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Reoperative Options After Gastric Banding

  • Mark D. Smith
  • Emma Patterson
Chapter

Abstract

Laparoscopic adjustable gastric banding has been used as a tool for weight loss since 1990 and is one of the most commonly performed bariatric operations. Despite an excellent early safety record, up to 30 % of patients who undergo laparoscopic adjustable gastric banding will not meet their weight loss goals or will develop a late band-related complication. Revision surgery may help these patients achieve further weight loss.

Prior to undertaking revision surgery, it is important to fully investigate the reasons for weight loss failure so that appropriate advice may be offered regarding further management. Surgical revision options for failed weight loss after laparoscopic adjustable gastric banding include band removal, band revision or replacement, and revision to Roux-en-Y gastric bypass, sleeve gastrectomy, or biliopancreatic diversion. Most published case series involve revision to Roux-en-Y gastric bypass, although revision to sleeve gastrectomy is a promising alternative. Both of these options result in further weight loss, albeit with a greater risk of postsurgical complications than primary surgery.

The indications, preoperative work-up, surgical revision options, and technical details of revision surgery are discussed in this chapter.

Keywords

Gastric Bypass Sleeve Gastrectomy Laparoscopic Sleeve Gastrectomy Laparoscopic Adjustable Gastric Banding Adjustable Gastric Banding 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of General SurgerySouthland HospitalInvercargillNew Zealand
  2. 2.Bariatric Surgery ProgramLegacy Good Samaritan HospitalPortlandUSA

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