Banding the bypass - a redo procedure

Performing a banded bypass as a primary procedure has grown in popularity as surgeons loom for ways to prevent weight regain in patients. However, the banded bypass is also performed as a redo procedure in many centres. Bariatric News talks to Dr Jody Valk, Department of General Surgery, ZNA Stuivenberg Hospital, Antwerp, Belgium, who discusses why his centre utilise a band to help patients loose regained weight.

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).

Low cost, low risk procedure aids weight loss

A recent paper, ‘Banded Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity’, published in Surgery for Obesity and Related Diseases (SOARD), concluded that the banded bypass procedure is safe and may provide better weight loss in super-obese patients. Bariatric News talked to one of the study’s authors, Dr Philip Schauer (Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH), about the study and benefits of the procedure…

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.

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.

Outcomes from 1,000 LSGs reveals low complication rate

Robotic laparoscopic sleeve gastrectomy (LSG) results in the resolution of type 2 diabetes, a reduction in hypertension, and carries a low risk of complications, according to Professor Ralf Konstantin Senner, Lindberg Hospital/GSMN,Winterthur, Switzerland.

“The euphoria regarding gastric banding ended in 2005 and sleeve gastrectomy was a new option,” said Senner. “Many bariatric surgeons were skeptical about the procedure and about the results. However, we learned with every new patient and each new surgery, our experience increased.

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.

Researchers produce proteins that reduce excess levels of triglycerides

Researchers Mark Castleberry, a doctoral student, and professor Sean Davidson, both in the UC College of Medicine, have found a way to produce Apolipoprotein A5 (APOA 5) protein in the laboratory. It plays an important role in metabolising and clearing excess levels of triglycerides from the bloodstream. Their findings, ‘Functional recombinant apolipoprotein A5 that is stable at high concentrations at physiological pH’, were published in the Journal of Lipid Research.

Negative attitudes around weight gain are pervasive in the NHS

The UK's National Health Service (NHS) needs to do more to address the ingrained stigma and discrimination faced by people with obesity, according to Dr Stuart Flint, Associate Professor in the Psychology of Obesity at the University of Leeds, who believes that negative attitudes around weight gain are pervasive in the NHS and they can affect the way patients are treated.

Bariatric surgery reduces CRC risk in patients with obesity

Bariatric surgery significantly reduces colorectal cancer (CRC) risk in patients with obesity to the extent that they share the same risk of colorectal cancer as the general population, according to researchers from Université Côte d’Azur, Nice, France. However, for patients with obesity who do not undergo bariatric surgery, the risk is 34% above that of the general population.