Gastric banding: Conversion to sleeve,bypass, or DS |
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| Authors: | Michel Gagner Andrew A Gumbs |
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| Institution: | (1) Division of Laparoscopic and Bariatric Surgery, New York Presbyterian Hospital, 525 East 68th Street, New York, NY 10021, USA;(2) Department of Surgery, Weill–Cornell College of Medicine, 525 East 68th Street, New York, NY 10021, USA;(3) Department of Surgery Division of Laparoscopic and Bariatric Surgery, Joan and Sanford I. Weill Medical College of Cornell University, 525, East 68 Street, PO Box 294, New York, NY 10021, USA |
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| 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. |
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| Keywords: | Revisional Bariatric Reoperative Surgery Gastric banding Duodenal switch Gastric bypass Morbid obesity Revisional weight loss surgery |
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