Management of Banded Gastric Bypasses: Revisional Bariatric Surgery After a Fobi–Capella-Banded Gastric Bypass

  • John N. Afthinos
  • Indraneil Mukherjee
  • Karen E. Gibbs


The accepted gold standard for the surgical treatment of obesity is the gastric bypass, which has undergone several iterations since its inception in 1967. One category of gastric bypass is the banded gastric bypass, of which there are two variants: silastic ring (Fobi) and mesh band (Capella). These were shown to have better long-term outcomes with respect to weight loss and prevention of recidivism. Complications of these bypasses—specifically involving the banded component—can be challenging to address. We outline banded bypass-specific complications and their management. Included in the discussion are preoperative evaluations, operative techniques, and strategies. Pitfalls are also discussed. Despite their better overall weight loss outcomes compared to non-banded bypasses, their complications can be difficult to safely address and have discouraged widespread use of these operations. Knowledge of their complications and their management are essential to the practicing bariatric surgeon.


Banded gastric bypass Fobi bypass Capella bypass Banded bypass erosions Dysphagia Revision of banded gastric bypass 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • John N. Afthinos
    • 1
  • Indraneil Mukherjee
    • 2
  • Karen E. Gibbs
    • 3
  1. 1.Long Island Jewish Forest Hills Hospital, Department of SurgeryForest HillsUSA
  2. 2.Staten Island University Hospital, Department of SurgeryStaten IslandUSA
  3. 3.General, MIS & Bariatric Surgery, Staten Island University Hospital Northwell Health, Department of SurgeryStaten IslandUSA

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