Revision of Vertical Banded Gastroplasty to Roux-En-Y Gastric Bypass with Two Years Follow Up.

Background Due to weight regain and GIT symptoms associated with Vertical banded gastroplasty (VBG) revisional surgery is necessary, Roux-en-Y gastric bypass (RYGB) is one of the best options as a revision procedure but comes with a high complication rate. Methods This prospective study included eighty patients undergoing Roux-en-Y gastric bypass surgery at Ain Shams University Hospitals after failed VBG surgery, with up to 2 years of follow-up. Results Eighty patients underwent RYGB correction after VBG. The mean age was 42 ±6.45 (39-58) years and the mean preoperative body mass index (BMI) was 45.46±4.135 (38-55) kg/m2. The median length of hospital stay for the patients was 4.78 ±1.84 days. The early postoperative complication rate was 8.7% and the reoperation rate within thirty days was 3.75%. with no Mortality. Leakage and bowel injury was in two patients. After an average follow-up of two years, the percentage of EWL was 64.47±19.3, and complete resolution of VBG-related GIT symptoms was achieved in approximately all patients. Late complications occurred in 7.5% of patients, of whom 3.75% required surgery. Conclusion conversion to RYGB is feasible with a limited short-term complication and reoperation rate, long term results show a nearly complete resolution of VBG-related symptoms and a statistically significant positive impact on weight loss.