• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • COVID-19 Announcements
    • SAGES 2020 Meeting Information
    • 2021 Scientific Session Call For Abstracts
    • 2021 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2019
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • COVID-19 Annoucements
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • SAGES.TV Video Library
    • Virtual Hernia Clinic
    • The SAGES Safe Cholecystectomy Program
    • The Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Courses
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Educational Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
    • Fellowship Certification
  • Search
    • COVID-19 Announcements
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Blog
    • All Blog Posts
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
  • Log In

Weight Loss After Major Reoperations for Adjustable Gastric Banding

Melissa M Beitner, MBBS, Christine J Ren-fielding, MD, Marina S Kurian, MD, Bradley F Schwack, MD, Andrew H Kaye, MBBS MD, Anita R Skandarajah, MBBS MD, Benjamin N Thomson, MBBS PhD, George A Fielding, MD. NYU Langone Medical Center and University of Melbourne

 

Introduction
Long term complications requiring reoperation after laparoscopic adjustable gastric banding (LAGB) occur with relative frequency. Little is known about the impact of revisional surgery on patients’ weight, an essential consideration when deciding to reoperate and choosing a revisional procedure. This study aims to assess the weight of patients who have had a major reoperation after LAGB with 1 and 2 year follow up.

Methods and procedures
All patients who underwent LAGB as a primary bariatric procedure and subsequently underwent one major reoperation before 31 December 2010 were retrieved from a prospectively collected bariatric database. Major reoperations were defined as band repositioning, band replacement and hiatal hernia repair. Demographic data, weight as Body Mass Index (BMI) and percentage excess weight loss (%EWL), surgical indications and operative details were recorded.
Weights at 12 and 24 month post revision were recorded and compared with initial weight and weight before reoperation.

Data were described using the mean and range and in the study of outcomes, changes in %EWL were compared using the paired T-test with a 95% confidence interval.

Results
423 patients were included. Age at primary banding was 40.4 years, initial weight was 122.8kg (range 69.9-220.4kg) and BMI 44.2kg/m2 (27.0-69.0kg/m2). Reoperation occurred 34.8 months after primary LAGB. Age at reoperation was 43.3 years, weight and BMI had decreased to 91.9kg (44.5-177.3kg) and 33.0 kg/m2 (18.9-57.7kg/m2) and %EWL was 50.3 ( -13.0-127.0).
Weight, BMI and %EWL at 12 and 24 months after reoperation was 92.5kg (49.0-163.7kg), 33.4 kg/m2 (19.0-60.6 kg/m2) and 47.8 ( -41.0-114.0) and 92.8kg (47.6-166.8kg), 33.6 kg/m2 (19.8-54.1kg/m2) and 48.1 (-12.0-115).

The change in %EWL for the entire study population was -3.9 from reoperation to 12 months and -4.1 from reoperation to 24 months. Theses changes in %EWL are statistically significant P= <0.001 (to 12 months) and P=0.001 (to 24 months). 

Weight after reoperation by procedure
  Initial     Reoperation     12 months       24 months      
  No. of patients Weight (kg)

BMI (kg/m2)

Weight BMI %EWL No. of patients Weight BMI %EWL No. of patients Weight BMI %EWL
Repositioned 234* 118.8 43.4 85.7 31.2 56.1 198 87.4 32.0 51.8 130 88.4 32.4 51.2
Replaced 162** 127.4 44.9 99.9 35.2 42.7 125 98.8 35.1 42.6 79 100.0 35.5 41.6
HHR 27 130.3 45.8 99.7 35.2 44.4 23 101.2 35.8 40.7 14 93.6 33.6 55.6

*160 of these patients had concurrent HHR

** 95 of these patients had concurrent HHR

Conclusions
Overall, weight loss after all major reoperations for LAGB is maintained at 12 and 24 months. Despite variability in procedures, indications and starting weights, surgeons and patients can feel assured that weight maintenance with adequate follow up is possible after reoperation for LAGB. 


Session Number: Poster – Poster Presentations
Program Number: P433
View Poster

Post Views: 103

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2012 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Daniel Herron, MD

An opportunity to slow down and appreciate the small joys in life

Dan Herron, MD shares insights with Dana Telem, MD on lessons learned from COVID-19 Fear, anxiety and uncertainty has dominated the first half of 2020. Never before have we, as healthcare providers, been asked to do so much with so little—whether it’s resources like personal protective equipment, dusting off skills related to critical care, or […]

covid testing stock

Notes from the Battlefield – May 14, 2020

Coronavirus Global Surgical Collaborative (CVGSC)* An initiative sponsored by SAGES in collaboration with EAES, AEC, KSELS, and ELSA A group of surgical leaders from affected countries have joined to discuss what they are learning during this Covid-19 Global crisis. The following is a brief summary of what they feel may be useful information to disseminate to the surgical […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2020 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

[footer_backtotop] · Log in

Copyright © 2021 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc