Adjustable gastric banding as revisional bariatric procedure after failed gastric bypass--intermediate results

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Marc BesslerDaniel Davis

Abstract

Although gastric bypass is the most common bariatric procedure in the United States, it is has been associated with a failure rate of 15% (range 5-40%). The addition of an adjustable gastric band to Roux-en-Y gastric bypass has been reported to be a useful revision strategy in a small series of patients with inadequate weight loss after proximal gastric bypass. We report on 22 patients who presented with inadequate weight loss or significant weight regain after proximal gastric bypass. All patients underwent revision with the placement of an adjustable silicone gastric band around the proximal gastric pouch. The bands were adjusted at 6 weeks postoperatively and beyond, as needed. Complications and weight loss at the most recent follow-up visit were evaluated. The mean age and body mass index at revision was 41.27 years (range 25-58) and 44.8 +/- 6.34 kg/m(2), respectively. Patients had experienced a loss of 19%, 27%, 47.3%, 42.3%, 43%, and 47% of their excess weight at 6, 12, 24, 36, 48, and 60 months after the revisional procedure, respectively. Three major complications occurred requiring reoperation. No band erosions have been documented. The results from this larger series of patients have also indicated that the addition ...Continue Reading

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Citations

Feb 4, 2014·Best Practice & Research. Clinical Gastroenterology·Matthias Lannoo, Bruno Dillemans
Jul 6, 2013·Obesity Surgery·Hideharu ShimizuStacy A Brethauer
Dec 9, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Giovanni DapriJacques Himpens
Feb 5, 2013·Seminars in Nephrology·Hermann J Kissler, Utz Settmacher
Oct 9, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Guy H E J VijgenJan Willem M Greve
Jul 20, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Daniel M Herron
Apr 7, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Bendix R SlegtenhorstRene A Klaassen
Mar 24, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Berry MeestersJan-Willem Greve
Nov 8, 2011·The Surgical Clinics of North America·Todd Andrew Kellogg
Nov 30, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·M Logan RawlinsJohn P Maguire
Dec 7, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Katayun IraniMarina Kurian
Sep 28, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·David S Tichansky
Nov 9, 2010·American Journal of Surgery·Jeffrey Scott FronzaAlexander P Nagle
Jun 22, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Ali AminianPhilip R Schauer
Nov 8, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Helen M HeneghanBipan Chand
Apr 25, 2014·Bariatric Surgical Practice and Patient Care·Ahmad Ibrahim ElnahasDennis Hong
Jul 15, 2016·Obesity Surgery·Martine UittenbogaartFrancois Mh van Dielen
Mar 9, 2018·Obesity Surgery·A C ValeziR O Sato
Aug 23, 2012·Obesity Surgery·Saurav ChakravarttyAmeet Patel

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