It has been found and reported that 30 to 60% of patients with a sleeve gastrectomy will have progressive weight regain after two years of follow up. There are many causes for weight regain following sleeve gastrectomy such as overeating, irregular follow up etc. This results in dilatation of the sleeve with increase in the gastric reservoir and increased calorie intake.
In this operation, staples are applied and a sleeve gastrectomy operation is performed.Then at about 4-5 cms below the esophagus a ring is applied around the sleeved stomach and fixed with stitches to the stomach. In our patients who have undergone this procedure, we have found that laparoscopic banded sleeve gastrectomy results in greater weight loss and also helps in maintaince of lost weight.