Conversion to a Banded Gastric Bypass is a Safe and Effective Option after Sleeve Gastrectomy: A Indian Single-center Experience

Revision bariatric surgery has become a standard technique in bariatric surgery processes. Patients who have experienced insufficient weight reduction or subsequent weight gain following an initial surgery have a variety of options for revision. The objective of this report was to explore the role of a sleeve gastrectomy (SG) revision to a banded gastric bypass (BGBP) for inadequate weight loss or weight gain. Patients who had BGBP revision surgery after SG were identified in a prospectively kept database and information on comorbidity resolution and weight was obtained. The effects of the revision activities were evaluated and analyzed. Sixty-two patients underwent reconsideration of SG to BGBP. The average time for the revision was 27 months in the range 7–60 and the follow-up after BGBP was 6–36 months. In this study the average initialism weight before the SG was 113.5 ± 20.5 kg and the body mass index (BMI) was 41.71 ± 8.1 kg/m². The mean percentage of weight loss %TWL at revision and at the nadir weight was 18.5 and 13.5%, respectively. The average %TWL was 25.9 ± 10.1, 29.7 ± 9.2, and 26.9 ± 9.6 at first-, second-, and third-year follow-up, respectively, after revision to BGBP. Type II diabetes (T2D) and hyperaeration (HTN) were resolved in 70 and 78.6% of the patients, respectively. With no complications or mortality AI revisions were done laparoscopically. It is practically feasible and safe to switch from SG to BGBP. The weight reduction from the BGBP sleeve is not only more desired than the weight loss from the primary sleeve, but it also results in successful comorbidity resolution. BGBP is a better bet to changing for altering SG for insufficient weight regain or weight loss.