Weight Loss Procedures - Banded Bypass to Ring Augmented

Banded Bypass Now Called Ring Augmented

I have offered banded bypass procedures for a number of years.

There has been a recent move to rename these procedures to “ring augmented procedures” to provide consistency. Ring augmented procedures are popular in Europe, particularly in Holland, where most gastric bypass procedures have a fixed ring attached. 

Fixed ring bypass or now ring augmented bypass has been shown to have better long term results, out to 10 years, particularly in the super obese patients, with less weight regain.

I also think it may be of benefit for band patients who are converting their gastric band to bypass as the fixed ring not only provides better long term weight loss but also provides a similar eating experience to what patients may have become used to with the gastric band. 

Weight Loss Evidence From Holland Is Promising

Doctor Evert-Jan Boerman from Holland, who was in Australia last year for the IFSO meeting in Melbourne, has presented data regarding converting a standard bypass patient with weight regain to a ring augmented bypass.

The procedure involves resizing the pouch and adding the ring and this produced an additional 15% total weight loss after 2 years.

Ring Augmented Bypass May Benefit Roux-en-Y Revisional Patients

Surgical revision of Roux-en-Y gastric bypass has been problematic over the years. Limb lengths can be changed but that often leads to unacceptable issues with diarrhoea for patients. So perhaps changing to a ring augmented bypass may be of benefit. 

One of the issues with ring augmented procedures has been the risk of complication related to the ring, however this Dutch group have reported a very low percentage, 0.4% in some of their studies.

How Dr Lockie's Practice Can Help

To find out what procedure is right for you, take advantage of our no cost consultation offer with SCOPE Certified NP Shirley Lockie.

She will conduct a full metabolic health assessment, provide information on surgical and non surgical options and, if necessary, provide a referral to Dr Phil Lockie.