#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

From adjustable gastric banding to Roux-en-Y gastric bypass – case report


Authors: E.. Koblihová;  M. Kasalický;  J. Pažin;  K. Havlová;  Radek Pohnán
Authors place of work: Chirurgická klinika 2. lékařské fakulty Univerzity Karlovy a Ústřední vojenská nemocnice –Vojenská fakultní nemocnice, Praha, Česká republika
Published in the journal: Rozhl. Chir., 2024, roč. 103, č. 1, s. 31-34.
doi: https://doi.org/10.33699/PIS.2024.103.1.31–34

Summary

Introduction: Adjustable gastric banding (AGB) used to be a popular bariatric procedure. However, it fails in more than half of those operated on in the long term, becomes ineffective and must be removed. Therefore, the use of AGB has been in decline globally. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most used bariatric revision surgeries when AGB is removed.

Case report: We present the case of a woman after AGB removal and conversion to SG who developed a stenosis of the sleeve. Therefore, a decision was made to convert to RYGB with a good effect.

Conclusion: Revisional procedures are more technically challenging than primary procedures and have higher complication rates. The most performed revisional operations include SG and RYGB. Stenosis of the sleeve can occur after SG, with a negative impact on the patient’s nutritional status and quality of life. This can be managed by endoscopic dilatation, and where this solution proves ineffective, RYGB can be indicated.

Keywords:

sleeve gastrectomy – adjustable gastric banding – Roux-en-Y gastric bypass


Zdroje
  1. Wickremasinghe A, Leang Y, Johari Y, et al. Long-term outcomes of laparoscopic sleeve gastrectomy as a revisional procedure following adjustable gastric banding: Variations in outcomes based on indication. Obes Surg. 2023 Oct 17. doi:10.1007/s11695-023-06886-8.
  2. Kasalický M. Bariatrie: chirurgická léčba obezity a cukrovky. Praha, Maxdorf Jessenius 2018. ISBN 978-80-7345-593–594.
  3. Handojo K, Ismaeil A, Van Huele A, et al. Roux-en-Y gastric bypass as conversion procedure of failed gastric banding: Short-term outcomes of 1295 patients in one single center. Obes Surg. 2023 Oct;33(10):2963–2972. doi:10.1007/ s11695-023-06746-5.
  4. Alqahtani AR, Elahmedi M, Alamri H, et al. Laparoscopic removal of poor outcome gastric banding with concomitant sleeve gastrectomy. Obes Surg. 2013 Jun;23(6):782–787. doi:10.1007/s11695013-0895-1.
  5. Noel P, Schneck AS, Nedelcu M, et al. Laparoscopic sleeve gastrectomy as a revisional procedure for failed gastric banding: lessons from 300 consecutive cases. Surg Obes Relat Dis. 2014 Nov–Dec;10(6):1116– 1122. doi:10.1016/j.soard.2014.02.045.
  6. Silecchia G, Rizzello M, De Angelis F, et al. Laparoscopic sleeve gastrectomy as a revisional procedure for failed laparoscopic gastric banding with a „2-step approach“: a multicenter study. Surg Obes Relat Dis. 2014 Jul–Aug;10(4):626–631.doi:10.1016/j.soard.2013.10.017.
  7. Elnahas A, Graybiel K, Farrokhyar F, et al. Revisional surgery after failed laparoscopic adjustable gastric banding: a systematic review. Surg Endosc. 2013 Mar;27(3):740–745. doi:10.1007/s00464012-2510-2. Epub 2012 Aug 31. PMID: 22936440.
  8. Hamed H, Elghadban H, Ezzat H, et al. Gastric stenosis after sleeve gastrectomy: An algorithm for management. Obes Surg. 2020 Dec;30(12):4785–4793. doi:10.1007/s11695-020-04858-w. Epub 2020 Jul 18. PMID: 32683638.
  9. Destan C, Baratte C, Torcivia A, et al. Revisional Roux-en-Y gastric bypass after sleeve gastrectomy for gastro-esophageal reflux disease and or insufficient weight-loss: A comparative study. Obes Surg. 2023 Oct;33(10):3077–3089. doi: 10.1007/s11695-023-06784-z. Epub 2023 Aug 18. PMID: 37594673.

MUDr. Eva Koblihová, Ph.D.
Chirurgická klinika 2. LF UK a ÚVN
U vojenské nemocnice 1200
169 02 Praha 6
e-mail:
eva.koblihova@uvn.cz
ORCID: 0000-0002-3462-6234

Štítky
Surgery Orthopaedics Trauma surgery
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#