Laparoscopic Re-operations for Band Removal after Open Banded Gastric Bypass

Author: Taddeucci Raymond J.   Madan Atul K.   Ternovits Craig A.   Tichansky David S.  

Publisher: Springer Publishing Company

ISSN: 1708-0428

Source: Obesity Surgery, Vol.17, Iss.1, 2007-01, pp. : 35-38

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Abstract

Background: Roux-en-Y gastric bypass (RYGBP) has been demonstrated to be an effective treatment for weight loss in the morbidly obese. Numerous variations of the RYGBP have been performed, including placing a ring proximal to the gastric outlet. This ring in RYGBP is intended to decrease pouch dilation and limit weight regain. We reviewed our experience in laparoscopic re-operation after open banded RYGBP.Methods: All charts of patients who underwent laparoscopic revisional bariatric surgery were reviewed. Patients who had laparoscopic removal of the band following the open banded RYGBP were reviewed in this study.Results: There were 4 patients who had laparoscopic removal of the band. The indication in all patients was dysphagia and emesis. The ring removed was a silicone band (1) and a large braided non-absorbable suture (3). After the laparoscopic reoperation, there was immediate relief. There has been an average of 5.8 kg weight regain at average follow-up of 30 months.Conclusions: This complication after open banded RYGBP may require operative intervention. Laparoscopic removal of a band is feasible and safe.