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Conversion surgery for failed adjustable gastric banding: Outcomes with sleeve gastrectomy vs Roux-en-Y gastric bypass

Obesity Surgery Jul 24, 2018

Avsar FM, et al. - The results of conversion to laparoscopic Roux-en-Y gastric bypass (LRYGB) and to laparoscopic sleeve gastrectomy (LSG) after failed Laparoscopic adjustable gastric banding (LAGB) were directly compared. The comparison was performed using Fisher’s exact test and the independent samples t test. Over a 6-year period, marked complications requiring band removal were encountered in 74/272 (27.2%) morbidly obese LAGB patients. Of these, 49 patients underwent conversion by LRYGB (n = 29) or LSG (n = 20). As per findings, no statistically significant difference in complication rates between converted procedures and no significant difference in respective excess weight loss and total weight loss were evident, suggesting the 2 procedures as equally safe and effective.
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