• Jodok M Fink, Anais von Pigenot, Gabriel Seifert, Claudia Laessle, Stefan Fichtner-Feigl, and Goran Marjanovic.
• Centre for Surgery, Department of General and Visceral Surgery, Centre for Obesity and Metabolic Surgery, Medical Centre, University of Freiburg, Freiburg, Germany. Electronic address: jodok.fink@uniklinik-freiburg.de.
• Surg Obes Relat Dis. 2019 Aug 1; 15 (8): 1233-1238.

BackgroundLaparoscopic sleeve gastrectomy (SG) achieves excellent weight loss, yet recent reports indicate weight regain in a substantial number of patients.ObjectivesInserting a nonadjustable gastric band may improve weight loss after SG.SettingUniversity Hospital, Germany.MethodsIn a retrospective matched-pair analysis 51 patients who underwent banded SG (BSG) using a silicone ring between November 2010 and May 2017 were compared with patients who underwent conventional SG regarding weight loss, complications, and co-morbidity. Median follow-up was 5 years.ResultsTotal weight loss was equal in the early follow-up (P = .118 and P = .111) but significantly better in BSG 3 and 5 years after surgery (BSG versus SG at 3 yr 38.7% ± 7.8, n = 33 versus 31.9 ± 10.7, n = 33, P = .002; BSG versus SG at 5 yr 37.6% ± 8.5, n = 27 versus 29.5 ± 12.9, n = 23, P = .008). Ring placement had no significant impact on clinical reflux signs (Fisher's exact test P > .999), yet 37 % of BSG patients reported ≥1 regurgitation per week (Fisher's exact test P = .013, odds ratio 12.4).ConclusionBSG leads to better weight loss than nonbanded SG 5 years after surgery. This comes at the expense of a higher rate of regurgitation. At a time in which weight loss limitations of a stand-alone SG are becoming a clinical problem, banding the sleeve may be a strategy to improve weight loss with this procedure.Copyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

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