Publicação
Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database
| Resumo: | 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. |
|---|---|
| Autores principais: | Pujol-Rafols, J |
| Outros Autores: | 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 |
| Assunto: | Bypass Gástrico Gastroplastia Gastric Bypass Gastroplasty |
| Ano: | 2022 |
| País: | portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Lusíadas Saúde |
| Idioma: | inglês |
| Origem: | Lusíadas Saúde |
| _version_ | 1869074368576880640 |
|---|---|
| author | Pujol-Rafols, J |
| author2 | 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 |
| author2_role | author author author author author author author author author author author author author author author |
| author_facet | 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 |
| author_role | author |
| contributor_name_str_mv | Repositório Comum |
| country_str | portugal |
| creators_json_txt | [{\"Person.name\":\"Pujol-Rafols, J\"},{\"Person.name\":\"Uyanik, O\"},{\"Person.name\":\"Curbelo-Peña, Y\"},{\"Person.name\":\"Abbas, AA\"},{\"Person.name\":\"Devriendt, S\"},{\"Person.name\":\"Guerra, A\"},{\"Person.name\":\"Herrera, MF\"},{\"Person.name\":\"Himpens, J\"},{\"Person.name\":\"Pardina, E\"},{\"Person.name\":\"Pouwels, S\"},{\"Person.name\":\"Ramos, A\"},{\"Person.name\":\"Ribeiro, RJ\"},{\"Person.name\":\"Safadi, B\"},{\"Person.name\":\"Sanchez-Aguilar, H\"},{\"Person.name\":\"De Vries, CE\"},{\"Person.name\":\"Van Wagensveld, B\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Comum |
| datacite.creators.creator.creatorName.fl_str_mv | 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 |
| datacite.date.Accepted.fl_str_mv | 2022-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2022-03-18T20:39:54Z |
| datacite.date.embargoed.fl_str_mv | 2022-03-18T20:39:54Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Bypass Gástrico Gastroplastia Gastric Bypass Gastroplasty |
| datacite.titles.title.fl_str_mv | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database |
| dc.contributor.none.fl_str_mv | Repositório Comum |
| dc.creator.none.fl_str_mv | 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 |
| dc.date.Accepted.fl_str_mv | 2022-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2022-03-18T20:39:54Z |
| dc.date.embargoed.fl_str_mv | 2022-03-18T20:39:54Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.26/39773 |
| dc.language.none.fl_str_mv | eng |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Bypass Gástrico Gastroplastia Gastric Bypass Gastroplasty |
| dc.title.fl_str_mv | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | 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. |
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| identifier.url.fl_str_mv | http://hdl.handle.net/10400.26/39773 |
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| instname_str | Lusíadas Saúde |
| language | eng |
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| oai_identifier_str | oai:comum.rcaap.pt:10400.26/39773 |
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| person_str_mv | 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 |
| publishDate | 2022 |
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| spelling | engpt_PTIntroduction: 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.application/pdfpt_PTAdjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter DatabasePujol-Rafols, JUyanik, OCurbelo-Peña, YAbbas, AADevriendt, SGuerra, AHerrera, MFHimpens, JPardina, EPouwels, SRamos, ARibeiro, RJSafadi, BSanchez-Aguilar, HDe Vries, CEVan Wagensveld, BHostingInstitutionOrganizationalRepositório Comume-mailmailto:comum@rcaap.ptcomum@rcaap.ptDOIIsPartOf10.1007/s11605-022-05277-12022-03-18T20:39:54Z20222022-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.26/39773http://purl.org/coar/access_right/c_abf2open accessBypass GástricoGastroplastiaGastric BypassGastroplasty829386 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://comum.rcaap.pt/bitstreams/6d348f96-c527-485a-89d2-4314d64dc727/downloadJournal of Gastrointestinal Surgery |
| spellingShingle | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database Pujol-Rafols, J Bypass Gástrico Gastroplastia Gastric Bypass Gastroplasty |
| status | SINGLETON |
| subject.fl_str_mv | Bypass Gástrico Gastroplastia Gastric Bypass Gastroplasty |
| title | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database |
| title_full | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database |
| title_fullStr | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database |
| title_full_unstemmed | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database |
| title_short | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database |
| title_sort | Adjustable Gastric Banding Conversion to One Anastomosis Gastric Bypass: Data Analysis of a Multicenter Database |
| topic | Bypass Gástrico Gastroplastia Gastric Bypass Gastroplasty |
| topic_facet | Bypass Gástrico Gastroplastia Gastric Bypass Gastroplasty |
| url | http://hdl.handle.net/10400.26/39773 |
| visible | 1 |