From adjustable gastric banding to Roux-en-Y gastric bypass – case report

Czech version

Authors: E.. Koblihová; M. Kasalický; J. Pažin; K. Havlová; R. Pohnán
Authors‘ workplace: Chirurgická klinika 2. lékařské fakulty Univerzity Karlovy a Ústřední vojenská nemocnice –Vojenská fakultní nemocnice, Praha, Česká republika
Published in: Rozhl. Chir., 2024, roč. 103, č. 1, s. 31-34.
doi: https://doi.org/10.33699/PIS.2024.103.1.31–34

Overview

Introduction: Adjustable gastric banding (AGB) used to be a popular bariatric procedure. However, it fails in more than half of those operated on in the long term, becomes ineffective and must be removed. Therefore, the use of AGB has been in decline globally. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most used bariatric revision surgeries when AGB is removed.

Case report: We present the case of a woman after AGB removal and conversion to SG who developed a stenosis of the sleeve. Therefore, a decision was made to convert to RYGB with a good effect.

Conclusion: Revisional procedures are more technically challenging than primary procedures and have higher complication rates. The most performed revisional operations include SG and RYGB. Stenosis of the sleeve can occur after SG, with a negative impact on the patient’s nutritional status and quality of life. This can be managed by endoscopic dilatation, and where this solution proves ineffective, RYGB can be indicated.

Keywords:

sleeve gastrectomy – adjustable gastric banding – Roux-en-Y gastric bypass

Sources

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MUDr. Eva Koblihová, Ph.D.
Chirurgická klinika 2. LF UK a ÚVN
U vojenské nemocnice 1200
169 02 Praha 6
e-mail: eva.koblihova@uvn.cz
ORCID: 0000-0002-3462-6234

Labels

Surgery Orthopaedics Trauma surgery

Bariatrics

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Single anastomosis sleeve ileal bypass a single anastomosis sleeve jejunal bypass in the surgical treatment of severe obesity

Gastric bypass − 10 years’ results

Successful treatment of gastrosplenic fistula after sleeve gastrectomy

Article was published in

Perspectives in Surgery

2024 Issue 1