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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
High revision rates after laparoscopic vertical banded gastroplasty
Surgery for Obesity and Related Diseases, Volume 5, No. 1, Year 2009
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Description
Background: To evaluate, in a surgical department at a university hospital in Stockholm, Sweden, the long-term results after laparoscopic vertical banded gastroplasty (VBG), with special emphasis on revisional surgery. Few studies are available with long-term results after laparoscopic VBG. Some short-term studies have shown results similar to gastric banding. Methods: All consecutive patients who underwent attempted laparoscopic VBG between 1995 and 2005 were followed up regarding weight loss and the need for revisional surgery. Follow-up was from the date of surgery to the end of the observational period (December 2006). Results: In 486 patients, laparoscopic VBG was attempted. Of the 486 cases, 64 were converted to open surgery. Conversions were common in the first patients, with a conversion rate of 4% during the last 100 patients. The mean body mass index at surgery was 42.4 kg/m2. The median follow-up was 3 years (range 0-11). All patients lost weight. A total of 104 patients (21%) required revisional surgery 114 times during the follow-up period, with food intolerance/vomiting and insufficient weight loss the most common reasons. Of the 104 patients, 31 underwent repeat VBG, of whom 10 needed a secondary revisional procedure, and 49 required conversion to gastric bypass, of whom none have required additional revisional surgery. Conclusion: Laparoscopic VBG is associated with high revisional rates. In the case of failed VBG, repeat VBG seems to be a poor option and conversion to gastric bypass yields better results. We have abandoned VBG as a surgical option in the treatment of obesity. © 2009 American Society for Metabolic and Bariatric Surgery.
Authors & Co-Authors
Jonas, Eduard G.
Sweden, Danderyd
Danderyds Sjukhus
Freedman, Jacob
Sweden, Danderyd
Danderyds Sjukhus
Statistics
Citations: 53
Authors: 2
Affiliations: 1
Identifiers
Doi:
10.1016/j.soard.2008.05.011
ISSN:
15507289
Research Areas
Food Security
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study