Surgical Endoscopy

, Volume 21, Issue 11, pp 1931–1935 | Cite as

Gastric banding: Conversion to sleeve, bypass, or DS

  • Michel Gagner
  • Andrew A. Gumbs


A review of conversions of gastric banding for obesity to Roux-en-Y gastric bypass, gastric sleeve, or duodenal switch attempts to determine which revisional procedure best enhances weight loss. Indications for these conversions are multiple and include hardware problems, motility problems, and miscellaneous like inadequate weight loss. Analysis of band conversions to band of 193 patients, and bands to gastric bypass in 214 patients reveals better weight loss with the latter strategy. Smaller cohorts of patients who underwent a biliopancreatic diversion or simply a sleeve gastrectomy are too small to conclude on their efficacy. Prospective randomized trials are needed to determine which revisional procedure is best in the setting of inadequate weight loss of excessive weight regain after gastric adjustable banding for severe obesity.


Revisional Bariatric Reoperative Surgery Gastric banding Duodenal switch Gastric bypass Morbid obesity Revisional weight loss surgery 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Division of Laparoscopic and Bariatric SurgeryNew York Presbyterian HospitalNew YorkUSA
  2. 2.Department of SurgeryWeill–Cornell College of MedicineNew YorkUSA
  3. 3.Department of Surgery Division of Laparoscopic and Bariatric SurgeryJoan and Sanford I. Weill Medical College of Cornell UniversityNew YorkUSA

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