• Surg Obes Relat Dis · Oct 2018

    Multicenter Study Comparative Study

    Single-stage conversions from failed gastric band to sleeve gastrectomy versus Roux-en-Y gastric bypass: results from the United Kingdom National Bariatric Surgical Registry.

    • Omar A Khan, Emma Rose McGlone, William Maynard, James Hopkins, Simon Dexter, Ian Finlay, David Hewin, Peter Sedman, Peter Walton, Shaw Somers, Marcus Reddy, Peter Small, Marco Adamo, and Richard Welbourn.
    • Department of Upper Gastrointestinal and Bariatric Surgery, St George's Hospital, London, United Kingdom; Population Health Research Institute, St George's, University of London, London, United Kingdom.
    • Surg Obes Relat Dis. 2018 Oct 1; 14 (10): 1516-1520.

    BackgroundFor patients in whom laparoscopic adjustable gastric band has failed, conversion to Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy are both options for further surgical treatment. There are limited data comparing these 2 procedures. The National Bariatric Surgery Registry is a comprehensive United Kingdom-wide database of bariatric procedures, in which preoperative demographic characteristics and clinical outcomes are prospectively recorded.ObjectivesTo compare perioperative complication rate and short-term outcomes of patients undergoing single-stage conversion of gastric band to Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy.SettingUnited Kingdom national bariatric surgery database.MethodsFrom the National Bariatric Surgical Registry data set, we identified 141 patients undergoing single-stage conversion from gastric band to either gastric bypass (113) or sleeve gastrectomy (28) between 2009 and 2014, and analyzed their clinical outcomes.ResultsWith respect to perioperative outcomes gastric bypass was associated with a higher incidence of readmission or reintervention postoperatively (16 versus 0; P = .04). There was no difference in percentage excess weight loss between sleeve gastrectomy and gastric bypass at final follow-up at 1 year (52.1% versus 57.1% respectively; P = .4).ConclusionsConversion from band to sleeve or bypass give comparable good early excess weight loss; however, conversion to sleeve is associated with a better perioperative safety profile.Crown Copyright © 2018. Published by Elsevier Inc. All rights reserved.

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