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Surgical Endoscopy

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

Gastric banding: Conversion to sleeve, bypass, or DS

  • Michel Gagner
  • Andrew A. Gumbs
Article

Abstract

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.

Keywords

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

References

  1. 1.
    Reinhold RB (1982) Critical analysis of long term weight loss following gastric bypass. Surg Gynecol Obstet 155(3):385–394PubMedGoogle Scholar
  2. 2.
    Gagner M, Patterson E (2000) Laparoscopic biliopancreatic diversion with duodenal switch. Dig Surg 17:547–566CrossRefGoogle Scholar
  3. 3.
    O’Brien P, Brown W, Dixon J (2000) Revisional surgery for morbid obesity–conversion to the Lap–Band system. Obes Surg 10(6):557–563PubMedCrossRefGoogle Scholar
  4. 4.
    Kyzer S, Raziel A, Landau O, Matz A, Charuzi I (2001) Use of adjustable silicone gastric banding for revision of failed gastric bariatric operations. Obes Surg 11(1):66–69PubMedCrossRefGoogle Scholar
  5. 5.
    De Csepel J, Nahouraii R, Gagner M (2001) Laparoscopic gastric bypass as a re-operative bariatric surgery for failed open restrictive procedures. Surg Endosc 15(4):393–397PubMedCrossRefGoogle Scholar
  6. 6.
    DeMaria EJ, Sugerman HJ, Meador JG, et al. (2001) High failure rate after laparoscopic adjustable silicone gastric banding for the treatment of morbid obesity. Ann Surg 233:809–187PubMedCrossRefGoogle Scholar
  7. 7.
    Yashkov YI, Oppel TA, Shishlo LA, Vinnitsky LI (2001) Improvement of weight loss and metabolic effects of vertical banded gastroplasty by an added duodenal switch procedure. Obes Surg 11(5):635–639PubMedCrossRefGoogle Scholar
  8. 8.
    Westling A, Ohrvall M, Gustavsson S (2002) Roux-en-Y gastric bypass after previous unsuccessful gastric restrictive surgery. J Gastrointest Surg 6(2):206–211PubMedCrossRefGoogle Scholar
  9. 9.
    Gagner M, Gentileschi P, de Csepel J, et al. (2002) Laparoscopic reoperative bariatric surgery: experience from 27 consecutive patients. Obes Surg 12(2):254–260PubMedCrossRefGoogle Scholar
  10. 10.
    de Csepel J, Quinn T, Pomp A, Gagner M (2002) Conversion to a laparoscopic biliopancreatic diversion with a duodenal switch for failed laparoscopic adjustable silicone gastric banding. J Laparoendosc Adv Surg Tech A. 12(4):237–240PubMedCrossRefGoogle Scholar
  11. 11.
    Peterli R, Donadini A, Peters T, Ackermann C, Tondelli P (2002) Re-operations following laparoscopic adjustable gastric banding. Obes Surg 12(6):851–856PubMedCrossRefGoogle Scholar
  12. 12.
    Gagner M, Steffen R, Biertho L, Horber F (2003) Laparoscopic adjustable gastric banding with duodenal switch for morbid obesity: technique and preliminary results. Obes Surg 13(3):444–449PubMedCrossRefGoogle Scholar
  13. 13.
    Gagner M, Rogula T (2003) Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch. Obes Surg 13(4):649–654PubMedCrossRefGoogle Scholar
  14. 14.
    Weber M, Muller MK, Michel JM, et al. (2003) Laparoscopic Roux-en-Y gastric bypass, but not rebanding, should be proposed as rescue procedure for patients with failed laparoscopic gastric banding. Ann Surg 238(6):827–833; discussion 833–824PubMedCrossRefGoogle Scholar
  15. 15.
    Dolan K, Fielding G (2004) Biliopancreatic diversion following failure of laparoscopic adjustable gastric banding. Surg Endosc 18(1):60–63PubMedCrossRefGoogle Scholar
  16. 16.
    Keshishian A, Zahriya K, Hartoonian T, Ayagian C (2004) Duodenal switch is a safe operation for patients who have failed other bariatric operations. Obes Surg 14(9):1187–1192PubMedCrossRefGoogle Scholar
  17. 17.
    Mognol P, Chosidow D, Marmuse JP (2004) Laparoscopic conversion of laparoscopic gastric banding to Roux-en-Y gastric bypass: a review of 70 patients. Obes Surg 14(10):1349–1353PubMedCrossRefGoogle Scholar
  18. 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
  19. 19.
    Calmes JM, Giusti V, Suter M (2005) Re-operative laparoscopic Roux-en-Y gastric bypass: an experience with 49 cases. Obes Surg 15(3):316–322PubMedCrossRefGoogle Scholar
  20. 20.
    Keidar A, Carmon E, Szold A, Abu-Abeid S (2005) Port complications following laparoscopic adjustable gastric banding for morbid obesity. Obes Surg 15(3):361–365PubMedCrossRefGoogle Scholar
  21. 21.
    Cohen R, Pinheiro JS, Correa JL, Schiavon C (2005) Laparoscopic revisional bariatric surgery: myths, facts. Surg Endosc 19(6):822–825PubMedCrossRefGoogle Scholar
  22. 22.
    Abu–Abeid S, Bar Zohar D, Sagie B, Klausner J (2005) Treatment of intra-gastric band migration following laparoscopic banding: safety and feasibility of simultaneous laparoscopic band removal and replacement. Obes Surg 15(6):849–852CrossRefGoogle Scholar
  23. 23.
    Gagner M, Boza C (2006) Laparoscopic duodenal switch for morbid obesity. Expert Rev Med Devices 3(1):105–112PubMedCrossRefGoogle Scholar
  24. 24.
    van Wageningen B, Berends FJ, Van Ramshorst B, Janssen IF (2006) Revision of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass. Obes Surg 16(2):137–141PubMedCrossRefGoogle Scholar
  25. 25.
    Lanthaler M, Mittermair R, Erne B, Weiss H, Aigner F, Nehoda H (2006) laparoscopic gastric re-banding versus laparoscopic gastric bypass as a rescue operation for patients with pouch dilatation. Obes Surg 16(4):484–487PubMedCrossRefGoogle Scholar
  26. 26.
    Rutledge R (2006) Revision of failed gastric band to mini-gastric bypass. Obes Surg 16(4):521–523PubMedCrossRefGoogle Scholar
  27. 27.
    Schouten R, van Dielen FM, Greve JW (2006) Re-operation after laparoscopic adjustable gastric banding leads to a further decrease in BMI and obesity-related co-morbidities: results in 33 patients. Obes Surg 16(7):821–828PubMedCrossRefGoogle Scholar
  28. 28.
    Bernante P, Foletto M, Busetto L, Pomerri F, Pesenti FF, Pelizzo MR, Nitti D (2006) Feasibility of laparoscopic sleeve gastrectomy as a revision procedure for prior laparoscopic gastric banding. Obes Surg 16(10):1327–1330PubMedCrossRefGoogle Scholar
  29. 29.
    Spivak H, Beltran OR, Slavchev P, Wilson EB (2007) Laparoscopic revision from LAP-BAND(®) to gastric bypass. Surg Endosc; epubGoogle Scholar
  30. 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

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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