Obesity Surgery

, Volume 24, Issue 4, pp 660–665

To Band or Not to Band—Early Results of Banded Sleeve Gastrectomy

  • W. Konrad Karcz
  • Iwona Karcz-Socha
  • Goran Marjanovic
  • Simon Kuesters
  • Matthias Goos
  • Ulrich T. Hopt
  • Tomasz Szewczyk
  • Tobias Baumann
  • Jodok Matthias Grueneberger
New Concept

Abstract

Laparoscopic sleeve gastrectomy (LSG) is the procedure with the fastest growing numbers worldwide. Although excellent weight loss can be achieved, one major obstacle of LSG is weight regain due to sleeve dilatation. Banded sleeve gastrectomy (BLSG) has been described as an option to counteract sleeve dilatation and ameliorate weight loss over time. In a retrospective study, we analysed 25 patients who underwent BLSG using a MiniMizer® ring. Twenty five patients who had previously undergone a conventional LSG were selected for matched-pair analysis. Patient follow-up was 12 months in both groups. Mean preoperative BMI was 56.1 ± 7.2 kg/m2 for BLSG and 57.0 ± 6.3 kg/m2 for LSG, P = 0.522. Operative time was significantly shorter for BLSG (53 ± 27 min vs. 68 ± 20 min, P = 0.0025). Excess weight loss (%EWL) was equal in both groups with %EWL at 12 months of 58.0 ± 14.6 % for BSLG patients vs. 58.4 ± 19.2 % for LSG patients. There was no procedure-related mortality in either group. At 12 months postoperative, vomiting was significantly increased in BSLG patients (OR 6.75, P = 0.035). New onset reflux was equal in both groups (OR 0.67, P = 0.469). Ring implantation does not increase the duration of surgery or early surgical complications. Weight loss in the first follow-up year is not influenced, but the incidence of vomiting is raised after 12 months when patients start to increase eating volume.

Keywords

Banded sleeve gastrectomy BLSG Restriction Obesity surgery Weight loss 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • W. Konrad Karcz
    • 1
  • Iwona Karcz-Socha
    • 2
  • Goran Marjanovic
    • 3
  • Simon Kuesters
    • 3
  • Matthias Goos
    • 3
  • Ulrich T. Hopt
    • 3
  • Tomasz Szewczyk
    • 4
  • Tobias Baumann
    • 5
  • Jodok Matthias Grueneberger
    • 3
  1. 1.Department of General SurgeryUniversity of Schleswig-HolsteinLübeckGermany
  2. 2.Department of PhysiologyMedical University of SilesiaKatowicePoland
  3. 3.Department of General and Visceral SurgeryUniversity of FreiburgFreiburg im BreisgauGermany
  4. 4.Department of Gastrointestinal SurgeryUniversity of ŁódźŁódźPoland
  5. 5.Department of RadiologyUniversity of FreiburgFreiburg im BreisgauGermany

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