Safety and feasibility of revisional laparoscopic surgery for morbid XXXX : conversion of open silastic vertical banded gastroplasty to laparoscopic adjustable gastric banding.

@entity1 @entity86 @entity28
BACKGROUND: Since the 1980s, bypass operations have been largely replaced by gastric restrictive operations. One of the most commonly performed operations for gastric restriction is vertical banded gastroplasty (VBG). However, the results are often disappointing. Adjustable gastric banding (AGB) is a viable alternative to VBG, and the ability to perform this surgery laparoscopically makes it an attractive option for @entity1 in need of revisional surgery. It allows for refashioning of the gastric pouch in @entity1 with a dilation of the pouch or disruption of the staple line. METHODS: A total of 48 @entity1 were referred to our center due to post-VBG weight gain. All @entity1 underwent preoperative evaluation to determine the cause for failure of the operation. All @entity1 found suitable for revisional surgery underwent laparoscopic placement of an adjustable band. RESULTS: All but one of the operations were completed laparoscopically; one @entity1 required conversion to open surgery prior to band placement via laparoscopy. This @entity1 needed a blood transfusion. @entity86 occurred in one @entity1 ; laparoscopy surgery was used successfully for removal of the band and suturing of the stomach. CONCLUSIONS: Our short-term results indicate that revisional operation for morbid @entity28 using laparoscopic AGB is a safe procedure when performed cautiously. It enables early @entity1 mobilization and discharge with good functional results and fewer perioperative complications.
