Table 6.
Gastric Bypass (N=454) | Adjustable Gastric Band (N=436) | |
---|---|---|
Complication | N(%) | N(%) |
Gastrointestinal Systema | 29(29.6) | 9(41) |
Nutritional Deficiencyb | 24(24.5) | 2(9.1) |
Surgical (bleeding/hemorrhage, intra-abdominal) | 3(3.1) | 1(4.5) |
General (obstruction, abscess, internal hernia) | 16(16.3) | 2(9.1) |
Band (port revision, removal, replacement)c | 0(0.0) | 3(13.6) |
Pulmonary System (pneumonia, pulmonary embolism) | 7(7.1) | 0(0.0) |
Device-Related | 8(8.2) | 5(22.7) |
Skin or Soft Tissue | 3(3.1) | 0(0.0) |
Death (by cardiac failure 6 months after surgery) | 1(1) | 0(0.0) |
Endocrine/Metabolic System | 3(3.1) | 0(0.0) |
Infection (at the surgical site) | 1(1) | 0(0.0) |
Renal or Genitourinary System | 1(1) | 0(0.0) |
Arrhythmia | 2(2) | 0(0.0) |
TOTALd | 98(21.6) | 22(5) |
Readmissions Required | 45(9.9) | 10(2.3) |
Reoperation Required | 29(6.4) | 8(1.8) |
Reason of Reoperation | ||
Cholecystectomy | 6(20.8) | 2(25) |
Othere | 7(24.1) | 0(0.0) |
EGD with dilitation | 6(20.8) | 0(0.0) |
Hernia repair, internal | 5(17.2) | 0(0.0) |
Band replacement | 0(0.0) | 2(25) |
Band, port revision | 0(0.0) | 2(25) |
Band, removal | 0(0.0) | 2(25) |
Small bowel obstruction, repair | 2(6.9) | 0(0.0) |
Gastric tube, placement | 1(3.4) | 0(0.0) |
Hernia repair, umbilical | 1(3.4) | 0(0.0) |
Wound, debridement | 1(3.4) | 0(0.0) |
TOTAL | 29(6.4) | 8(1.8) |
Nausea or vomiting, intestinal bleeding, diarrhea, gallstones
Vitamins A, B12, D, folate, iron, magnesium, zinc, electrolytes
Slippage (N =10,7.1%), stricture (N=6, 4.3%) (categories are not mutually exclusive)
Adverse event rate is significantly different between the gastric bypass and adjustable gastric band, 20.33% vs. 5.10% respectively.
Abdominal pain, internal hernia, repair of lapband tubing, diagnostic lap, LOA, parenteral hernia repair, gastroparesis internal hernia, repair of lapband tubing