Prevalence, Indications, and Complications of Conversional Surgery After Vertical Banded Gastroplasty: A MBSAQIP Analysis

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dc.contributor.authorBarajas-Gamboa, Juan S.
dc.contributor.authorDuran, Valentina
dc.contributor.authorRomero-Velez, Gustavo
dc.contributor.authorMocanu, Valentin
dc.contributor.authorLee, Yung
dc.contributor.authorCorcelles, Ricard
dc.contributor.authorAllemang, Matthew
dc.contributor.authorStrong, Andrew T.
dc.contributor.authorNavarrete, Salvador
dc.contributor.authorRodriguez, John
dc.contributor.authorKroh, Matthew
dc.contributor.authorDang, Jerry T.
dc.date.accessioned2025-01-20T16:16:10Z
dc.date.available2025-01-20T16:16:10Z
dc.date.issued2024
dc.description.abstractPurpose Vertical banded gastroplasty (VBG) was once the most popular bariatric procedure in the 1980's, with many patients subsequently requiring conversional surgery. However, knowledge regarding the prevalence and outcomes of these procedures remains limited. This study aims to determine the prevalence, indications, rate of 30-day serious complications, and mortality of conversional surgery after VBG. Materials and Methods A retrospective analysis of the MBSAQIP database from 2020 to 2022 was conducted. Individuals undergoing conversional or revisional surgery after VBG were included. The primary outcomes were 30-day serious complications and mortality. Results Of 716 VBG conversions, the common procedures included 660 (92.1%) Roux-en-Y gastric bypass (RYGB) and 56 (7.9%) sleeve gastrectomy (SG). The main indication for conversion was weight gain for RYGB (31.0%) and for SG (41.0%). RYGB had longer operative times than SG (223.7 vs 130.5 min, p < 0.001). Although not statistically significant, serious complications were higher after RYGB (14.7% vs 8.9%, p = 0.2). Leak rates were higher after SG (5.4 vs 3.5%) but this was not statistically significant (p = 0.4). Mortality was similar between RYGB and SG (1.2 vs 1.8%, p = 0.7). Multivariable regression showed higher body mass index, longer operative time, previous cardiac surgery and black race were independently associated with serious complications. Conversion to RYGB was not predictive of serious complications compared to SG (OR 0.96, 95%CI 0.34-2.67, p = 0.9). Conclusions Conversional surgery after VBG is uncommon, and the rate of complications and mortality remains high. Patients should be thoroughly evaluated and informed about these risks before undergoing conversion from VBG.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s11695-024-07353-8
dc.identifier.eissn1708-0428
dc.identifier.issn0960-8923
dc.identifier.urihttps://doi.org/10.1007/s11695-024-07353-8
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/90533
dc.identifier.wosidWOS:001243659300001
dc.issue.numero7
dc.language.isoen
dc.pagina.final2419
dc.pagina.inicio2411
dc.revistaObesity surgery
dc.rightsacceso restringido
dc.subjectConversional surgery
dc.subjectRevisional surgery
dc.subjectVertical banded gastroplasty
dc.subjectMBSAQIP
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titlePrevalence, Indications, and Complications of Conversional Surgery After Vertical Banded Gastroplasty: A MBSAQIP Analysis
dc.typeartículo
dc.volumen34
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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