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Banded Sleeves

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Laparoscopic Sleeve Gastrectomy

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Abstract

Surgical treatment of morbid obesity has witnessed a significant evolution since the advent of laparoscopy. Laparoscopic Sleeve Gastrectomy (LSG) was originally intended as a bridging procedure for super obese patients awaiting definitive bariatric intervention, but has evolved into a stand-alone procedure encouraged by early postoperative results and owing to its technical simplicity in performing LSG compared to Roux-en- Y Gastric Bypass (RYGB), it has become the most performed surgery in the world overtaking RYGB. Though early results seem encouraging, long term results show significant weight regain requiring revisional surgery. Dilation is part of the natural history of these operations. To address this issue, the placement of a ring/band around the pouch of the Gastric Bypass (GBP) was proposed to stabilize the size of the reservoir in the GBP operation. This resulted in better and sustained weight loss as compared to the non-banded GBP. The same concept was applied to the LSG by placing a ring/band loosely around the proximal sleeve. This resulted in better and sustained weight loss compared to the non-banded sleeve. In this chapter, we will cover the procedure of performing a banded sleeve, pre-, intra- and post-operative management, outcomes and complications following this procedure.

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Authors and Affiliations

  1. Head of Department At the Mohak Bariatric and Robotic Surgery Center, SAIMS University, Indore, India

    Mohit Bhandari

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  1. Mohit Bhandari
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Correspondence to Mohit Bhandari .

Editor information

Editors and Affiliations

  1. Faculty Of Medicine, Kuwait University, Safat, Kuwait

    Salman Al-Sabah

  2. Cleveland Clinic, Cleveland, OH, USA

    Ali Aminian

  3. University of Naples Federico II, Napoli, Italy

    Luigi Angrisani

  4. Columbia University Medical Center, New York, NY, USA

    Eliana Al Haddad

  5. Flinders University, Adelaide, Australia

    Lilian Kow

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Bhandari, M. (2021). Banded Sleeves. In: Al-Sabah, S., Aminian, A., Angrisani, L., Al Haddad, E., Kow, L. (eds) Laparoscopic Sleeve Gastrectomy. Springer, Cham. https://doi.org/10.1007/978-3-030-57373-7_27

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  • DOI: https://doi.org/10.1007/978-3-030-57373-7_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-57372-0

  • Online ISBN: 978-3-030-57373-7

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