Banding the Sleeve Improves Weight Loss in Midterm Follow-up

Fink, Jodok; Hoffmann, Natalie; Kuesters, Simon; Seifert, Gabriel; Laessle, Claudia; Glatz, Torben; Hopt, Ulrich T.; Karcz, Wojciech Konrad; Marjanović, Goran

doi:10.1007/s11695-017-2610-0

Cited by 25 publications

(37 citation statements)

References 33 publications

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“…Furthermore, none of the patients who underwent BSG in the report by Lemmens et al had %EBWL < 50% at 4 years. Also, Fink et al reported %EBWL of 66.74% and %TBWL of 38.2% after BSG, which were significantly greater than those in the SG patients in their study. Lemmens et al explained in the study that the main effect of the ring or band in SG is satiety more than the physical restriction and slowing of the movement of food, and this mechanism causes continued restriction and triggers the ileal brake mechanism because of the fast transit of food to the small bowel.…”

Section: Discussionmentioning

confidence: 50%

Surgery in Patients with Super Obesity: Medium‐Term Follow‐Up Outcomes at a High‐Volume Center

Bhandari¹,

Leon-Ballesteros²,

Kosta³

et al. 2019

Obesity

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Objective There is a need to determine which bariatric operations are the most effective for patients with super obesity and super‐super obesity. Methods A retrospective cohort study was performed on patients with super obesity and super‐super obesity at Mohak Bariatrics and Robotics Surgery Center in Indore, India. Results Five hundred fourteen patients with super obesity and super‐super obesity had surgery at our center from January 2010 through December 2013. The baseline characteristics were different in different operations. The initial average age, weight, and BMI were 44.4 (SD 11.9) years, 145.4 (SD 24.2) kg, and 55.48 (SD 5.32) kg/m2, respectively. Sleeve gastrectomy (SG) (227 [44.2%]) was the most common procedure, followed by one‐anastomosis gastric bypass (OAGB) (124 [24.1%]), Roux‐en‐Y gastric bypass (RYGB) (102 [19.8%]), banded sleeve gastrectomy (BSG) (33 [6.4%]), and banded Roux‐en‐Y gastric bypass (BRYGB) (28 [5.4%]). After 3 years, the percentages of excess body weight loss (%EBWL) for SG, OAGB, RYGB, BSG, and BRYGB were 62.38%, 78.59%, 69.55%, 85.11%, and 75.77% (P < 0.0001), respectively. Failure to achieve BMI < 35 kg/m2 was more frequent in the group who underwent SG (67.9%), followed by RYGB (29.16%), BRYGB (22.2%), OAGB (9.87%), and none in the BSG group. Conclusions BSG, OAGB, and BRYGB have very good to excellent midterm outcomes for patients with super obesity and super‐super obesity, whereas RYGB and SG have average outcomes at 3 years. There is a need for multicenter, long‐term, and prospective studies to be performed to confirm these findings.

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Section: Discussionmentioning

confidence: 50%

Surgery in Patients with Super Obesity: Medium‐Term Follow‐Up Outcomes at a High‐Volume Center

Bhandari¹,

Leon-Ballesteros²,

Kosta³

et al. 2019

Obesity

View full text Add to dashboard Cite

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“…reported a significantly greater percentage of EWL in the LBSG group (38.22%) compared with the LSG control (32.69%). Conversely, both LBSG groups had an increased frequency of vomiting . Significant vomiting resulted in MiniMizer ring removal, approximately 8% of patients from both LBSG groups …”

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confidence: 93%

“…They found no significant difference in weight loss at 12 and 24 months. At 36 months post‐operation, Fink et al . reported a significantly greater percentage of EWL in the LBSG group (38.22%) compared with the LSG control (32.69%).…”

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confidence: 99%

“…To date, only two LBSG studies (retrospective matched‐pair analyses) using the MiniMizer ring in 67 patients have been published . They found no significant difference in weight loss at 12 and 24 months.…”

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confidence: 99%

“…There are no published guidelines on the correct ring position. Most primary LBSG studies describe band/ring position of 4–6 cm below the gastro‐oesophageal junction and some had fixation with non‐absorbable sutures. Daigle et al .…”

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confidence: 99%

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