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Published in: Surgical Endoscopy 11/2007

01-11-2007

Gastric banding: Conversion to sleeve, bypass, or DS

Authors: Michel Gagner, Andrew A. Gumbs

Published in: Surgical Endoscopy | Issue 11/2007

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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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Metadata
Title
Gastric banding: Conversion to sleeve, bypass, or DS
Authors
Michel Gagner
Andrew A. Gumbs
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 11/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-007-9539-7

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