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Banded bypass, sleeve and OAGB for primary and revision procedures

The number of banded bariatric procedures has risen in recent years due to its ability to prevent weight regain, compared to non-banded procedures. Bariatric News talked to Dr Mohit Bhandari - Founder, Director and Chief Surgeon at Mohak Bariatrics and Robotics, Indore, India – about his experience with banded bariatric procedures and why he now recommends these operations for primary and revisional procedures.

Why the banded bypass is the new gold standard

Despite the rise of laparoscopic sleeve gastrectomy (LSG) world over in recent years, there are concerns about the long-term effectiveness of the procedure and the number of patients presenting with gastro-oesophageal reflux disease (GERD) and weight regain in the longer term.

Preventing weight regain and the banded bypass

Although the Roux-en Y gastric laparoscopic bypass is associated with long-term weight loss, some patients will regain weight due to an enlarged pouch and/or stoma . In an interview with Bariatric News, Dr Jan Willem Greve from the Zuyderland Medical Center Heerlen and Dutch Obesity Clinic South, The Netherlands, discusses the reasons why patients experience weight regain, the advantages of a banded bypass and the benefits of using the MiniMizer Ring (Bariatric Solutions).

Minimising weight regain – the Freiburg experience

Although bariatric surgery has helped many obese patients to lose weight, a small proportion of patients does experience weight regain. There are numerous causes for this post-operative occurrence such as poor patient compliance. However, one cause that is becoming increasingly apparent is pouch (after gastric bypass) or sleeve (after a sleeve gastrectomy) dilatation.

Weight gain, hypoglycaemia and the banded-bypass

Dr Rudolf Steffen is a bariatric and metabolic surgeon at the Hirslanden Klinik Beau-Site in Bern, Switzerland, one of the leading centres in the country for bariatric and metabolic surgery. Since 2003, he has performed more than 3,000 banded bypass operations and has recently utilised the MiniMizer Ring (Bariatric Solutions) as part of his procedure. Bariatric News talked to Professor Steffen to discuss the reasons why patients experience weight regain, the benefits of the banded-bypass and the advantages of the MiniMizer Ring.

The advantages of MGB, Diverted-MGB and banded-MGB

The popularity of mini gastric bypass (MGB) has increased in recent years as a simpler, yet safe and effective alternative to roux en y gastric bypass (RYGB). Bariatric News talked to Dr Rui Ribeiro from the Centro Hospitalar de Lisboa Central, Portugal, about the benefits of MGB, Diverted-MGB and banded-MGB…

BANDOLERA to assess banded vs non-banded bypass

Researchers from the Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands, have revealed that they are currently recruiting patients for a randomised clinical trial that will assess banded vs non-banded bypass to try and ascertain whether a banded bypass does result in less weight regain compared to the non-banded procedure. Bariatric News talked to principal investigator of the trial, Dr Frits Berends about the aims of the study…

Minimising weight regain – the Freiburg experience

Although bariatric surgery has helped many obese patients to lose weight, a small proportion of patients does experience weight regain. There are numerous causes for this post-operative occurrence such as poor patient compliance. However, one cause that is becoming increasingly apparent is pouch (after gastric bypass) or sleeve (after a sleeve gastrectomy) dilatation.

Banding the sleeve to prevent weight regain

Laparoscopic sleeve gastrectomy is a safe and effective procedure that results in weight loss and improvements in comorbidities. Nevertheless, some patients do present with insufficient weight loss or weight regain once the initial impact and effectiveness of their LSG procedure has subsided. Professor Konrad Karcz, University of Lübeck, Germany, believes one solution to prevent failure is to employ the MiniMizer Ring (Bariatric Solutions).

The PinkyTrigger: a re-useable retrogastric dissector

In March 2012, Bariatric Solutions introduced a re-useable retrogastric dissector for single hand tissue tunnelling during bariatric procedures. Called the PinkyTrigger, the laparoscopic 5mm instrument is easy to use and incorporates a dynamic lever facilitating the curve the tip of the instrument to a maximum angle of 130° in an uninterrupted fashion. 

Bariatric News spoke to Dr Paul Super, Birmingham, UK, who has performed over 200 laparoscopic gastric band procedures with the PinkyTigger, to discuss the benefits of using the device.

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