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Impact of Laparoscopic Banded Gastric Bypass on Weight Loss Surgery Outcomes: 5 Years’ Experience

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Abstract

Objective

Evaluate 5-year outcomes of banded gastric bypass (BRYGB) as a primary and conversion bariatric procedure.

Methods

Retrospective review of BRYGB between January 2011and March 2013. Outcomes included percentage of total weight loss (%TWL), weight loss maintenance, and band-related complications.

Results

One hundred forty-two patients underwent BRYGB, 106 primary and 36 conversions. Indications for conversion to BRYGB were complications of the primary procedure (n = 19), insufficient weight loss (n = 5), and weight regain (n = 12). In the primary group, mean preoperative BMI was 44.8 kg/m2 (± 6.9 kg/m2). Compared with preoperative weight, mean %TWL was 33.9% (n = 95), 34.1% (n = 82), 34.0% (n = 70), 33.9% (n = 62), and 31.8% (n = 75) after 1, 2, 3, 4, and 5 years, respectively.

In conversions secondary to failed primary procedure (insufficient WL and weight regain), mean preoperative BMI was 40.8 kg/m2 (± 6.01 kg/m2). Despite one patient gaining weight, mean %TWL was 25.7% (n = 13), 28% (n = 11), 23.9% (n = 8), 18.3% (n = 8), and 15.1% (n = 12) after 1, 2, 3, 4, and 5 years, respectively.

In conversions secondary to primary procedure complications (n = 19), mean preoperative BMI was 28.4 kg/m2 (± 3.5 kg/m2). After 1, 2, 3, 4, and 5 years, mean BMI was 28.1 (n = 15), 29 (n = 10), 29.8 (n = 9), 30.6 (n = 10), and 30.9 (n = 12) kg/m2, respectively.

Band-related complications after 5 years: three erosion and five patients complained of persistent dysphagia. One band needed reposition. Perioperative surgical complications: two bleeding, one leakage, one port-site hernia, and one food impaction.

Conclusion

Banded gastric bypass has good results in terms of weight loss and weight loss maintenance in both primary and conversional bariatric procedures with acceptable incidence of band-related complications.

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Acknowledgments

The authors would like to thank the team at the Dutch Obesity Clinic South, Heerlen, The Netherlands, for their support and important assistance for the data collection.

Author information

Correspondence to Abdelrahman Mohammad Galal or Jan Willem Greve.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was judged by the Ethics Committee of the Zuyderland Medical Center and was considered not to be Research Involving the Human Subjects Act.

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

The study does not include any identifiable information. Retrospective data analysis does not require informed consent; however, all patients gave consent for use of the data before the treatment.

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Galal, A.M., Boerma, E., Fransen, S. et al. Impact of Laparoscopic Banded Gastric Bypass on Weight Loss Surgery Outcomes: 5 Years’ Experience . OBES SURG 30, 630–639 (2020). https://doi.org/10.1007/s11695-019-04229-0

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Keywords

  • Obesity
  • Bariatric surgery
  • Banded gastric bypass
  • Weight loss
  • Weight maintenance
  • Long term follow up
  • %EWL
  • %TWL
  • Weight regain