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.

IFSO’15 to host weight regain prevention strategies session

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.

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).

Banded procedures help to prevent weight regain

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.

Banded bypass reduces long-term weight regain

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.