Midterm results for gastric banding as salvage procedure for patients with weight loss failure after Roux-en-Y gastric bypass

Critical appraisal of salvage banding for weight loss failure after gastric bypass

“…The present study found that a history of open RYGB was associated with longer adhesiolysis time. The conversion rate was 3.5% (n ¼ 1) lower than that reported by Irani et al (7%) [6]. Because adhesiolysis constitutes the major part of this procedure, the large proportion of patients with previous history of open RYGB (and resulting dense adhesions) could explain differences in results between studies.…”

“…Similarly, in the study by Irani et al, one patient had an unrecognized enterotomy and subsequently underwent urgent band removal [6]. Bessler et al also reported one patient with a history of open RYGB who developed a leak soon after salvage banding and ultimately had the band removed [5].…”

“…In total, approximately 100 patients with failed RYGB treated by salvage banding have been reported with differing results with respect to postoperative weight loss and procedure-related complications [5][6][7][8][9][10]. The aim of this study was to evaluate the feasibility, safety, and outcomes of salvage AGB after RYGB therapeutic failure.…”

Complications in Bariatric Surgery

“…Failure of the RNYGBP has been reported to respond to placement of a laparoscopic band round the gastric pouch to re-impose a sense of restriction. However both these strategies are only reported in case series with limited follow up and so are only recommended on an individualized basis [42,43].…”

Revisional bariatric surgery: An update

“…[22] In selected patients with increased caloric intake or dilated gastrojejunostomy, favorable results have been described adding LAGB. [23] Other cases with anatomical gastric pouch enlargement on barium esophagograms can benefit from performing gastric pouch or gastrojejunal revision, leading to significant weight loss one year after revisionalsurgery. [24] In patients known to have low caloric intake (<1500 kcal/ day), without vitamin deficiencies or anatomical deformities, a laparoscopic lengthening of the Roux limb [25] or biliopancreatic limb in case of failed RYGB [26] will offer good additional weight loss.…”