Revisional surgery after laparoscopic adjustable gastric banding

During the last decades laparoscopic adjustable gastric banding has been one of the most performed bariatric procedures. The trend has changed since long-term follow ups showed high percentage of complications especially, weight loss failure leading to revisional surgeries. Possible secondary interventions are laparoscopic sleeve gastrectomy (LSG), laparoscopic Roux-en-Y gastric bypass (LRYGB), laparoscopic one anastomosis gastric bypass/ mini-bypass (OAGB) and malabsorptive procedures such as laparoscopic biliopancreatic diversion with duodenal switch. Long term follow-up proved that LSG and LRYGB are equally valid options as revisional surgeries in terms of weight loss and rate of complications. But in recent times the good outcomes of secondary OAGB have aroused the question that whether this is the best choice. The question about which intervention is the best option is still open.