Metabolic and Bariatric Surgery · 27 November 2023

Complex Bariatric Surgery Sequencing: Double Conversions from Adjustable Gastric Band to Sleeve Gastrectomy and Then to Roux-en-Y Gastric Bypass

Examining 276 cases, researchers found that patients undergoing double conversions from adjustable gastric band (AGB) to sleeve gastrectomy (SG) and then to Roux-en-Y gastric bypass (RYGB) primarily did so due to gastroesophageal reflux disease (GERD) or inadequate weight loss/weight regain. Those converted for weight issues had higher baseline body mass index and sleep apnea prevalence, while the “other reasons” group exhibited elevated complication rates and mortality, emphasizing the need for optimal primary surgery to minimize multiple conversions.

Journal Article by Dang JT, Hage K (…) Clapp B et 4 al. in Surg Endosc

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