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Obes Surg. 2004 Nov, Laparoscopic conversion of lap band to gastric bypass: a review of 70 patients. Paris, France. Results of conversion of failed lap band to gastric bypass (GBP). 70 pts converted for: insufficient weight loss, gastric pouch dilatation, band migration or band intolerance. 4.3% converted to open surgery. Mean operative time was 4 hrs. Hospital stay 7 days! Early complication rate was 14%. Laparoscopic conversion of LapBand to GBP is a technically challenging procedure
Surgery. 2002 Jun;131(6):625 Lap-band failure conversion to gastric bypass Medical College of Virginia Study patients who had failed LapBand converted to a gastric bypass. 50% of LapBand have been removed. Median time to conversion after LapBand was 38 months. The LapBand is associated with a high frequency of inadequate weight loss. Conversion to gastric bypass in this subset of patients is technically challenging but results in superior weight loss in a shorter time period.
I work with a woman who complains that she has had a ‘bad’ experience with her lapband. She had the surgery about a year ago, lost about 60 pounds and that’s it. She also does no exercise whatsoever (her husband does the housecleaning), eats anything and everything, MacDonald’s for breakfast and lunch. She has a drawer at work with every kind of candy known to mankind. Go figure.
CONCLUSION: As indicated by the worldwide trend, there is an ongoing change from restrictive bariatric procedures to malabsorptive procedures
Obes Surg. 2008 Oct 22. A Nationwide Survey on Bariatric Surgery in Germany-Results 2005-2007.