Woman on Medical Scale

Study Examines Outcomes After Gastric Band Removal

Woman Weighing on Medical ScalePatients who have had their gastric band removed are guaranteed to suffer from weight regain without an additional bariatric procedure, according to conclusions of a recently released study.

Laparoscopic adjustable gastric banding (LAGB) is one of the most popular weight loss procedures performed worldwide. It involves fitting an adjustable band around the top of the stomach to restrict eating and control hunger.

The gastric band is meant to be a long-term implant, but in some patients the band needs to be removed. Band removal occurs for multiple reasons, including poor results, diet intolerance, or device-related complications.


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REALIZE Adjustable Gastric Band-C

Weight Loss and Adverse Events of REALIZE Adjustable Gastric Band-C at 2 Years

REALIZE Adjustable Gastric Band-CThe REALIZE Adjustable Gastric Band-C appears to be as safe and effective as the first generation REALIZE Band for weight loss, according to results of the first multi-institutional study in a United States population of the newest version of the REALIZE Band.

Launched in 2008, the REALIZE Band-C features the same clinically proven soft, low-pressure balloon system as the original REALIZE Band, but with a streamlined pre-curved design for easier placement and an expanded adjustment range that can accommodate larger patients.

After analyzing study patient outcomes during the first 24 months after surgery, researchers concluded that significant weight loss is achievable with the REALIZE Band-C and that the low rate of adverse events reflect positively on the REALIZE Band-C characteristics.


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Body Weight Scale

Sleeve Gastrectomy Compares Favorably to Bypass and Band

Body Weight ScaleA study presented at the 29th Annual Meeting of the American Society for Metabolic & Bariatric Surgery (ASMBS) shows that sleeve gastrectomy, a newer type of bariatric surgery that reduces the size of the stomach by 60 to 80 percent, compares favorably to gastric bypass and adjustable gastric banding for complications and weight loss.

While study findings support sleeve gastrectomy as a safe and effective option for a primary bariatric procedure, the purpose of the study was to assist the Centers for Medicare and Medicaid Services (CMS) in their determination of coverage regarding sleeve gastrectomy by providing comparative evidence regarding bariatric surgery.

We will soon find out if the data is sufficient to convince CMS to provide coverage, as their final decision is expected at the end of the week.


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Body Fat Calipers

Effects of Rapid vs Gradual Weight Loss after Bariatric Surgery

Body Fat CalipersA new study sheds light on the effects of rapid weight loss versus more gradual weight loss after bariatric surgery. Study results showed that gastric bypass patients experienced a faster and greater overall weight loss compared to gastric banding patients, but at a greater loss in lean body mass and basal metabolic rate.

While the gastric banding patients lost weight at a slower rate, they maintained more muscle mass and preserved a greater degree of basal metabolic rate. Researchers suggest that this difference in body composition may improve the ability of gastric banding patients to maintain the weight loss over time.


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International Congress of Endocrinology

Diabetes Improved Regardless of Procedure for Weight Loss Surgery

Bariatric Surgery vs Medical Therapy for Type 2 DiabetesGastric bypass surgery is no better at treating diabetes than gastric banding or vertical banded gastroplasty, according to researchers of a large ongoing study known as the ‘Swedish Obese Subjects’ study.

The new research, which was presented at the International Congress of Endocrinology/European Congress of Endocrinology in Florence, Italy on May 7, 2012, showed that there was no benefit of one bariatric procedure over another with respect to improvement in diabetes.

The study found that the improvements to diabetes in weight loss surgery patients was more likely associated with the degree of weight loss rather than the type of weight loss surgery.


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Revisional Bariatric Surgery After Gastric Band

Enhance Weight Loss After Failed Gastric Banding

Revisional Bariatric Surgery After Gastric BandWhile the majority of laparoscopic adjustable gastric banding (LAGB) patients enjoy positive outcomes and successful weight loss, for some, the results are not so fortunate. It is estimated that 20-30% of all gastric band cases require revisional bariatric surgery due to complications or inadequate weight loss.

Revisional surgery following LAGB can take several forms, but the general aim of each of the follow-up operations is the same – to correct the problems caused by the original procedure and/or accomplish satisfactory weight loss.

The most common revisional surgery options following a failed LAGB include laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y gastric bypass, and laparoscopic biliopancreatic diversion with duodenal switch. But which surgical option is the best?


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Bariatric Surgery Diet and Quality of Eating

Quality of Eating Best After Gastric Sleeve

Bariatric Surgery Diet and Quality of EatingA recent study found that food tolerance and gastrointestinal quality of life was best after sleeve gastrectomy approximately 2 to 4 years after surgery compared to Roux-en-Y gastric bypass and adjustable gastric banding.

The impact of bariatric surgery on quality of eating and food tolerance is an issue that is not always considered, yet these factors can greatly affect a persons life. Bariatric surgery forces patients to greatly reduce their food intake and drastically change their eating habits.


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Gastric Bypass Study

Is Gastric Bypass Better Than Gastric Banding?

Gastric Bypass vs Gastric BandingA study of two popular types of bariatric surgery suggests that Roux-en-Y gastric bypass is associated with better weight loss and a greater improvement in comorbidities than gastric banding.

The study findings further suggest that gastric banding involves more long-term complications and higher reoperation rates than gastric bypass, while gastric bypass has a higher rate of early complications.

According to the researchers, the study, which was published in the January 16th online edition of the Archives of Surgery, shows that gastric bypass “seems clearly superior” to gastric banding.

While the researchers based their conclusion on study data, it is important to consider the study design and other factors involved in weight loss surgery before we can say that one procedure is definitively better than another.


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Polypropylene Mesh for Gastric Band Port

Gastric Band Port Flip Reduced with Synthetic Mesh

Polypropylene Mesh Gastric Band PortA study published online in Surgery for Obesity and Related Diseases highlights one surgeon’s experience in using mesh fixation of the gastric band port to reduce port flip complications in patients following laparoscopic adjustable gastric banding.

Port flip, one of the more common complications associated with laparoscopic adjustable gastric banding, happens in about 2% of lap band patients. In this study, only 2 patients out of 564 required a reoperation to reposition the port, representing a 0.3% port flip rate.


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REALIZE Gastric Band-C

Patient Outcomes with REALIZE Adjustable Gastric Band-C

REALIZE Gastric Band-CGood weight loss results can be achieved safely and effectively with the newest generation REALIZE Adjustable Gastric Band-C, according to clinical outcomes achieved in patients treated at multiple U.S. centers.

The REALIZE Band-C is the latest version of the REALIZE Adjustable Gastric Band. Adopted in 2008, it features the same high-volume, low-pressure gastric band design as the clinically proven REALIZE Band, but enhanced with a pre-curved design for easier placement and expanded adjustment range to accommodate larger patients.


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