Evidence map›Paper›PMID 38858296›Full record

ArticleObesity surgery2024

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

Juan S Barajas-Gamboa, Valentina Duran, Gustavo Romero-Velez, Valentin Mocanu, Yung Lee, Ricard Corcelles, Matthew Allemang, Andrew T Strong, Salvador Navarrete, John Rodriguez and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Juan S Barajas-GamboaDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.ORCID 0000-0003-4158-4893
Valentina DuranExperimental Surgery and Simulation Center, Catholic University of Chile, Santiago, Chile.
Gustavo Romero-VelezDigestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Valentin MocanuDepartment of Surgery, University of Alberta, Edmonton, AB, Canada.
Yung LeeDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Ricard CorcellesDigestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Matthew AllemangDigestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Andrew T StrongDigestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Salvador NavarreteDigestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
John RodriguezDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Matthew KrohDigestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Jerry T DangDigestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA. dangj3@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVertical 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

methodsA 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.

resultsOf 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).

conclusionsConversional 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.

Indexed as

GastroplastyObesity, MorbidPostoperative ComplicationsReoperationAdultConversion to Open SurgeryFemaleGastrectomyGastric BypassHumansMaleMiddle AgedPrevalenceRetrospective StudiesConversional surgeryMBSAQIPRevisional surgeryVertical banded gastroplasty

Identifiers

PMID38858296
PMCPMC11217115

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.