Skip to main content
Key Specialties
Anesthesiology Cardiology Dermatology Diabetology Endocrinology Gastroenterology and Hepatology General Medicine Geriatrics Hematology Infectious Diseases Internal Medicine Nephrology Neurology Obstetrics and Gynecology Oncology Ophthalmology Pediatrics Psychiatry Radiology Respiratory Medicine Rheumatology Surgery Urology
Congress Coverage
ASH 2024 Annual Meeting 2024 ESMO Congress 2024 ERS Congress 2024 EASD Congress 2024 ESC Congress 2024 EAN Congress 2024 ASCO Annual Meeting 2024 ACC Congress
Clinical Collections
Women’s Health Knowledge Hub Advances in Alzheimer’s
Video

Keynote series | Spotlight on managing health in obesity

Obesity is a major contributor to cardiorenal metabolic disease, but its impact extends throughout the body. Understand how obesity can affect other organ systems and impact treatment, and whether weight-loss measures improve outcomes.

Launching: Thursday 24th April 2025
 
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in:

17-06-2024 | Silicone | Original Contributions

Long-term Comparative Evaluation of Weight Loss and Complications of Banded and Non-banded Roux-en-Y Gastric Bypass

Authors: Emmanuel V. B. Ferreira, Gabriele T. Queiroz, Ana-Luisa C. Corrêa, Guilherme L. Annelli, Gabriel R. Ribeiro, Wilson Salgado Jr.

Published in: Obesity Surgery | Issue 8/2024

Login to get access

Abstract

Purpose

The use of a nonadjustable silicone band around the gastric pouch of Roux-en-Y gastric bypass (RYGB) to reduce the recurrence of obesity is still being debated in the literature. The primary objective of this study was to evaluate banded and non-banded RYGB regarding % total weight loss (%TWL) and complications up to 10 years postoperatively and regarding the removal rate of the silicone band.

Material and Methods

A retrospective study of the medical records of all patients submitted to banded and non-banded RYGB between 2000 and 2020 was conducted. Clinical data (age, gender, weight, body mass index—BMI, comorbidities, %TWL, and the prevalence of vomiting) and laboratory data (hemoglobin, serum iron, albumin, and vitamin B12) were obtained preoperatively and at 6 months, 1, 2, 3, 5, 7, and 10 years for both groups and at 12, 15, and 20 years after banded RYGB.

Results

In total, 858 patients underwent RYGB: 409 underwent banded RYGB and 449 underwent non-banded RYGB. In the preoperative period, banded RYGB patients were heavier and had higher rates of hypertension and dyslipidemia. The %TWL was higher in the banded RYGB group up to 7 years. The prevalence of vomiting is much higher in this group, which also had lower laboratory test values. Of the banded RYGB patients, 9.53% had to have the silicone ring removed after presenting complications.

Conclusion

Banded RYGB promotes significantly higher rates of TWL at the expense of a higher frequency of food intolerance and vomiting.

