Format

Send to

Choose Destination
Obes Surg. 2016 Apr;26(4):866-73. doi: 10.1007/s11695-016-2082-7.

Gastric Band Removal in Revisional Bariatric Surgery, One-Step Versus Two-Step: a Systematic Review and Meta-analysis.

Author information

1
Department of Surgery, University of Alberta, 8440 112 Street NW, Edmonton, Alberta, Canada, T6G 2B7. dang2@ualberta.ca.
2
Department of Surgery, University of Alberta, 8440 112 Street NW, Edmonton, Alberta, Canada, T6G 2B7.
3
Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
4
Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
5
Centre for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandra Hospital, Edmonton, Alberta, Canada.
6
Department of General, Digestive and Metabolic Surgery, La Cavale Blanche University Hospital, Brest, France.

Abstract

We aimed to systematically review the literature comparing the safety of one-step versus two-step revisional bariatric surgery from laparoscopic adjustable gastric banding (LAGB) to Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). There is debate on the safety of removing the gastric band and performing revisional surgery immediately or in a delayed, two-step fashion due to potential higher complications in one-step revisions. A systematic and comprehensive search of the literature was conducted. Included studies directly compared one-step and two-step revisional surgery. Eleven studies were included with 1370 patients. Meta-analysis found comparable rates of complications, morbidity, and mortality between one-step and two-step revisions for both RYGB and SG groups. This suggests that immediate or delayed revisional bariatric surgeries are both safe options for LAGB revisions.

KEYWORDS:

Bariatric surgery; Gastric band; Gastric bypass; Laparoscopic; Minimally invasive; Revision; Sleeve gastrectomy

PMID:
26843080
DOI:
10.1007/s11695-016-2082-7
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center