Endoscopic Revision (StomaphyX) versus Formal Surgical Revision (Gastric Bypass) for Failed Vertical Band Gastroplasty
Joint Authors
Bolton, Johan
al-Jahdali, Akram
Karmali, Shahzeer
Byrns, Simon
Shi, Xinzhe
Gill, Richdeep S.
Birch, Daniel W.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-01-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Weight regain secondary to VBG pouch dilation is a typical referral for Bariatric surgeons.
In this study we compare an endoluminal pouch reduction (Stomaphyx) to RYGB for revision.
Methods.
A retrospective review was completed for patients with a previous VBG presenting with weight regain between 2003–2010.
Results.
Thirty patients were identified for study 23 RYGB, 14 StomaphyX.
Significant post procedure BMI loss was seen in each cohort (RYGB, 47.7 ± 7 kg/m2 to 35 ± 7 kg/m2; StomaphyX 43 ± 10 kg/m2 to 40 ± 9 kg/m2, P=0.0007).
Whereas nausea and headache were the only complications observed in StomaphyX patients, the RYGB group had a 43.5% complication rate and 1 mortality.
Complications following RYGB include: incisional hernia (13%), anastomotic leak (8.7%), respiratory failure (8.7%), fistula (8.7%), and perforation (4.35%).
The median length of stay following RYGB was 6 days compared to 1.5 ± 0.5 days following StomaphyX.
Conclusion.
This study suggests that while RYGB revision may achieve greater weight loss, the complication rates and severity is discouraging.
StomaphyX may be a safe alternative.
Further technical modifications of the device and longer follow-up may clarify the role of this approach.
American Psychological Association (APA)
Bolton, Johan& Gill, Richdeep S.& al-Jahdali, Akram& Byrns, Simon& Shi, Xinzhe& Birch, Daniel W.…[et al.]. 2013. Endoscopic Revision (StomaphyX) versus Formal Surgical Revision (Gastric Bypass) for Failed Vertical Band Gastroplasty. Journal of Obesity،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-447072
Modern Language Association (MLA)
Bolton, Johan…[et al.]. Endoscopic Revision (StomaphyX) versus Formal Surgical Revision (Gastric Bypass) for Failed Vertical Band Gastroplasty. Journal of Obesity No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-447072
American Medical Association (AMA)
Bolton, Johan& Gill, Richdeep S.& al-Jahdali, Akram& Byrns, Simon& Shi, Xinzhe& Birch, Daniel W.…[et al.]. Endoscopic Revision (StomaphyX) versus Formal Surgical Revision (Gastric Bypass) for Failed Vertical Band Gastroplasty. Journal of Obesity. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-447072
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-447072