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The GaBP Ring DeviceFor Banding The Pouch in
Gastric Bypassand Sleeve Gastrectomy Operations

• Bariatec Corporation
• P.O Box 4257
• Palos Verdes Peninsula,
• CA 90274
• 1 562 809 1020

www.bariatec.com
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GaBP Ring
The GaBP Ring is a prefabricated, caliberated
and sterilized silicone coated implantable device
that is designed specifically to control the
reservoir capacity in gastric operation for
obesity.
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The Gastric Bypass operation is the Gold
standard of weight loss operations
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• Reports show that 15- 25 of patients do not
  achieve successful weight loss in the short
  term 1-3yrs after the operation.
• Reports also show that this rate increases to
  25-40 in patients followed longer than three
  years because of weight regain.

The inadequate weight loss and weight regain
observed in the gastric bypass operation have
been attributed mostly to the increase in the
gastric reservoir size due to dilation of the
pouch, stoma and the proximal small bowel.
Successful weight loss gt 50 excess weight loss
and or attainment of a BMIlt35.
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Non-banded Roux-en-Y GBP
Reservoir size change with time
Post op
gt3 yrs post op
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GaBP Ring Banded Gastric Bypass
Reservoir size change with time
Post Op
gt 3 yrs Post op
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Non Banded Gastric bypass
Dilated stoma converts the pouch and the
proximal small bowel into a neo-pouch that can
accommodate as much as the initial
Stomach. Causing inadequate weight loss
and weight regain after gastric bypass
Non Banded dilated Stoma and proximal Small bowel
become part of neopouch
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GaBP Ring Device

• Placement of a prosthetic device around the
  pouch to function as the stoma has been shown to
  not only reduce the pouch size but also to
  prevent the development of this large gastric
  reservoir.

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Banding the pouch
Banding the pouch creates a smaller pouch
Banding the pouch minimizes pouch dilatation
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GaBP Ring Banded Gastric Bypass
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The Ring controls the Reservoir size in the
gastric bypass operation
Fobi et al World J.S 199822925-35
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GaBP Ring Device

• Reports have shown increased eight loss in
  more patients and
• less weight regain with the prevention of
  the formation of this large gastric reservoir.

Since Roux-en-Y Gastric Bypass is primarily a
restriction operation, just as with VBG, it is
important that the outlet of the pouch does not
stretch. ( E.Mason . Obesity Surgery
1994466-72)
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Based on these reports , MacLean in 1997 stated
that The most promising technique based on a
large series at this time is that described by
Capella and Capella Banded Gastric Bypass
MacLean J Am Coll Surg 971851-7
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Banding the Gastric Bypass Operation

• Fisher after an in depth review concluded in 1999
  that
• Long-term results suggest that a silastic ring
  encircling the stomach pouch proximal to the
  gastroenterostomy may improve the outcome
  following gastric bypass surgery, resulting in
  more weight loss by a greater number of patients
  sustained for a longer time
• Fisher BL, Barber AE, Eur J Gastroenterol Hepatol
  1999 1193-97

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PEWL for standard RYGBP and its two hybrid forms
of LL-RYGBP and B-RYGBP
In a systemic review, banded gastric bypass
resulted in more weight loss and better weight
loss maintenance
( P lt 0.05).
OBrien P.ESystemic review of mdium term-weight
loss after bariatric surgery Obesity
Surgery2006161032-40
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Banded Gastric Bypass
Prospective comparative evaluation of the
Laparoscopically banded gastric bypass vs. the
Laparoscopically non-banded gastric bypass in the
super obese. Marc Bressler, SOARD, July/August
2007
LAP Banded GBP Lap Non-Banded GBP

(n46) (n44) BMI
59.4
59.7 Age (years)
40.6 42.6 6months EWL
43.1
24.7 12months EWL 64.0
57.8 24 months EWL
64.2 57.1 38months EWL
73.4
57.7 Complications (n)
23.9 (11) 29.5 (13) of
patients achieving 50EWL 63
45 His conclusion It appears the banded
gastric bypass produces more weight loss in more
patients
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Non Banded Sleeve Gastrectomy
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Non Banded Sleeve Gastrectomy
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Banded Sleeve Gastrectomy
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Banded Sleeve Gastrectomy
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GaBP Ring
The GaBP Ring is easily placed in open or
laparoscopic operations. It is an auto lock
Device lt1/10 the size of any of the adjustable
bands
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Banding the Pouch in GBP
Controls the Pouch Size

1. Increased Weight Loss
2. More weight loss in more patients
3. Enhances weight Loss Maintenance
4. Decreases the incidence of gastric outlet
   stenosis
5. Decreases the severity of postprandial dumping
6. Minimizes the incidence of reactive hypoglycemia
7. Success Rate 90. (90 of pts with gt50PEWL
   after 5 years of F/U)

(GaBP Ring Designed for the banded gastric
bypass)
GBP 70 BPD 90 LAGB 50 SG N.A
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Banded Pouch Gastric Bypass Operation For Obesity
Cross Section through the Ring
GaBP RING designed for the Gastric Bypass and
The Sleeve Gastrectomy Prefabricated ,
Standardized and available in 4 sizes
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