3 Months Later: Failed LapBand Patient Converted to MGB

[DrRRutledge]

Stunning New Research: "Placement of a gastric band appears to be a disservice"

"The placement of a gastric band appears to be a disservice to many morbidly obese patients and therefore, in the current culture of evidence based medicine, the prevalent use of laparoscopic gastric banding can no longer be justified. " Dr. Guller from Toronto, Canada. Furthermore, they state: "There is mounting and convincing evidence that gastric banding is suboptimal at best. "

[DrRRutledge]

Stunning New Research: "Placement of a gastric band appears to be a disservice"

"The placement of a gastric band appears to be a disservice to many morbidly obese patients and therefore, in the current culture of evidence based medicine, the prevalent use of laparoscopic gastric banding can no longer be justified. " Dr. Guller from Toronto, Canada. Furthermore, they state: "There is mounting and convincing evidence that gastric banding is suboptimal at best. "

[hazen066]

Surgery. 2002 Jun;131(6):625 Lap-band failure conversion to gastric bypass Medical College of Virginia Study patients who had failed LapBand converted to a gastric bypass. 50% of LapBand have been removed. Median time to conversion after LapBand was 38 months. The LapBand is associated with a high frequency of inadequate weight loss. Conversion to gastric bypass in this subset of patients is technically challenging but results in superior weight loss in a shorter time period.

[hazen066]

Surgery. 2002 Jun;131(6):625 Lap-band failure conversion to gastric bypass Medical College of Virginia Study patients who had failed LapBand converted to a gastric bypass. 50% of LapBand have been removed. Median time to conversion after LapBand was 38 months. The LapBand is associated with a high frequency of inadequate weight loss. Conversion to gastric bypass in this subset of patients is technically challenging but results in superior weight loss in a shorter time period.

[DrRRutledge]

Obes Surg. 2006 Feb Revision of failed lap band to gastric bypass. van Wageningen B et al, The most common bariatric surgical operation in Europe, lapband, has a high incidence of long-term complications and insufficient weight loss. We investigated 47 revisions to gastric bypass (GBP). The GBP, mean operating time was 3 hr and hospital stay was 7 days. Complications occurred in 17%. CONCLUSION: Conversion of LapBand to GBP is needed to treat complications of LapBand.

[DrRRutledge]

Obes Surg. 2004 Nov, Laparoscopic conversion of lap band to gastric bypass: a review of 70 patients. Paris, France. Results of conversion of failed lap band to gastric bypass (GBP). 70 pts converted for: insufficient weight loss, gastric pouch dilatation, band migration or band intolerance. 4.3% converted to open surgery. Mean operative time was 4 hrs. Hospital stay 7 days! Early complication rate was 14%. Laparoscopic conversion of LapBand to GBP is a technically challenging procedure

[DrRRutledge]

Surg Endosc. 2007 Aug;21 1388 Lap revision from LapBand to gastric bypass. Houston, TX LapBand experience complications or fail to lose sufficient weight after the banding procedure. Study outcome of gastric bypass (GBP) revision surgery after a FAILED LapBand. Revision 28 months after banding. BMI before the LapBand 45 the BMI at revision was 43!!! Conversion from LapBand to GBP is needed for FAILED LapBand. Revision surgery is technically challenging

[DrRRutledge]

Surgery. 2002 Jun;131(6):625 Lap-band failure conversion to gastric bypass Medical College of Virginia Study patients who had failed LapBand converted to a gastric bypass. 50% of LapBand have been removed. Median time to conversion after LapBand was 38 months. The LapBand is associated with a high frequency of inadequate weight loss. Conversion to gastric bypass in this subset of patients is technically challenging but results in superior weight loss in a shorter time period.

[DrRRutledge]

Poll Results FROM Web: "Lap Band Talk Forum": How is your band? Fine, no complications so far 73% Removed NOT erosion/slip 2% Slipped but unfill repaired it 2% Slipped, I was rebanded 5% Slipped, removed, no new band 3% Slipped, revised to bypass, ETC 2% Eroded, unfill repaired it 1% Eroded, removed, no revision 4% Eroded, revised to bypass, ETC 1% 1 year + band isn't working 7%

[VANVALIS]

Good news. Sleep is very important to me.