Failed LapBand Pt Converted to the Mini-Gastric Bypass

[DrRRutledge]

Stunning New Research Statement from Canadian Lap Band Group: "Placement of a gastric band appears to be a disservice"

"The placement of a gastric band appears to be a disservice to morbidly obese patients and therefore, use of laparoscopic gastric banding can no longer be justified. " Dr.'s Guller et al from Toronto, Department of Surgery, Ontario, Canada.

[hazen066]

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

[eprclos]

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