Laparoscopic Gastric Stapling Procedures as a Replacement to Gastric Banding in the 21st Century? (IBC Istanbul 2013 Debate)

bari.2013.8.issue-4.cover (1)The following debate occurred at the 8th International Bariatric Club Symposium, which was held in Istanbul, Turkey, on August 28, 2013. Bariatric Surgical Practice and Patient Care  presents the edited transcript in partnership with IBC’s Symposium Director Haris Khwaja, MD, PhD, Co-Director Tomasz Rogula, MD, PhD, and the participants.

Moderator: Jaime Ponce, MD, FACS, FASMBS
Participants: Michel Gagner, MD, FRCSC, FACS, FASMBS vs. Paul O’Brien, MD

Dr. Ponce: For this debate we will be discussing whether laparoscopic gastric stapling procedures will replace gastric banding. Each debater will have a chance to present his case, and then each will have an opportunity for rebuttal. I’m going to quickly pose a question to each of the two debaters. To Paul O’Brien: how can we address the significant variability and results between centers or even between patients and within the same center? We have seen published data that show great variability in weight loss at 3 years post-surgery with the band compared to the bypass.1 That variability seems to be narrower with bypass patients. And to Michel Gagner: how can we treat many patients that are afraid of stapling procedures? Is medical treatment better than the band? There are some patients that really do not want a stapling procedure. So how can we address this issue?

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