Gastrogastric Intussusception 10 Years After Laparoscopic Gastric Greater Curvature Plication: a Case Report

The use of a nonadjustable silicone band around the gastric pouch of Rouxen-Y gastric bypass (RYGB) to reduce the recurrence of obesity is still being debated in the literature. The primary objective of this study was to evaluate banded and non-banded RYGB regarding % total weight loss (%TWL) and co...

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Bibliographic Details
Published in:Obesity surgery 2024-09, Vol.34 (9), p.3543-3548
Main Authors: Sharaan, Mohamed, Okba, Mohamed M., El Badawy, Mohamed Ahmed, Torensma, Bart, Hany, Mohamed
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Body mass index
Case reports
Cholesterol
Endoscopy
Gastrointestinal surgery
Hemoglobin
Hernias
High density lipoprotein
Hyperlipidemia
Hypertension
Intestinal obstruction
Laparoscopy
Medicine
Medicine & Public Health
Multimedia
Multimedia Article
Obesity
Small intestine
Stomach
Surgery
Triglycerides
Vomiting
Weight control
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Summary:The use of a nonadjustable silicone band around the gastric pouch of Rouxen-Y gastric bypass (RYGB) to reduce the recurrence of obesity is still being debated in the literature. The primary objective of this study was to evaluate banded and non-banded RYGB regarding % total weight loss (%TWL) and complications up to 10 years postoperatively and regarding the removal rate of the silicone band. A retrospective study of the medical records of all patients submitted to banded and non-banded RYGB between 2000 and 2020 was conducted. Clinical data (age, gender, weight, body mass index-BMI, comorbidities, %TWL, and the prevalence of vomiting) and laboratory data (hemoglobin, serum iron, albumin, and vitamin B12) were obtained preoperatively and at six months, 1, 2, 3, 5, 7, and 10 years for both groups and at 12, 15, and 20 years after banded RYGB. In total, 858 patients underwent RYGB: 409 underwent banded RYGB and 449 underwent non-banded RYGB. In the preoperative period, banded RYGB patients were heavier and had higher rates of hypertension and dyslipidemia. The %TWL was higher in the banded RYGB group up to 7 years. The prevalence of vomiting is much higher in this group, which also had lower laboratory test values. Of the banded RYGB patients, 9.53% had to have the silicone ring removed after presenting complications. Banded RYGB promotes significantly higher rates of TWL at the expense of a higher frequency of vomiting.
ISSN:0960-8923
1708-0428
1708-0428
DOI:10.1007/s11695-024-07402-2