Banded Sleeve Gastrectomy Using the GaBP Ring – Surgical Technique

Karcz, Wojciech Konrad; Marjanović, Goran; Grueneberger, Jodok Matthias; Baumann, Tobias; Bukhari, Waleed; Krawczykowski, D.; Kuesters, Simon

doi:10.1159/000324569

Cited by 30 publications

(18 citation statements)

References 39 publications

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“…The upper jejunum becomes a new reservoir (stomach). A silicon ring [3,4] can help to prevent these changes but impairs quality of life and stimulates changes in eating behaviour to soft or liquid high caloric foods; also the procedures carries a risk of ring migration.…”

Section: Discussionmentioning

confidence: 99%

Failure of Laparoscopic Sleeve Gastrectomy – Further Procedure?

2011

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Background: Worldwide, the incidence of morbid obesity is increasing, and surgery is the only effective longterm treatment. Laparoscopic sleeve gastrectomy (LSG) is associated with acceptable weight loss and reduced comorbidities. It is considered a safe procedure with sporadic complications. This publication aims to describe failures of LSG in terms of ineffective weight loss or early weight regain, and analyze secondary treatment options. Methods: From October 2001 to December 2010, 937 patients underwent LSG in our department. Initially, all procedures were scheduled as a two-stage procedure (LSG followed by biliopancreatic diversion with duodenal switch). However, the second procedure was not performed in 64 patients (body mass index > 60 kg/m²). Since 2005, the frequency of second stage procedures after weight regain has been increasing; their outcome is analyzed. Results: Of the 937 patients, 17 (1.8%) experienced staple line leakage. Mean time to first reintervention or endoscopic stent placement was 15.6 ± 22 days (range 2–78). From 2005 to 2010, 106 secondary procedures were performed. Insufficient weight loss or weight regain were the indications in 88 cases. Sixteen (15%) patients had severe gastroesophageal reflux which was resolved by Roux-en-Y gastric bypass (RYGB). Stenosis was observed in 2 (2.6%) patients, which required endoscopic dilatation and stent placement in one case and gastric bypass in the other. Conclusions: LSG is a feasible and popular bariatric procedure. Mortality (0.4%) was much higher than after gastric bypass (0.03%) and gastric banding (0%) The knowledge of potential complications and their management is crucial. All restrictive procedures require patient compliance, but increased food uptake after RYGB and LSG is common. Malabsorptive procedures are more effective for long-term weight loss. Duodenal switch and omega-loop gastric bypass are more efficient second stage procedures than re-sleeve or RYGB.

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Section: Discussionmentioning

confidence: 99%

Failure of Laparoscopic Sleeve Gastrectomy – Further Procedure?

2011

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“…Banded Sleeve Gastrectomy ( as a response to medium-term issues with weight regain in SG [36][37][38]. In a study of long-term outcomes representative of many SG reports, mean percentage excess weight loss (EWL) of 72.8% at 3 years dropped to 57.3% at ≥ 6-year follow-up [39].…”

Section: A = 1-2 CMmentioning

confidence: 99%

“…Indications/Contraindications, Weight Loss, Diabetes Resolution BSG is indicated for obese patients with clear contraindications against RYGBP or BPD and for those on medication who need reliable intestinal resorption [36]. In a comparative long-term study of SG (n = 51) and BSG (n = 96) in obese and super-obese patients, EWL increased at each point through longer-term follow-up from 77.4% at year 1 to 86.7% EWL at 5 years.…”

Section: A = 1-2 CMmentioning

confidence: 99%

Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement

Bhandari

Fobi

Buchwald³

2019

OBES SURG

114

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Background Standardization of the key measurements of a procedure's finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic procedures. Methods A panel of experts in bariatric metabolic surgery from multiple continents was invited to present technique descriptions and outcomes for 4 classic, or conventional, and 21 variant and emerging procedures. Expert panel and audience discussion was followed by electronic voting on proposed standard dimensions and volumes for each procedure's key anatomic alterations. Consensus was defined as ≥ 70% agreement. Results The Bariatric Metabolic Surgery Standardization World Consensus Meeting (BMSS-WOCOM) was convened March 22-24, 2018, in New Delhi, India. Discussion confirmed heterogeneity in procedure measurements in the literature. A set of anatomic measurements to serve as the standard version of each procedure was proposed. After two voting rounds, 22/25 (88.0%) configurations posed for consideration as procedure standards achieved voting consensus by the expert panel, 1 did not attain consensus, and 2 were not voted on. All configurations were voted on by ≥ 50% of 50 expert panelists. The Consensus Statement was developed from scientific evidence collated from presenters' slides and a separate literature review, meeting video, and transcripts. Review and input was provided by consensus panel members. Conclusions Standard versions of the finished anatomic configurations of 22 surgical procedures were established by expert consensus. The BMSS process was undertaken as a first step in developing evidence-based standard bariatric metabolic surgical procedures with the aim of improving consistency in surgery, data collection, comparison of procedures, and outcome reporting.

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“…[6][7][8] There are some articles about banded sleeve gastrectomy in case of extremely obese patients for the prevention of gastric dilatation. [9][10][11] This case report presents our first experience of laparoscopic adjustable banded sleeve gastrectomy with oneyear follow-up in the case of a super-super obese patient.…”

Section: Introductionmentioning

confidence: 98%

First experience of laparoscopic adjustable banded sleeve gastrectomy (LabSG) for an extremely obese patient

Khatkov¹

2017

Laparosc Endosc Surg Sci

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Patients with body mass index (BMI) over 60 kg/m 2 are considered super-super obese. This patient group, as well as patients with extreme co-morbidities, creates challenging conditions for bariatric surgery. Each step of laparoscopy, including insufflation, trocar placement, dissection, and performing complex procedures like bypass becomes technically more difficult. Furthermore, there is increased risk of postoperative complications, morbidity, and mortality in these groups. Presently described is adjustable gastric banded sleeve gastrectomy (LabSG) performed in 38-year-old female with BMI of 84.3 kg/m 2 . Following an uneventful postoperative course, she lost 100 kg in 12-month period and BMI was reduced to 52.7 kg/m 2 . LabSG seems to be a safe and effective alternative for super-super obese patients at experienced centers.

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Banded Sleeve Gastrectomy Using the GaBP Ring – Surgical Technique

Cited by 30 publications

References 39 publications

Failure of Laparoscopic Sleeve Gastrectomy – Further Procedure?

Failure of Laparoscopic Sleeve Gastrectomy – Further Procedure?

Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement

First experience of laparoscopic adjustable banded sleeve gastrectomy (LabSG) for an extremely obese patient

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