Combination of laparoscopic adjustable gastric banding and gastric bypass: current situation and future prospects -- routine use not advised

J.W.M. Greve*, F. Furbetta, G. Lesti, R.A. Weiner, J.M. Zimmerman, L. Angrisani

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Combination of laparoscopic adjustable gastric banding and gastric bypass: current situation and future prospects -- routine use not advised.

Greve JW, Furbetta F, Lesti G, Weiner RA, Zimmerman JM, Angrisani L.

Department of Surgery, University Hospital Maastricht, The Netherlands. j.greve@ah.unimaas.nl

Although bariatric surgery has proven to be the most effective treatment for morbid obesity, most surgical techniques do have failures. In an effort to improve the reliability, several surgeons started to use a combination of a laparoscopic gastric bypass with an adjustable gastric band. Because of concerns regarding a possible negative outcome, an expert meeting was organized to evaluate the current situation and future application. In total, 104 operations were reported,with several technical variations. The overall complication rate was acceptable, but the percentage of the band erosions was 6.7%, which is too high. The potential advantages (adjustability, maintained access to the stomach and biliary tree, and reversibility) do not compensate for this complication rate. Based on the results and the opinion of the surgeons experienced in this technique, it is concluded that the combination of gastric bypass with an adjustable gastric band to form the pouch is not recommended
Original languageEnglish
Pages (from-to)683-689
Number of pages6
JournalObesity Surgery
Volume14
Issue number5
DOIs
Publication statusPublished - 1 Jan 2004

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