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GaBP Ring

Fobi "convinced" ring would benefit all bypass patients

Dr Fobi believes that all gastric bypass patients would likely benefit from the GaBP Band
MAL Fobi believes benefits of procedure outweigh added costs and new complications

MAL Fobi, inventor of the GaBP Ring, is “convinced” that the banded gastric bypass is the best bypass operation in terms of long-term weight loss.

Fobi spoke to Bariatric News following the presentation of data by Konrad Karcz at IFSO 2012, which demonstrated that using a GaBP Ring to control the reservoir size in a gastric bypass resulted in significantly improved weight loss.

Noting that Karcz’s findings confirms comparative series by Awad and Lemmens which found similar benefits to the procedure, Fobi said he believed that he “definitely” endorsed using a ring on all bypass patients, saying “there are obviously patients who may do well without the Ring, but at this time we do not know how to select the patients who do not need one.”

Karcz’s study highlighted some possible issues with the procedure. While the banded bypass resulted in fewer overall complications than the conventional Roux-en-Y bypass, they were of a different, and potentially more severe, nature. Fewer malnutrition-related complications were offset by a number of new complications related to the introduction of the ring, including ruptured rings

Fobi said that while there are complications unique to placing a ring around the gastric bypass, the benefits outweighed the costs, adding that the improved outcomes using the device also justified the extra financial burden. The device increases the cost of the operation by around £400 ($640).

The GaBP Ring was also designed by its inventor to improve the laparoscopic sleeve gastrectomy, and Fobi says that there are multiple trials in progress to investigate its safety and efficacy. 

He, however is already convinced. “I have also come to the conclusion that banding the sleeve gastrectomy will enhance its restrictive effect without having to make such a narrow sleeve with the increased morbidity of leaks, strictures and reflux,” he said. “The initial results thus far collaborate the enhancement of this restrictive effect that will make the sleeve gastrectomy a stand-alone operation in a significant number of patients.

The device has received a CE Mark, and is pending FDA approval in early 2013. Fobi envisages novel uses for the device in the future, including for the revision of gastric bypass with documented dilated reservoirs.

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