Gastric banding: Conversion to sleeve, bypass, or DS

被引：79

作者：

Gagner, Michel

Gumbs, Andrew A.

机构：

[1] Cornell Univ, Joan & Sanford I Weill Med Coll, Dept Surg, Div Laparoscop & Bariatr Surg, New York, NY 10021 USA

[2] New York Presbyterian Hosp, Div Laparoscop & Bariatr Surg, New York, NY 10021 USA

[3] Weill Cornell Coll Med, Dept Surg, New York, NY 10021 USA

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2007年 / 21卷 / 11期

关键词：

revisional; bariatric; reoperative; surgery; gastric banding; duodenal switch; gastric bypass; morbid obesity; revisional weight loss surgery;

D O I：

10.1007/s00464-007-9539-7

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A review of conversions of gastric banding for obesity to Roux-en-Y gastric bypass, gastric sleeve, or duodenal switch attempts to determine which revisional procedure best enhances weight loss. Indications for these conversions are multiple and include hardware problems, motility problems, and miscellaneous like inadequate weight loss. Analysis of band conversions to band of 193 patients, and bands to gastric bypass in 214 patients reveals better weight loss with the latter strategy. Smaller cohorts of patients who underwent a biliopancreatic diversion or simply a sleeve gastrectomy are too small to conclude on their efficacy. Prospective randomized trials are needed to determine which revisional procedure is best in the setting of inadequate weight loss of excessive weight regain after gastric adjustable banding for severe obesity.

引用

页码：1931 / 1935

页数：5

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