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Revisional Surgery: Gastric Banding Failure

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Minimally Invasive Bariatric and Metabolic Surgery

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Abstract

The adjustable band procedure may fail for different reasons, including surgical complications such as band erosion and band slippage, medical complications such as gastro-esophageal reflux and esophageal dysmotility, and, most importantly, weight issues such as insufficient weight loss and weight regain. Band failure implies ablation of the band and conversion into another procedure, which can be performed immediately at band ablation, or after a lag time of several months. The most commonly used laparoscopic revisional procedures are the Roux-en-Y gastric bypass (RYGB), the laproscopic sleeve gastrectomy (LSG), and the malabsorptive procedures such as biliopancreatic diversion (BPD) and duodenal switch (DS). The choice of procedure depends on surgeon’s preference, but should as well take into account the reason for the failure. The technique of the surgical conversion procedure is a critical element to avoid postoperative complications. Besides the surgical aspect, patient education plays a significant role in obtaining a successful outcome of the corrective procedure after band failure.

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Author information

Authors and Affiliations

  1. The European School of Laparoscopy, St Pierre University Hospital, Brussels, Belgium

    Jacques M. Himpens MD, PhD

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  1. Jacques M. Himpens MD, PhD
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Correspondence to Jacques M. Himpens MD, PhD .

Editor information

Editors and Affiliations

  1. General and Emergency Surgery, Bariatric Surgery, Careggi University Hospital, Florence, Italy

    Marcello Lucchese

  2. Department of Surgery, Medical School, University of Genoa, Genoa, Italy

    Nicola Scopinaro

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Himpens, J.M. (2015). Revisional Surgery: Gastric Banding Failure. In: Lucchese, M., Scopinaro, N. (eds) Minimally Invasive Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-15356-8_22

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  • DOI: https://doi.org/10.1007/978-3-319-15356-8_22

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15355-1

  • Online ISBN: 978-3-319-15356-8

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