Sustained Weight Loss After Gastric Banding Revision for Pouch-Related Problems

Abstract

Reoperation for pouch-related problems after LAGB is safe and effective. Weight loss is maintained after reoperation.

Bioring® gastric banding for obesity in a private South African hospital

“…This is superior to the 10% reported by Niville et al, 47 but below the 73% achieved by Dixon et al 48,49 Not one of 8 insulin dependent diabetics was able to discontinue insulin. As in other series 10,15,30,39,[50][51][52][53][54][55][56] the procedure proved to be very safe, and complications were infrequent and all low grade. We operated on 40 (11.5%) class 1 patients, all of whom had at least one comorbidity.…”

“…Although technically more demanding and less predictable than removal in relieving eating intolerance, we believe that revision should be considered if the patient's general condition is satisfactory. Beitner et al viewed revision as part and parcel of band maintenance, 56 and Niville et al were able to revise all their slipped bands without device removal. 47 It is apparent, however, that a foolproof anti-slip method (better than anterior gastro-gastric suturing) would be beneficial.…”

Dilatation of Sleeve Gastrectomy: Myth or Reality?

“…Indeed, regarding gastric banding or gastric bypass, the size of the pouch and its possible dilatation were deemed predictors of weight loss [18]. Vidal et al described a modest increase in gastric volume between 1 and 12 months after LSG (from 124.8 to 188.6 ml), without any link to %EWL from 3 to 12 months after LSG, but a significant link to a lower %EWL at 18 months [19].…”

Can the Long-Term Complications of Adjustable Gastric Banding Be Overcome? Preliminary Results of Adding Gastric Plication in Patients with Impending Gastric Band Failure

“…In fact, the weights of such patients at re-operation are falsely low due to chronic reflux, regurgitation, dysphagia, and food intolerance, which are typical symptoms of a dysfunctional band. 6 On the other hand, band-to-band revision (band repositioning or replacement) often results in secondary failure caused by the recurrence or exacerbation of gastric band-associated problems. 7,8 All of our cohort of patients except 1 (Patient 6) had shown initial meaningful weight loss with the band only.…”