Autor(es): Pujol-Rafols, J ; Uyanik, O ; Curbelo-Peña, Y ; Abbas, AA ; Devriendt, S ; Guerra, A ; Herrera, MF ; Himpens, J ; Pardina, E ; Pouwels, S ; Ramos, A ; Ribeiro, RJ ; Safadi, B ; Sanchez-Aguilar, H ; De Vries, CE ; Van Wagensveld, B
Data: 2022
Identificador Persistente: http://hdl.handle.net/10400.26/39773
Origem: Lusíadas Saúde
Assunto(s): Bypass Gástrico; Gastroplastia; Gastric Bypass; Gastroplasty
Introduction: One anastomosis gastric bypass (OAGB) has been proposed as a rescue technique for laparoscopic adjustable gastric banding (LAGB) poor responders. Aim: We sought to analyze, complications, mortality, and medium-term weight loss results after LAGB conversion to OAGB. Methods: Data analysis of an international multicenter database. Results: One hundred eighty-nine LAGB-to-OAGB operations were retrospectively analyzed. Eighty-seven (46.0%) were converted in one stage. Patients operated on in two stages had a higher preoperative body mass index (BMI) (37.9 vs. 41.3 kg/m2, p = 0.0007) and were more likely to have encountered technical complications, such as slippage or erosions (36% vs. 78%, p < 0.0001). Postoperative complications occurred in 4.8% of the patients (4.6% and 4.9% in the one-stage and the two-stage group, respectively). Leak rate, bleeding episodes, and mortality were 2.6%, 0.5%, and 0.5%, respectively. The final BMI was 30.2 at a mean follow-up of 31.4 months. Follow-up at 1, 3, and 5 years was 100%, 88%, and 70%, respectively. Conclusion: Conversion from LAGB to OAGB is safe and effective. The one-stage approach appears to be the preferred option in non-complicate cases, while the two-step approach is mostly done for more complicated cases.
