News from Around the World: Lap Band Failures (Chile)

Late complications are significant, and inadequate weight loss can be as high as 46.3% after 5 years. (Ten year data is even worse!!!)Amplify’d from http://www.ncbi.nlm.nih.govSurg Endosc. 2011 Jan;25(1):292-7. Epub 2010 Jul 22.Laparoscopic adjustable gastric banding (LAGB): surgical results and 5-year follow-up.Boza C, Gamboa C, Perez G, Crovari F, Escalona A, Pimentel F, Raddatz A, Guzman … Continue reading News from Around the World: Lap Band Failures (Chile)

Failed Revision of RNY

Weight regain after Roux-en-Y gastric bypass (RYGB) is increasingly reported in the bariatric literature.!!! For RYGB patients who regained weight, laparoscopic gastrojejunal sleeve reduction does not seem to offer a major therapeutic benefit. Additional malabsorptive Roux lengthening also does not provide a significant benefit.Amplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2010 Sep 11. [Epub ahead of print]Laparoscopic "Gastrojejunal … Continue reading Failed Revision of RNY

LAGB appears to have a high incidence of complications requiring revisional surgery and/or band removal.

LAGB appears to have a high incidence of complications requiring revisional surgery and/or band removal.Amplify’d from http://www.ncbi.nlm.nih.govSurg Obes Relat Dis. 2010 Jul-Aug;6(4):391-8. Epub 2010 Jan 25.Reasons and outcomes of laparoscopic revisional surgery after laparoscopic adjustable gastric banding for morbid obesity.Patel S, Eckstein J, Acholonu E, Abu-Jaish W, Szomstein S, Rosenthal RJ.Section of Minimally Invasive Surgery, … Continue reading LAGB appears to have a high incidence of complications requiring revisional surgery and/or band removal.

Gastric Band <1/2 as Good as Gastric Bypass

Gastric Band <1/2 as Good as Gastric Bypass LAGB patients lost significantly less weight than the LRYGB patients (24.6% compared to 44.0% Excess Wt Lost LAGB reduced HOMA from 3.6 to 2.3 and LRYGB reduced HOMA from 4.4 to 1.4Amplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2009 Sep;19(9):1297-303. Epub 2009 Jul 23.The surgical treatment of type II diabetes … Continue reading Gastric Band <1/2 as Good as Gastric Bypass

More Surgeons Abandoning the Band; The Band is a “Disservice” to Morbidly Obese!

Canadian Group call the Band a "Disservice" to the Morbidly Obese and that it "cannot be justified" Amazing and strong words but consistent with Dr. Rutledge's opinion for the last 10 years.Amplify’d from clos.netStunning New Research Statement from Canadian Lap Band Group: "... Placement of a gastric band appears to be a disservice ..." "The … Continue reading More Surgeons Abandoning the Band; The Band is a “Disservice” to Morbidly Obese!

Single Incision Mini-Gastric Bypass in Italy

Single Incision Mini-Gastric Bypass in ItalyAmplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2010 Aug;20(8):1154-60.Single-incision laparoscopic gastric bypass for morbid obesity.Tacchino RM, Greco F, Matera D, Diflumeri G.Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy.AbstractBACKGROUND: Single-incision laparoscopic surgery (SILS) has been developed with the aim of reducing the invasiveness of traditional laparoscopy.METHODS: The technique of … Continue reading Single Incision Mini-Gastric Bypass in Italy

Sleeve is about 1/2 as effective as gastric bypass

Sleeve is about 1/2 as effective as gastric bypassAmplify’d from http://www.ncbi.nlm.nih.govSurgery. 2010 Oct 6. [Epub ahead of print]Inflammation, insulin resistance, lipid disturbances, anthropometrics, and metabolic syndrome in morbidly obese patients: A case control study comparing laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy.Iannelli A, Anty R, Schneck AS, Tran A, Gugenheim J.Pôle Digestif, Hôpital Archet … Continue reading Sleeve is about 1/2 as effective as gastric bypass

Billroth II Preferred Technique for Gastric Surgery

All 37 cases underwent successful laparoscopic gastrectomy. + 29 cases underwent distal gastrectomy with ** Billroth II ** reconstruction, + 8 cases total gastrectomy with ** Roux-en-Y ** reconstructionAmplify’d from http://www.ncbi.nlm.nih.govZhonghua Yi Xue Za Zhi. 2010 Feb 9;90(6):386-9.[Totally laparoscopic gastrectomy for gastric cancer] [Article in Chinese]Xu XW, Mou YP, Yan JF, Yan HJ, Xu B, … Continue reading Billroth II Preferred Technique for Gastric Surgery