Review article<BR>To have or not to have the ring: early and late surgical complications after banded Roux-en-Y gastric bypass

Wojciech K. Karcz; Dorothea Suslin; Tobias Baumann; Stefan Utzolino; Simon Küsters; Wojciech J. Makarewicz; Sabine Richter; Dietlend Tittelbach-Helmrich; Jens Höppner; Oliver Thomusch; Goran Marjanovic

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Review article
To have or not to have the ring: early and late surgical complications after banded Roux-en-Y gastric bypass

Wojciech K. Karcz

,

Dorothea Suslin

,

Tobias Baumann

,

Stefan Utzolino

,

Simon Küsters

,

Wojciech J. Makarewicz

,

Sabine Richter

,

Dietlend Tittelbach-Helmrich

,

Jens Höppner

,

Oliver Thomusch

,

Goran Marjanovic

Wideochirurgia i inne techniki małoinwazyjne 2008; 3 (2): 53–65

Online publish date: 2008/06/26

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The prevalence of obesity in the United States is increasing to epidemic proportions. At present, more than 60% of Americans and more than half of Germans are overweight. While a variety of medications are available for the treatment of obesity, none results in the long-term loss of more than 10% of body weight. Surgical treatment of severe obesity is the current standard. Several surgical procedures are nowadays available, including gastric bypass, sleeve gastrectomy, biliopancreatic diversion with duodenal switch and the adjustable gastric band. In the U.S., the laparoscopic Roux-en-Y gastric bypass (LCRYGB) has become the gold standard in bariatric surgery. In Europe the number of gastric bypass procedures is also rapidly increasing. It is interesting that Fobi gastric bypass modification is more popular every year. We decided to describe the surgical complications of banded bypass and on this basis to evoke a controversial discussion. Should we be afraid of the silastic ring? How much we can profit from implantation and what do we have to risk?

keywords:

Review articleTo have or not to have the ring: early and late surgical complications after banded Roux-en-Y gastric bypass

Wojciech K. Karcz , Dorothea Suslin , Tobias Baumann , Stefan Utzolino , Simon Küsters , Wojciech J. Makarewicz , Sabine Richter , Dietlend Tittelbach-Helmrich , Jens Höppner , Oliver Thomusch , Goran Marjanovic

morbid obesity, bariatric surgery, laparoscopy, gastric bypass, banded gastric bypass, GaBP ring

Review article
To have or not to have the ring: early and late surgical complications after banded Roux-en-Y gastric bypass

Wojciech K. Karcz

,

Dorothea Suslin

,

Tobias Baumann

,

Stefan Utzolino

,

Simon Küsters

,

Wojciech J. Makarewicz

,

Sabine Richter

,

Dietlend Tittelbach-Helmrich

,

Jens Höppner

,

Oliver Thomusch

,

Goran Marjanovic