Graphical Abstract

Literature
1.
Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes: 5-year outcomes. N Engl J Med. 2017;376:641–51.CrossRefPubMedPubMedCentral
2.
Lee JH, Nguyen QN, Le QA. Comparative effectiveness of 3 bariatric surgery procedures: Roux-en-Y gastric bypass, laparoscopic adjustable gastric band, and sleeve gastrectomy. Surg Obes Relat Dis. 2016;12(5):997–1002.CrossRefPubMed
3.
Casillas RA, Kim B, Fischer H, et al. Comparative effectiveness of sleeve gastrectomy versus Roux-en-Y gastric bypass for weight loss and safety outcomes in older adults. Surg Obes Relat Dis. 2017;13(9):1476–83.CrossRefPubMed
4.
Capella RF, Capella JF, Mandec H, et al. Vertical banded gastroplasty-gastric bypass: preliminary report. Obes Surg. 1991;1(4):389–95.CrossRefPubMed
5.
Shoar S, Khorgami Z, Brethauer SA, et al. Banded versus nonbanded Roux-en-Y gastric bypass: a systematic review and meta-analysis of randomized controlled trials. Surg Obes Relat Dis. 2019;15(5):688–95.CrossRefPubMed
6.
Reis GMF, Malheiros CA, Savassi-Rocha PR, et al. Gastric emptying and food tolerance following banded and non-banded Roux-en-Y gastric bypass. Obes Surg. 2019;29(2):560–8.CrossRef
7.
Skidmore A, Holt J. Weight loss and complications of the banded Roux-en-Y gastric bypass: lessons learned from a prospective case control study. Surg Endos. 2022;36:7516–20.CrossRef
8.
Bhandari M, Bhandari S, Mishra A, et al. Comparison between banded and nonbanded Roux-en-Y gastric bypass with 2-year follow-up: a preliminary retrospective analysis. Obes Surg. 2016;26(1):213–8.CrossRefPubMed
9.
Magouliotis DE, Tasiopoulou VS, Svokos KA, et al. Banded vs. non-banded Roux-en-Y gastric bypass for morbid obesity: a systematic review and meta-analysis. Clin Obes. 2018;8(6):424–33.CrossRefPubMed
10.
Buchwald H, Buchwald JN, McGlennon TW. Systematic review and meta-analysis of medium-term outcomes after banded Roux-en-Y gastric bypass. Obes Surg. 2014;24(9):1536–51.CrossRefPubMed
11.
Jense MTF, Palm-Meinders IH, Sigterman-Nelissen R, et al. The benefits of banded over non-banded Roux-en-Y gastric bypass in patients with morbid obesity: a multi-center study. Obes Surg. 2022;32:1856–63.CrossRefPubMedPubMedCentral
12.
Lemmens L. Banded gastric bypass: better long-term results? A cohort study with minimum 5-year follow-up. Obes Surg. 2017;27(4):864–72.CrossRefPubMed
13.
Bessler M, Daud A, Kim T, et al. Prospective randomised trial of banded versus nonbanded gastric bypass for the super obese: early results. Surg Obes Relat Dis. 2007;3(4):480–4.CrossRefPubMed
14.
Moon RC, Frommelt A, Teixeira AF, et al. Comparison of banded versus non-banded Roux-en-Y gastric bypass: a series of 1150 patients at a single institution. Obes Surg. 2018;28(1):212–7.CrossRefPubMed
15.
Lemmens L, Karcz WK, Bukhari W, et al. Banded gastric bypass - four years follow up in a prospective multicenter analysis. BMCSurg. 2014;14:88.
16.
O’Brien P. Is weight loss more successful after gastric bypass than gastric banding for obese patients? Nat Clin Pract Gastroenerol Hepatol. 2009;6(3):136–7.
17.
Magro DO, Ueno M, Coelho-Neto JS, et al. Long-term weight loss outcomes after banded Roux-en-Y gastric bypass: a prospective 10-year follow-up study. Surg Obes Relat Dis. 2018;14(7):910–7.CrossRefPubMed
18.
Heneghan HM, Annaberdyev S, Eldar S, et al. Banded Roux-en-Y gastric bypass for the treatment of morbid obesity. Surg Obes Relat Dis. 2014;10(2):210–6.CrossRefPubMed
19.
Awad W, Garay A, Martinez C. Ten years experience of banded gastric bypass: does it make a difference? Obes Surg. 2012;22(2):271–8.CrossRefPubMed
20.
Mahawar KK, Parikh C, Carr WR, et al. Primary banded Roux-en-Y gastric bypass: a systematic review. Obes Surg. 2014;24(10):1771–92.CrossRefPubMed
21.
Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219–34.CrossRefPubMed
22.
Gobato RC, Cazzo E, Baltieri L, et al. Food intolerance 1 year after banded Roux-en-Y gastric bypass. Obes Surg. 2019;29(2):485–91.CrossRefPubMed
Metadata
Title
Long-term Comparative Evaluation of Weight Loss and Complications of Banded and Non-banded Roux-en-Y Gastric Bypass
Authors
Emmanuel V. B. Ferreira
Gabriele T. Queiroz
Ana-Luisa C. Corrêa
Guilherme L. Annelli
Gabriel R. Ribeiro
Wilson Salgado Jr.
Publication date
17-06-2024
Publisher
Springer US
Published in
Obesity Surgery / Issue 8/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-024-07354-7

Other articles of this Issue 8/2024

The Critical Role of Fixation Techniques in Preventing Sleeve Migration

Laparoscopic Management of Gastrocolic Fistula in a Patient with a History of an Unusual Loop Gastric Bypass—a Video Vignette

Optimizing Hospital Performance Evaluation in Total Weight Loss Outcomes After Bariatric Surgery: A Retrospective Analysis to Guide Further Improvement in Dutch Hospitals

Correspondence: Revisional One-Step Bariatric Surgical Techniques After Unsuccessful Laparoscopic Gastric Band: A Retrospective Cohort Study with 2-Year Follow-Up

  • Letter to the Editor

Paired Editorial: Impact of Recurrent Weight Gain on Comorbid Conditions Post Laparoscopic Sleeve Gastrectomy

Laparoscopic-Assisted ERCP in Gastric Bypass Patients—No Stones Left Unturned: A Single Center Retrospective Cohort Study

SPONSORED

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Severe pain is the most common symptom of chronic pancreatitis. In this webinar, experts share the latest insights in pain management for chronic pancreatitis patients. Experts from a range of disciplines discuss pertinent cases and provide practical suggestions for use within clinical practice.

Sponsored by:
  • Viatris
Developed by: Springer Healthcare
Watch now
Video
Image Credits