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Gastric banding: Conversion to sleeve, bypass, or DS

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Abstract

A review of conversions of gastric banding for obesity to Roux-en-Y gastric bypass, gastric sleeve, or duodenal switch attempts to determine which revisional procedure best enhances weight loss. Indications for these conversions are multiple and include hardware problems, motility problems, and miscellaneous like inadequate weight loss. Analysis of band conversions to band of 193 patients, and bands to gastric bypass in 214 patients reveals better weight loss with the latter strategy. Smaller cohorts of patients who underwent a biliopancreatic diversion or simply a sleeve gastrectomy are too small to conclude on their efficacy. Prospective randomized trials are needed to determine which revisional procedure is best in the setting of inadequate weight loss of excessive weight regain after gastric adjustable banding for severe obesity.

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Authors and Affiliations

  1. Division of Laparoscopic and Bariatric Surgery, New York Presbyterian Hospital, 525 East 68th Street, New York, NY, 10021, USA

    Michel Gagner & Andrew A. Gumbs

  2. Department of Surgery, Weill–Cornell College of Medicine, 525 East 68th Street, New York, NY, 10021, USA

    Michel Gagner & Andrew A. Gumbs

  3. Department of Surgery Division of Laparoscopic and Bariatric Surgery, Joan and Sanford I. Weill Medical College of Cornell University, 525, East 68 Street, PO Box 294, New York, NY, 10021, USA

    Michel Gagner

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  1. Michel Gagner
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  2. Andrew A. Gumbs
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Correspondence to Michel Gagner.

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Gagner, M., Gumbs, A.A. Gastric banding: Conversion to sleeve, bypass, or DS. Surg Endosc 21, 1931–1935 (2007). https://doi.org/10.1007/s00464-007-9539-7

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  • DOI: https://doi.org/10.1007/s00464-007-9539-7

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