Banded versus nonbanded sleeve gastrectomy: 5-year results of a matched-pair analysis

Fink, Jodok; Pigenot, Anais von; Seifert, Gabriel; Laessle, Claudia; Fichtner‐Feigl, Stefan; Marjanović, Goran

doi:10.1016/j.soard.2019.05.023

Cited by 21 publications

(11 citation statements)

References 26 publications

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“…Also after the extended follow-up, we did not record any complication band-related and the pre-existing diseases kept improving over time. ese results are in line with another long-term study, where only one case of slippage has been reported [29].…”

Section: Discussionsupporting

confidence: 91%

“…e weight loss was compared to the one obtained following standard LSG; similarly to our data, they report a significant improvement in the LBSG group starting from 36 months from surgery, maintained after the following two years. Again, the main hypothesis postulated by the author was the prevention of the sleeve dilatation thanks to the perigastric ring [29].…”

Section: Discussionmentioning

confidence: 99%

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Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study

et al. 2020

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Background. Weight regain after laparoscopic sleeve gastrectomy (LSG) is nowadays a growing concern. Sleeve dilatation and loss of food restriction is considered the main mechanism. The placement of a silicon ring around the gastric tube seems to give benefits in the short term. We report the results of a randomized study comparing LSG and laparoscopic banded sleeve gastrectomy (LBSG) over a 4-year follow-up. Objectives. To evaluate the efficacy of banded sleeve gastrectomy compared to standard sleeve in the midterm. Methods. Between 01/2014 and 01/2015, we randomly assigned 50 patients to receive one of the two procedures. Patients’ management was exactly the same, apart from the band placement. We analyzed differences in weight loss, operative time, complication rate, and mortality, with a median follow-up of 4 years. Results. Twenty five patients were assigned to receive LSG (Group A) and 25 LBSG (Group B). The mean preoperative BMI (body mass index) was 47.3 ± 6.58 kg/m2 and 45.95 ± 5.85 kg/m2, respectively. There was no significant difference in the operative time. No intraoperative or postoperative complications occurred. At 12-month follow-up, the mean BMI was 29.72 ± 4.40 kg/m2 in Group A and 27.42 ± 4.47 kg/m2 in Group B (p=0.186). After a median follow-up of 4 years, the mean BMI in Group B was significantly lower than Group A (24.10 ± 4.52 kg/m2 vs 28.80 ± 4.62 kg/m2; p=0.00199). Conclusions. LBSG is a safe procedure, with no impact on postoperative complications. The banded sleeve showed a significant greater weight loss in the midterm follow-up. Considering the issue of weight regain observed after LSG, the placement of a perigastric ring during the first procedure may be a strategy to improve the results. This trial is registered with NCT04228185.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study

et al. 2020

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“…Within the term “banded procedures,” specific bariatric operations are included (with the exclusion of adjustable gastric banding which is based solely on the positioning of an inflatable band around the stomach) where a ring or a band is added to a traditional procedure (RYGB, LSC, and others) to prevent long-term pouch dilation. In recent years, banded bariatric procedures have shown to influence weight loss and weight regain years after surgery [ 32 – 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the incidence of band-related complications after standard bariatric operations (apart from gastric banding as mentioned above) is low [ 32 , 39 , 40 ]. They are best treated in specialised institutions where the experience with banded procedures is high and the availability of operative endoscopy, interventional radiology, and laparoscopic techniques can help manage these cases [ 37 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series

et al. 2022

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Introduction. Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication rate. Recent publications suggest that dumping syndrome and weight regain might be reduced by placing a silicone ring over the gastric pouch during the procedure, so called laparoscopic banded one anastomosis gastric bypass (LBOAGB). Methods. 86 patients undergoing LBOAGB between 2018 and 2020 were enrolled in this retrospective study. Hospital records were used to assess weight loss, comorbidity resolution, and any complications either in the short or medium term. Results. 54 Female and 32 male patients were included with a mean age of 43 years (25–64), preoperative body mass index of 42 kg/m2 (35–49), and preoperative weight of 114 kg (86–162). Thirty-four patients presented with type 2 diabetes (39.5%), 42 patients (49%) diagnosed with hypertension, 24 presented with OSAS (28%), and 21 (24%) hypercholesterolaemia patients were included. In total, 36 patients were diagnosed with multiple comorbidities. The operative data showed an average operative time of 48 minutes with 3.4% of patients suffering from early (minor) complications and 2.3% with a late (minor) complication. One patient required reoperation due to intra-abdominal bleeding. The median length of hospital stay was 2.5 days. Median follow-up was 18 months (5–36). In that period, no patient required ring removal or conversion to Roux-en-Y gastric bypass surgery. Food intolerance/vomiting was present in 1 patient (1.1%), bile reflux was present in 1 patient (1.1%), and no stomal ulcers were observed. Mean % excess weight loss at 12 and 24 months was 72% and 80%, respectively. Fifty-two out of 86 patients (60%) had a complete resolution of comorbidities. A CONUT score >2 (mild malnutrition) was found in 40% of patients, while a CONUT score 0-1 was found in 60% of patients. Conclusion. LBOAGB shows promising results in terms of safety and efficacy in the short term. Further prospective studies will be required to evaluate the consistency of the results in the long term.

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