Is Staple Line Reinforcement Necessary in Conversion From Laparoscopic Adjustable Band to Laparoscopic Sleeve Gastrectomy?
| العنوان: | Is Staple Line Reinforcement Necessary in Conversion From Laparoscopic Adjustable Band to Laparoscopic Sleeve Gastrectomy? |
|---|---|
| المؤلفون: | Andrew Averbach, Rebecca L Schwartz, Anne M. Sill |
| المصدر: | Obesity Surgery. 31:4070-4075 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Laparoscopic sleeve gastrectomy, Nutrition and Dietetics, Staple line reinforcement, business.industry, Endocrinology, Diabetes and Metabolism, 030209 endocrinology & metabolism, Surgery, 03 medical and health sciences, 0302 clinical medicine, Weight regain, Weight loss, Staple line, medicine, 030211 gastroenterology & hepatology, Cpt codes, Adjustable gastric band, medicine.symptom, Leak rate, business |
| الوصف: | Once a common bariatric procedure, laparoscopic adjustable gastric band (LAGB) is more frequently the subject of conversion procedures, particularly to laparoscopic sleeve gastrectomy (LSG), due to failure of weight loss, weight regain, and band intolerance. Staple line reinforcement (SLR) in primary LSG has been studied extensively, but has not been evaluated in revision procedures. The aim of this study is to investigate commonly used SLR techniques and their effects on morbidity and mortality in single-stage bands converted to sleeves. The Metabolic and Bariatric Surgery Accreditation Quality and Improvement Program (MBSAQIP) Participant Use Data Files (PUF) for 2015–2016 were utilized to assess data for single-stage bands converted to sleeves based on CPT codes, and records were stratified by technique of staple line reinforcement. The database contained all the defined variables utilized for analysis with the exception of leak rate and overall morbidity, which had to be derived. Thirty-day outcomes were analyzed using multiple bivariate analyses and Bonferroni corrections were applied. Of the 6,286 patients who underwent single-stage bands converted to sleeves for whom SLR data is available, 56.9% of surgeons utilized SLR only, 21.3% chose no reinforcement technique (No SLR), 13.4% chose SLR plus over-sewing of the staple line (SLR+OSL), and 8.4% chose OSL alone. There were no statistically significant differences in rates of death, reoperation, readmission, reintervention, number of bleeding events, and staple line leaks across groups. Choice of SLR does not affect number of bleeding events or staple line leak rate. |
| تدمد: | 1708-0428 0960-8923 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::17df2d912b8ca683c525751cf811f9e3 https://doi.org/10.1007/s11695-021-05532-5 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........17df2d912b8ca683c525751cf811f9e3 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 17080428 09608923 |
|---|