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.
A unique, new website focused on the benefits of banded gastric bypass has been launched, bandedgastricbypass.org. The innovative website - made by surgeons for surgeons - presents a comprehensive overview of peer-reviewed, evidenced-based papers that discuss the advantages of banded gastric bypass compared with standard gastric bypass.
Despite the success of bariatric surgery in assisting patients to achieve adequate weight loss, approximately 20 percent of patients experience weight regain following surgery. With this in mind, at this year’s 20th IFSO World Congress to be held at the Hofburg Imperial Palace in Vienna, Austria, from August 26th – 29th, Bariatric Solutions is pleased to announce that it will sponsor a session “Banded vs. non Banded Procedures,” which will highlight some of the surgical strategies that can help 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).
Bariatric News talked to Professor Rudolph Weiner, Head of the Department of Surgery of the Frankfurt Sachsenhausen Hospital, Frankfurt, Germany, who discussed the growing trend of using a ring in gastric bypass and sleeve gastrectomy procedures. He cited the example of a sleeve gastrectomy where the antrum region of the stomach, before the pylorus, can become dilated and as a result the capacity of the sleeve increases.
Roux-en Y gastric laparoscopic bypass is associated with longterm weight loss, as well as reducing the rates of diabetes remission and lowering the risk of cardiovascular and other health outcomes1. Nevertheless, in some patients, the bypass will fail leading to patients regain weight.
It is clear by now that after five years the standard Roux en Y bypass is faced with a considerable amount of re-operations due to weight regain. This can result in up to 30 to even 50% of the initial patients requiring revisional surgery. The main reason for the weight regain is the dilatation of the gastric pouch, eventually accompanied by dilatation of the anastomosis and/or small bowel.