Nathan LaFayette, MD, Jennifer S Schwartz, MD, Sabrina Noria, MD, PhD, Bradley Needleman, MD. The Ohio State University
INTRODUCTION: Laparoscopic adjustable banding (LAGB) has been a viable option for weight loss since its FDA approval in 2001. It was initially a popular bariatric procedure due to low morbidity and mortality, good safety profile, and reversibility. Placement has decreased in recent years due to suboptimal weight loss and malfunction of the device, often requiring revisional surgery. Our study aimed to examine our institution’s experience with revisional surgery following LAGB.
METHODS AND PROCEDURES: We conducted a retrospective review of patients with previously placed LAGBs who underwent revisional surgery from 3/2012 – 4/2016 at The Ohio State University Wexner Medical Center. The primary outcome was evaluation of change in body mass index (BMI) after revisional surgery. Secondary outcomes included time from LAGB placement to revision and number of new bands placed compared to those removed.
RESULTS: A total of 80 patients underwent revision of a previously placed LAGB from 3/2012 – 4/2016. Seventy-five patients underwent LAGB revision or removal and 5 patients underwent LAGB removal with conversion to a sleeve gastrectomy. The mean duration from index operation to revisional surgery was 67.1 + 35.17 months. Postoperatively, all patients who underwent a LAGB revision, regardless of type of revision, had a mean decrease in BMI of 1.76 kg/m2 +10.75 kg/m2. Patients who underwent band revision or removal only had a mean decrease in BMI of 2.99 kg/m2 + 10.44 kg/m2 while the patients that had LAGB removal with conversion to sleeve gastrectomy had a mean decrease in BMI of 8.99 kg/m2 + 7.66 kg/m2.
CONCLUSION(S) – Laparoscopic adjustable gastric banding requiring revision results in further weight loss at our institution as evaluated by BMI. Patients who underwent LAGB removal with conversion to sleeve gastrectomy had a greater decrease in BMI compared to those who underwent band revision or removal.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80641
Program Number: P499
Presentation Session: Poster (Non CME)
Presentation Type: Poster