Roux-En-Y Gastric Bypass versus Sleeve Gastrectomy as Revisional Procedure after Adjustable Gastric Band: a Systematic Review and Meta-Analysis

We aim to review the available literature on obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) after failed laparoscopic adjustable gastric banding (LAGB), in order to compare the clinical outcomes of the two methods. A systematic lite...

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Bibliographic Details
Published in:Obesity surgery 2017-05, Vol.27 (5), p.1365-1373
Main Authors: Magouliotis, Dimitrios E., Tasiopoulou, Vasiliki S., Svokos, Alexis A., Svokos, Konstantina A., Sioka, Eleni, Zacharoulis, Dimitrios
Format: Article
Language:English
Subjects:
Adult
Comparative studies
Female
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrectomy - statistics & numerical data
Gastric Bypass - adverse effects
Gastric Bypass - methods
Gastric Bypass - statistics & numerical data
Gastrointestinal surgery
Humans
Laparoscopy
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - surgery
Postoperative Complications
Review Article
Revisions
Surgery
Surgical techniques
Systematic review
Weight Loss
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Summary:We aim to review the available literature on obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) after failed laparoscopic adjustable gastric banding (LAGB), in order to compare the clinical outcomes of the two methods. A systematic literature search was performed in PubMed, CENTRAL, and Scopus databases, in accordance with the PRISMA guidelines. Eight studies met the inclusion criteria incorporating 635 patients. Both procedures are associated with comparable complications, conversions, mean hospital stay, and weight loss at 6 and 12 months. In the LRYGB group, % excess weight loss (%EWL) and BMI reduction after 24 months were increased. Well-designed, randomized controlled studies, comparing revisional LRYGB and LSG, are necessary to further assess their outcomes.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-017-2644-3