Gastric Banding Research Today is a free monthly online journal that collates and summarizes the latest research about Gastric Banding, including details on laparoscopic gastric banding, stomach stapling, gastric bypass, risks, diet.

One-year Readmission Rates at a High Volume Bariatric Surgery Center: Laparoscopic Adjustable Gastric Banding, Laparoscopic Gastric Bypass, and Vertical Banded Gastroplasty-Roux-en-Y Gastric Bypass.

Saunders J, Ballantyne GH, Belsley S, Stephens DJ, Trivedi A, Ewing DR, Iannace VA, Capella RF, Wasileweski A, Moran S, Schmidt HJ

Surgery, New York University, Manhattan VA, 423 East 23rd St., New York City, NY, 10010, USA, jokensa@yahoo.com.

BACKGROUND: An increasing importance has been placed on a bariatric program's readmission rates. Despite the importance of such data, there have been few studies that document 1-year readmission rates. There have been even fewer studies that delineate the causes of readmission. The objective of this study is to delineate the rates and causes of readmissions within 1 year of bariatric operations performed in a high-volume center. METHODS: Records for all patients undergoing bariatric operations during a 31-month period were harvested from the hospital electronic medical database. Readmissions for these patients were then identified within the hospital database for the year following the index operation. The electronic medical records of all readmitted patients were reviewed. RESULTS: The overall 1-year readmission rate for 1,939 consecutive bariatric operations was 18.8%. The laparoscopic adjustable gastric band (LAGB) had the lowest readmission rate of 12.69%. Next was the vertical banded gastroplasty-Roux-en-Y gastric bypass (VBG-RYGB) with a rate of 15.4%. The laparoscopic Roux-en-Y gastric bypass (LRYGB) had the highest readmission rate of 24.2%. Leading causes of readmission were abdominal pain with normal radiographic studies and elective operations. Independent factors predicting readmission were found to be LOS > 3 days (odds ratio 1.69 p = 0.004) and having a LRYGB (odds ratio of 1.49 p = 0.003). The previously reported reoperation rate for bowel obstruction of 9.7% had decreased to 3.7% due to changes in operative technique. CONCLUSION: Rates of readmissions for patients undergoing bariatric surgery center at our high-volume center decreased over time and are comparable to other major abdominal operations.

Published 2 May 2008 in Obes Surg.
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Articles on Gastric Banding published 29 April 2008:

Initial Evaluation of Laparoscopic Roux-en-Y Gastric Bypass and Adjustable Gastric Banding in Korea: A Single Institution Study.   Obes Surg.

BACKGROUND: Obesity becomes a global epidemic disease, and bariatric surgery is increasing in Korea as well as in western countries. The first laparoscopic Roux-en-Y gastric bypass (LRYGBP) was performed in 2003, and the Lap Band(R) was approved for use in Korea in 2004. There are no data regarding gastric bypass and adjustable gastric banding regarding weight loss as well as changing of pre-existing comorbidities up to date. METHODS: St. Mary's Hospital Center, main leader of bariatric surgery ... [Abstract] [Full-text]

Reoperations after gastric banding: replacement or alternative procedures?   Surg Endosc.

BACKGROUND: Laparoscopic gastric banding (LAGB) is the most popular surgical procedure for morbid obesity in Europe. Long-term complications like slippage of the band or pouch dilatation are well known and lead to reoperations in a substantial number of patients. In this study, results and follow-ups of patients with reoperations after gastric banding were analyzed. METHODS: Between May 1997 and June 2006, 172 patients were treated with LAGB for morbid obesity. 41 of these patients underwent ... [Abstract] [Full-text]

Articles on Gastric Banding published 28 April 2008:

Inadequate Weight Loss vs Secondary Weight Regain: Laparoscopic Conversion from Gastric Banding to Roux-en-Y Gastric Bypass.   Obes Surg.

BACKGROUND: Beside complications like band migration, pouch-enlargement, esophageal dilation, or port-site infections, laparoscopic adjustable gastric banding (LAGB) has shown poor long-term outcome in a growing number of patients, due to primary inadequate weight loss or secondary weight regain. The aim of this study was to assess the safety and efficacy of laparoscopic conversion to Roux-en-Y gastric bypass (RYGBP) in these two indications. METHODS: A total of 25 patients, who underwent ... [Abstract] [Full-text]

Therapeutic Effects of Sleeve Gastrectomy Plus Gastric Remnant Banding on Weight Reduction and Gastric Dilatation: An Animal Study.   Obes Surg.

BACKGROUND: Our objective was to observe the therapeutic effects of sleeve gastrectomy plus gastric remnant banding on weight reduction and gastric dilatation in an SD rat model. METHODS: Sleeve gastrectomy plus gastric remnant banding was performed in 20 male SD rats as the study group, sleeve gastrectomy was performed in 20 SD male rats as the study control group, and laparotomy was performed in 10 SD male rats as the blank control group. Body weight was measured before the experiment, at day ... [Abstract] [Full-text]

Metabolic Outcomes of Obese Diabetic Patients Following Laparoscopic Adjustable Gastric Banding.   Obes Surg.

INTRODUCTION: Obesity is an independent risk factor in the development of diabetes. Weight loss surgery is the most effective treatment of morbid obesity. This study examines the effect of gastric banding on metabolic profile in diabetics. METHODS: Between April 2003 and November 2007, 1,335 patients underwent laparoscopic adjustable gastric banding. Metabolic profile was examined on a subset of 254 patients. Of these, 122 were diabetic. Data collection included body mass index, weight, blood ... [Abstract] [Full-text]

Articles on Gastric Banding published 23 April 2008:

Symmetrical Pouch Dilatation After Laparoscopic Adjustable Gastric Banding: Incidence and Management.   Obes Surg.

BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) has commonly been complicated by the problem of band slippage or prolapse. Since popularization of the pars flaccida approach and improved anterior fixation, it is our impression that the problem of symmetrical dilatation of the proximal gastric pouch has become more important. METHODS: We have reviewed the results of a series of 425 LAGB all performed by the pars flaccida approach from June 2003 to October 2007 to analyze the incidence ... [Abstract] [Full-text]

Bariatric Surgery Outcomes in Morbidly Obese with the Metabolic Syndrome at US Academic Centers.   Obes Surg.

BACKGROUND: The metabolic syndrome is associated with significant cardiovascular morbidity and mortality. We assessed the in-hospital outcomes of bariatric surgery in morbidly obese patients with the metabolic syndrome in comparison to a control group without the metabolic syndrome. METHODS: Using ICD-9-CM diagnosis and procedure codes, clinical data for 20,242 patients with and without the metabolic syndrome who underwent bariatric surgery over a 5-year period were obtained from the University ... [Abstract] [Full-text]

Articles on Gastric Banding published 16 April 2008:

Emergency Sleeve Gastrectomy as Rescue Treatment for Acute Gastric Necrosis Due to Type II Paraesophageal Hernia in an Obese Woman with Gastric Banding.   Obes Surg.

A morbidly obese 42-year-old woman presented with a 1-week history of left chest pain. She had undergone laparoscopic adjustable gastric banding 16 months earlier with a body mass index (BMI) of 49.2 kg/m(2). Diagnostic workup revealed a large left pleural empyema and ruled out band slippage. At left thoracotomy, a misdiagnosed type II paraesophageal strangulated hernia with gastric necrosis and large perforation of the fundus was evident. At laparotomy, the band was removed, the stomach was ... [Abstract] [Full-text]

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