Band Erosion in Patients Who Have Undergone Vertical Banded Gastroplasty

Abstract

To study the incidence of band erosion in patients who have undergone vertical banded gastroplasty and to describe the reparative techniques used. Design: A retrospective review case series. Setting: A university hospital-based tertiary referral center. Patients: Two hundred fifty consecutive morbidly obese patients who underwent vertical banded gastroplasty between 1987 and 1995. Main Outcome Measures: The development of band erosion into the stomach, reparative surgical techniques, and long-term weight loss control. Results: Band erosion developed in 7 (2.8%) of the patients. Two patients had symptoms 1 month after undergoing forced endoscopy. Six patients required reoperation. The operative findings included 2 cases of "external" band erosion through the lesser curvature into the stomach and 4 cases of "internal" band erosion through the circular staple line. The surgical techniques used for repair depended on the radiological and endoscopic data and on the operative findings; the techniques included conversion into a gastric bypass, band replacement after the creation of a new stoma, and gastroplasty plus distal gastric bypass. There were no complications, and adequate longterm weight loss was achieved in all but 1 of the patients who underwent reoperation. Conclusion: Band erosion may be corrected using appropiate surgical techniques to allow for adequate longterm weight loss in patients who have undergone vertical banded gastroplasty.

Intraluminal penetration of the band in patients with adjustable silicone gastric banding: radiological findings

“…Also infection has to be considered as a co-factor: one of the patients described by Lucchese et al [5] had infection of the port; one of our cases had previous infection extending to the tubing and the band; and a history of possible infection has been reported in one of the two cases of Meir and Van Baden [7]. Foreign body reaction, however, seems the most probable explanation: erosion of the gastric wall from silicone objects has been reported also in patients with vertical banded gastroplasty and in patients who had implant of the Angelchik prosthesis during surgery for gastroesophageal reflux [12,13].…”

Laparoscopic conversion of vertical banded gastroplasty to a Roux-en-Y gastric bypass

“…As with most types of reoperative surgery, the morbidity and mortality after the conversion procedures is higher than after primary procedures [10,14,[16][17][18][19]. Complication rates as high as 62% have been reported with reoperative surgeries in the past.…”

Migration of an Adjustable Gastric Band Into Gastric Lumen: A Rare Complication of Bariatric Surgery: Case Report

“…Gastrik erozyon oranı değişik serilerde %1-11 oranında rapor edilmiştir. 8,9 Migrasyon, gastrik bandın nedeni tam olarak bilinmeyen geç dönemde ortaya çıkabilecek bir komplikasyonudur. 10 İntra-gastrik bant migrasyonu her zaman bandın çıkarıl-masını gerektirir.…”

“…Bant erozyon oranı değişik serilerde %1-11 oranında rapor edilmiştir. 8,9 Bant erozyonu erken ve geç gastrik duvar erozyonuna bağlı olarak gelişir. 12 Erken erozyon operasyon esnasında gastrik duvarın yaralanmasına bağlıdır ve hemen her zaman lokalize ciddi bir enfeksiyonla beraberdir.…”