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- Title
Banding the Sleeve Improves Weight Loss in Midterm Follow-up.
- Authors
Fink, Jodok; Hoffmann, Natalie; Kuesters, Simon; Seifert, Gabriel; Laessle, Claudia; Glatz, Torben; Hopt, Ulrich; Konrad Karcz, W.; Marjanovic, Goran
- Abstract
Introduction: Laparoscopic sleeve gastrectomy (LSG) can achieve excellent weight loss, yet sleeve dilatation with concomitant weight regain proves to be a relevant issue. Hence, additional restriction might improve results after LSG. Methods: In a retrospective matched-pair analysis, 42 patients who underwent banded LSG (BLSG) using a MiniMizer® ring between January 2012 and October 2014 were analysed regarding weight loss, complications and comorbidity. Median follow-up was 3 years. Forty-two patients who had undergone conventional LSG were selected as matched pairs. Results: Mean preoperative BMI was 54.93 ± 7.42 kg/m for BLSG and 53.46 ± 6.69 kg/m for LSG (Mann-Whitney P = 0.540). Total weight loss (%TWL) was significantly greater in the BLSG group 3 years after surgery (BLSG 38.22% ± 7.26; n = 26 vs. LSG 32.69 ± 9.47; n = 26; P = 0.0154). Ring placement had no relevant impact on new-onset reflux (Fisher's exact test P = 1.0) but a tendency towards reflux improvement when reflux pre-existed (odds ratio 1.96). The major side effect of ring implantation was regurgitation with over 44% of patients presenting with regurgitation >1 per week (Fisher's exact test P = 0.0019, odds ratio 18.07). Conclusion: BLSG is a safe procedure showing similar comorbidity to conventional LSG. However, BLSG leads to a higher rate of postoperative regurgitation. Weight loss is significantly improved 3 years after surgery. Hence, additional ring implantation might be an option for increased restriction in LSG surgery.
- Subjects
GASTRECTOMY; WEIGHT loss; COMORBIDITY; BODY mass index; AORTIC valve insufficiency
- Publication
Obesity Surgery, 2017, Vol 27, Issue 4, p1098
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-017-2610-0