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Comparison of Banded Versus Non-banded Roux-en-Y Gastric Bypass: a Series of 1150 Patients at a Single Institution

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Abstract

Background

Variations have been proposed in order to improve weight loss and decrease complication profiles in Roux-en-Y gastric bypass (RYGB) patients. We previously reported a preliminary result of pericardial patch ring RYGB. We aim to report a detailed result of banded RYGB by comparing these patients to non-banded RYGB patients with larger case number and longer follow-up.

Material and Methods

A retrospective chart review was performed in 543 banded RYGB and 607 non-banded RYGB patients who underwent laparoscopic RYGB between January 2009 and December 2014.

Results

Thirty-day readmission rate was 3.1% (n = 16) in the banded group and 3.8% (n = 23) in the non-banded group. Thirty-day reoperation rate was 1.5% (n = 8) in the banded group and 1.6% (n = 10) in the non-banded group. Two mortalities occurred after a mesenteric venous thrombosis and an intracranial hemorrhage in the non-banded group. The differences in 30-day readmission and reoperation rates were not statistically significant between the two groups. Mean percentage of excess BMI loss (%EBMIL) dating from the time of RYGB was 53.1, 72.5, 76.5, 78.8, and 73.3% in the banded group, and 51.5, 73.5, 78.8, 79.0, and 74.8% in the non-banded group at 6, 12, 18, 24, and 36 months, respectively, adjusted for preoperative BMI. The differences in %EBMIL were not significant at any follow-up points between the two groups.

Conclusions

Banded laparoscopic RYGB with a pericardial patch may not demonstrate a significant additional weight loss or prevent future weight regain. We were not able to demonstrate a clear advantage of banded RYGB over non-banded RYGB.

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Authors and Affiliations

  1. Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 Copeland Dr, 1st Floor, Orlando, FL, USA

    Rena C. Moon, Ashley Frommelt, Andre F. Teixeira & Muhammad A. Jawad

Authors
  1. Rena C. Moon
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  2. Ashley Frommelt
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  3. Andre F. Teixeira
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  4. Muhammad A. Jawad
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Corresponding author

Correspondence to Muhammad A. Jawad.

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The authors declare that they have no conflict of interest.

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Additional information

This article has been accepted for podium presentation at the 22nd Annual World Congress of International Federation for the Surgery of Obesity and Metabolic Disorders in London, UK, between August 29 and September 2, 2017.

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Moon, R.C., Frommelt, A., Teixeira, A.F. et al. Comparison of Banded Versus Non-banded Roux-en-Y Gastric Bypass: a Series of 1150 Patients at a Single Institution. OBES SURG 28, 212–217 (2018). https://doi.org/10.1007/s11695-017-2832-1

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  • DOI: https://doi.org/10.1007/s11695-017-2832-1

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