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Reoperative Options After Gastric Banding

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Abstract

Laparoscopic adjustable gastric banding (AGB) was a popular bariatric surgery option since FDA approval in 2001 until about 2008 when the laparoscopic sleeve gastrectomy emerged and joined the Roux-en-Y gastric bypass as the most popular procedures of choice for primary bariatric surgery. With a longer follow-up on banding patients, the number of band removals and of revisional surgeries has been increasing in the last decade. The choice of bariatric revision procedure and the option to have a one- or two-stage approach with band removal and the definitive bariatric procedure may vary. Intraoperatively, it is important to ensure the fundoplication is taken down completely and, when feasible, to incise and partially remove the band capsule to minimize tissue thickness for stapling. Most studies, though retrospective in nature, do not show significant differences in complications when converting an AGB to sleeve or RYGB although the latter results in greater weight loss than that of the LSG. Other revision options, namely, the one anastomosis gastric bypass and stomach intestinal pylorus-sparing revision and biliopancreatic diversion with or without duodenal switch may also have a role but are considered investigational by the ASMBS in the USA.

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Authors and Affiliations

  1. Department of Surgery, NYU School of Medicine, New York, NY, USA

    Zeyad Loubnan & Marina Kurian

  2. Bariatric Surgery, Bellevue Hospital Center, NYU Langone Medical Center, New York, NY, USA

    Manish Parikh

Authors
  1. Zeyad Loubnan
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  3. Marina Kurian
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Editor information

Editors and Affiliations

  1. Department of Surgery, Division of Gastrointestinal Surgery, University of California, Irvine Medical Center, Orange, CA, USA

    Ninh T. Nguyen

  2. Department of Surgery, The Ohio State University, Columbus, OH, USA

    Stacy A. Brethauer

  3. Bariatric and Minimally Invasive Surgery Division, Yale School of Medicine, New Haven, CT, USA

    John M. Morton

  4. Bariatric Surgery, Metabolic and Bariatric Care, CHI Memorial Hospital, Chattanooga, TN, USA

    Jaime Ponce

  5. Department of General Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USA

    Raul J. Rosenthal

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Loubnan, Z., Parikh, M., Kurian, M. (2020). Reoperative Options After Gastric Banding. In: Nguyen, N., Brethauer, S., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27021-6_25

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  • DOI: https://doi.org/10.1007/978-3-030-27021-6_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27020-9

  • Online ISBN: 978-3-030-27021-6

  • eBook Packages: MedicineMedicine (R0)

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