term follow up; Obesity; Weight loss; Weight maintenance; Weight regain
Authors: Elisabeth A Lambert; Toni Rice; Nina Eikelis; Nora E Straznicky; Gavin W Lambert; Geoffrey A Head; Chris Hensman; Markus P Schlaich; John B Dixon Journal: Am J Hypertens Date: 2014-04-09 Impact factor: 2.689
Authors: Onno M Tettero; Valerie M Monpellier; Ignace M C Janssen; Ingrid H M Steenhuis; Maartje M van Stralen Journal: Obes Surg Date: 2022-07-16 Impact factor: 3.479