Laparoscopic Adjustable Gastric Banding in a Patient with Previous Gastric Bypass Surgery

Introduction: We present a case of laparoscopic adjustable gastric banding (LAGB) in a patient with previous Roux -en- Y gastric bypass (RYGB).
Methods: 39 year old morbidly obese woman (BMI 44 kg/m²) referred for evaluation for revisional bariatric surgery. She underwent open RYGB in 2000. She lost 250 lbs after her surgery but slowly she regained 90 lbs. Her past medical history was significant for hypertension, OA/DJD, and diabetes. Her past surgical history was significant for open RYGB, appendectomy and cholecystectomy. Barium swallow showed normal esophagus, postoperative changes from RYGB, gastric pouch and anastomosis without evidence for obstruction or leak. An upper endoscopy showed normal endoscopy with 6 cm of gastric remnant, anastomosis wider than expected, and no evidence of erosions, ulcers or evidence of inflammation.
Results: patient underwent LAGB after RYGB. The operative time was 75 minutes, blood loss 50 cc, and she was discharged home 1 day after the operation. At 7 months follow up she underwent 2 band adjustments and she lost 55 lbs.
Conclusion: LAGB can be safely performed after RYGB as a revisional bariatric surgery. At short term follow up this revisional procedure also offers excellent weight loss.

Session: Podium Video Presentation

Program Number: V038

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