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MiniMIzer Ring

Maintaining long-term restriction prevents long-term weight regain

Restriction is one of the key elements for successful long-term outcomes from laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y Gastric Bypass (RYGB). However, due to pouch dilation this restriction can be lost overtime. Bariatric News talked to Paolo Gentileschi, Professor of Surgery and Director of the Obesity Unit at the University of Rome Tor Vergata, about how to maintain long-term restriction and prevent weight regain.

Increasing access to surgery and preventing post-op weight regain

In a wide-ranging interview, Bariatric News talked to Mr Shaw Somers, upper gastrointestinal and bariatric (metabolic) Consultant Surgeon with Streamline Surgical and President of the British Obesity & Metabolic Surgery Society (BOMSS), about the lack of access to surgery, the need to educate people on the causes of obesity and how to treat post-operative weight regain.

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.

Greater weight loss at five years for Banded-LSG vs. non-banded-LSG

Five year outcomes from a single-centre study comparing banded laparoscopic sleeve gastrectomy (BLSG) with non-banded laparoscopic sleeve gastrectomy (NLSG) has found that BLSG was more effective in reducing and maintaining weight – with more than 97% of the patients in the BLSG group reporting no weight regain at all, compared to the NLSG group, where only 80% of the patients had no weight regain.

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.

Banded sleeve gastrectomy vs sleeve gastrectomy

Later this year, researchers in Australia will publish the first data from a study that is comparing sleeve gastrectomy vs sleeve gastrectomy with a MiniMizer Ring (Bariatric Solutions) in 400 obese patients. Bariatric News talked to the lead investigator, Dr Chris Couch from the Perth Obesity Surgery clinic, about the causes of weight regain after surgery and the aims of the study.

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…

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