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Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass?
Adjustable gastric banding was the most common type of bariatric surgery performed in Korea prior to 2019. Many patients that have undergone this procedure require revisional bariatric surgery while removing the gastric band, and it is important to select an appropriate revisional procedure. If reop...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society for Metabolic and Bariatric Surgery
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10011676/ https://www.ncbi.nlm.nih.gov/pubmed/36926677 http://dx.doi.org/10.17476/jmbs.2022.11.2.49 |
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author | Park, Young Suk |
author_facet | Park, Young Suk |
author_sort | Park, Young Suk |
collection | PubMed |
description | Adjustable gastric banding was the most common type of bariatric surgery performed in Korea prior to 2019. Many patients that have undergone this procedure require revisional bariatric surgery while removing the gastric band, and it is important to select an appropriate revisional procedure. If reoperation is performed owing to insufficient weight loss or weight regain, a 1-step procedure can be considered. However, a 2-step procedure is preferred when complications such as band erosion or stomach perforation have occurred. Previous studies from Western countries have shown that revisional Roux-en-Y gastric bypass (RYGB) can achieve more effective postoperative weight loss than revisional sleeve gastrectomy, although this procedure may also carry a higher risk of morbidity, reoperation, and readmission to hospital. In Korea, the short-term outcomes of the 2 procedures may be similar. However, the potential risk of gastric cancer in the remnant stomach after RYGB must also be considered. The type of revisional surgery should be selected following discussions with the patient regarding the advantages and disadvantages associated with each procedure. |
format | Online Article Text |
id | pubmed-10011676 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Korean Society for Metabolic and Bariatric Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-100116762023-03-15 Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass? Park, Young Suk J Metab Bariatr Surg Review Article Adjustable gastric banding was the most common type of bariatric surgery performed in Korea prior to 2019. Many patients that have undergone this procedure require revisional bariatric surgery while removing the gastric band, and it is important to select an appropriate revisional procedure. If reoperation is performed owing to insufficient weight loss or weight regain, a 1-step procedure can be considered. However, a 2-step procedure is preferred when complications such as band erosion or stomach perforation have occurred. Previous studies from Western countries have shown that revisional Roux-en-Y gastric bypass (RYGB) can achieve more effective postoperative weight loss than revisional sleeve gastrectomy, although this procedure may also carry a higher risk of morbidity, reoperation, and readmission to hospital. In Korea, the short-term outcomes of the 2 procedures may be similar. However, the potential risk of gastric cancer in the remnant stomach after RYGB must also be considered. The type of revisional surgery should be selected following discussions with the patient regarding the advantages and disadvantages associated with each procedure. Korean Society for Metabolic and Bariatric Surgery 2022-12 2023-03-02 /pmc/articles/PMC10011676/ /pubmed/36926677 http://dx.doi.org/10.17476/jmbs.2022.11.2.49 Text en Copyright © 2022, The Korean Society for Metabolic and Bariatric Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Park, Young Suk Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass? |
title | Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass? |
title_full | Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass? |
title_fullStr | Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass? |
title_full_unstemmed | Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass? |
title_short | Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass? |
title_sort | revisional surgery after adjustable gastric banding: sleeve gastrectomy or gastric bypass? |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10011676/ https://www.ncbi.nlm.nih.gov/pubmed/36926677 http://dx.doi.org/10.17476/jmbs.2022.11.2.49 |
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