Introduction-:

This procedure of bariatric surgery is a blend of the Roux-en-Y gastric bypass and the Vertical Banded Gastroplasty. There is an implantation of a plastic band around the stomach pouch in this procedure which results in major restriction for the food intake. Apart from the changes in absorption of food, this process helps in reducing 20% more excess weight than one could shed after any other bariatric surgery.

How is Banded Gastric Bypass performed?

A regular gastric bypass is done, following which a ring of synthetic material is placed around the mid part of the gastric pouch, to prevent it from stretching out.

When the stomach pouch in the gastric bypass was banded initially, an adjustable band was used, like in the regular gastric band operation. It has since been discarded, as the Band has inherent problems. Currently, two types of bands are being used: a Fobi ring, and the Minimizer ring. The Minimizer ring does not actively constrict the pouch, but prevents it form subsequent dilatation (something that happens in the long term in those RNYGB patients who regain weight). This property is likely to be helpful in preventing the erosion that is known in the more tightly and restrictive forms of the band.

How Banded Gastric Bypass helps in the weight loss?

The banded gastric bypass helps the patient in losing weight more consistently. This procedure encourages the patient to have small meals regularly and avoid late weight regain. The long term results of the banded bypass are superior to regular gastric bypass, though band-related complications may lead to a higher number in the negative side of the story. The gastric bands placed inside the body are completely biocompatible and they do not typically cause harm in the body.

What are the benefits of Banded Gastric bypass?

The banded bypass has better long term weight loss than most other procedures, and is a choice in higher BMI patients, as well as in revision surgeries.

Why should I choose Banded gastric Bypass?

If you wish to have continued weight loss over and beyond 5 years, the banded bypass may be a solid bet, since the data supports it. However, do discuss this with your surgeon, as he would be the best judge of whether it is the right fit for you (pun intended)!