Biography
Biography: C Rajkumar Vinayak
Abstract
Due to its common complications and high failure rates, Laparoscopic Adjustable Gastric Bands (LAGB) are commonly associated with re-do procedures. Conventional revisional options include Roux-en-Y gastric bypass (LRYGB) and Sleeve Gastrectomies (SG) which are on the other hand, technically more demanding and are associated with higher risk of leaks and complications compared to primary operations. It is still being debated if these revisional procedures should be done
in the same setting versus a two-step approach or whether a RYGB should be favored over SG or vice versa. Other options include conversion to gastric plication and duodenal switch which are possibly equally effective but all come with a significant requirement of technicalities. Studies have shown that both LRYGB and SG are both feasible and effective options after LAGB with good results. At our center we performed 201 bariatric interventions during 2015-16. Twenty two (22) revisional procedures were performed of which 5 was gastric band related revisions. One of the patients had gastric band erosion where we had to intervene twice laparoscopically, once for removal of band plus drainage and subsequently she underwent a conversion to a RYGB. She was eventually discharged well. All other patients were discharged uneventfully and well on further follow up. The presentation today aims to highlight revisional key steps of a simple but potentially catastrophic procedure.