Has anyone had the minimising ring done at the same time as the Sleeve!! And if so any issues ?

I have absolutely no idea what you are talking about.

I have absolutely no idea what you are talking about.

Its a new thing

http://www.bariatric-solutions.com/wDeutsch/service/downloads/Broschuere_MinimizerRing_EN_PDF.pdf

That brochure has very limited info and seems to pertain to RNY, not sleeve. I guess I still don't understand what it's actually supposed to do. I'd be pretty concerned about the long term consequences of having a device like that inside of me, especially when the "benefits" are unclear.

I don't see the advantage of banding a sleeve in that pamphlet.

NEW STUDY – To Band Or Not To Band: The Minimizer Ring & Sleeve Gastrectomy

We are currently doing a trial on the effect of placing a silicon ring around the sleeve.

All operations for obesity have a tendency to weight regain after 3-4 years. The theory with sleeve is that it can stretch & allow large volumes to be eaten again. I am not necessarily a believer in this & believe that the stretched sleeve is a sleeve where the bottom is too tight & the top too big. This creates a large pouch.

The purpose of the ring is really to stop large volumes being consumed. A recent small study showed that at 1 year there was little difference between banded sleeve & non banded sleeve in terms of weight loss, but this is too short a time frame to be sure.

There is good data to say that banding the gastric bypass is very effective. It is in my opinion now the gold standard.

I am interested in a trial that lasts for 5 years & looks at the results of banded sleeve vs non banded sleeve.

I have performed approximately 30 banded sleeves & will shortly start a formal trial to examine the effectiveness.

This is being offered in Australia and New Zealand ! Just wanted to put it out there and see what you all think of it !

So far, in my VERY limited resarch, I have only found small 1 year post-op studies. They show no difference in weight loss between banded sleeve and non banded sleeve, but an increase in vomiting in banded sleeve patients. Until there are longer range studies, I guess it's just too early to tell. It does seem that there is more substantial evidence that banding is beneficial in RNY patients, but sleeve and RNY are very different procedures, so it would be incredibly presumptuous to assume that banded sleeve would have similar long term results.

Here's a link to the study that mentions increased vomiting:

http://www.ncbi.nlm.nih.gov/pubmed/24464518

Edited February 18, 201511 yr by JamieLogical

Sleeves don't generally stretch without a lot of abuse and the stretching is minimal at best. Most sleevers can eat very little at a time but even with this ring, grazing can be abused and that's generally where weight is gained.

Sleeves don't generally stretch without a lot of abuse and the stretching is minimal at best. Most sleevers can eat very little at a time but even with this ring, grazing can be abused and that's generally where weight is gained.

Yeah, that would be my thought as well. Unlike RNY, the "stretchy" part of the stomach (the fundus) is removed with sleeve. So it really can't stretch all that much. I'm sure it stretches SOME and I am sure some of our vets can attest to that, but I'm pretty sure it's never going to stretch to the point of me eating a whole large pizza in one sitting again... I suspect that a lot of the weight gain experienced years out is due to eating around the sleeve and those patients could just as easily eat around this band.

yeah - that honestly doesn't seem like a good idea. the reason the band has fallen out of favor is due to erosions, embedding, and food intolerance. Seems like you'd get the same thing with the minimizer ring. I also am unable to find any evidence that the minimizer ring has FDA approval. Not a big deal if you're not in the US. But if you're in the US and considering Medical Tourism for your surgery, getting something that lacks FDA approval is setting yourself up for a load of trouble if you ever have any complications.

the reason the band has fallen out of favor is due to erosions, embedding, and food intolerance.

Yeah, one of my MAIN reasons for choosing sleeve over band in the first place was that I was completely terrified of erosion or even slippage. It seems like with the banded sleeve, you get all the potential complications of the band with no clear benefit over sleeve alone.