Gastric banding: Conversion to sleeve, bypass, or DS
- 450 Downloads
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.
KeywordsRevisional Bariatric Reoperative Surgery Gastric banding Duodenal switch Gastric bypass Morbid obesity Revisional weight loss surgery
- 18.Gagner M (2005) Laparoscopic Re-operative Surgery and Biliopancreatic Diversion with Duodenal Switch. Chapter 23 in Laparoscopic Bariatric Surgery. Inabnet WB, DeMaria EJ, Ikramuddin S, editors. Lippincott, Williams & Wilkins Philadelphia. pp 185–193Google Scholar
- 29.Spivak H, Beltran OR, Slavchev P, Wilson EB (2007) Laparoscopic revision from LAP-BAND(®) to gastric bypass. Surg Endosc; epubGoogle Scholar
- 30.Gumbs A, Gagner M, Milone L, Dakin G, Pomp A (2007) Review article: Revisional bariatric surgery for inadequate weight loss. Obes Surg; in pressGoogle Scholar