Dacron graft erosion of the duodenum: A complication of interposition mesocaval shunt operations

Osborne, D. R.; Hobbs, K. E. F.

doi:10.1002/bjs.1800680714

Cited by 8 publications

(3 citation statements)

References 5 publications

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“…Osborne et al reported two cases of Dacron graft erosion of duodenum after mesocaval shunt operations [10]. Martin et al reported a case of aortoesophageal fistula after repair of a descending thoracic aortic aneurysm with a Dacron interposition graft [11].…”

Section: Discussionmentioning

confidence: 98%

Delayed reaction to the Dacron buttress used in Stamey bladder neck suspension

et al. 2006

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Stamey bladder neck suspension is thought to be an excellent procedure for stress urinary incontinence in selected groups of patients. However we must not ignore the complications of this procedure. We report a case of a patient who developed a delayed reaction with bladder wall erosion to the Dacron buttress used in Stamey urethropexy 19 years before. She was presented with pelvic pain and persisting irritative bladder symptoms. The treatment of choice was cystoscopic removal of suture and buttress. Tissue intolerance is a common problem with the use of different kinds of biomaterials in incontinence surgery. Careful cystourethroscopy is essential for early diagnosis and treatment if pain, infections and severe irritative symptoms occur postoperatively.

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Section: Discussionmentioning

confidence: 98%

Delayed reaction to the Dacron buttress used in Stamey bladder neck suspension

et al. 2006

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“…In one patient erosion of the Dacron graft into the duodenum caused a persistent septicaemia. Endoscopy following a haematemesis demonstrated the cause, and the patient recovered following removal of the shunt and closure of the vascular and duodenal defects (4).…”

Section: Complications and Problemsmentioning

confidence: 93%

The acute treatment of haemorrhage from oesophageal varices: A comparison of oesophageal transection and staple gun anastomosis with mesocaval shunt

Osborne

Hobbs

1981

Journal of British Surgery

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Two matched groups of 20 patients with bleeding oesophageal varices were treated by the same surgical team by either oesophagogastric transection and anastomosis using a mechanical stapling instrument or by mesocaval portosystemic shunt operation. Five of the patients treated by transection died postoperatively, 2 of the survivors developed portosystemic encephalopathy (PSE), 2 died later and 5 rebled. Seven of the patients who had a mesocaval shunt died postoperalively, 8 developed PSE, 3 died later and 4 rebled. It h concluded that oesophagogastric transection and anastomosis using a mechanical instrument is preferable to portal decompression .for managing bleeding oesophageal varices in the urgent situation.

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“…One of the complications of these prosthetic devices is intragastric migration, usually called band migration [7][8][9][10]. Symptoms associated with intragastric band migration are retrograde port infection, loss of satiety, and stop of weight loss.…”

Section: Introductionmentioning

confidence: 99%

Intragastric gastric band migration: erosion: an analysis of multicenter experience on 177 patients

Lorenzo

Furbetta

et al. 2012

Surg Endosc

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Background Laparoscopic adjustable gastric banding (LAGB) has proven to be a safe and effective surgical treatment for morbid obesity. It can be a simple, fast, reversible, anatomy-preserving procedure. Despite these advantages, its long-term efficacy came into question by the occurrence of complications such as intragastric band migration. Consistent information regarding this complication is still lacking. Treatment for migration is still being debated as well. Most of the inconsistencies of these data stem from the very low number of patients reported in single-center experiences or case reports. Lack of multicenter experience is evident. The aim of this study was to perform a retrospective analysis of data on intragastric migration in a large multicenter cohort of patients who underwent LAGB. Methods A retrospective multicenter study on LAGB patients was performed. Data had been entered into a prospective database of the Italian Group for LapBand Ò (GILB) since January 1997. Pars flaccida and perigastric positioning were considered along with different kinds of gastric bands by the same manufacturer. Time of diagnosis, mean body mass index (BMI), presentation symptoms, and conservative and surgical therapy of intragastric migration were considered. Results From January 1997 to December 2009, a total of 6,839 patients underwent LAGB and their data were recorded [5,660 females, 1,179 males; mean age 38.5 ± 18.2 years (range 21-62 years); mean BMI = 46.7 ± 7.7 kg/m 2 (range 37.3-68.3); excess weight (EW) 61.8 ± 25.4 kg (range 36-130); %EW 91.1 ± 32.4 % (range 21-112 %)]. A total of 177 of 6,839 (2.5 %) intragastric erosions were observed. According to the postoperative time of followup, the diagnosis of intragastric migration was made in 74 (41.8 %), 14 (7.9 %), 38 (21.4 %), 40 (22.6 %), 6 (3.4 %), and 4 (2.2 %) banded patients at 6-12, 24, 36, 48, 60, and 72 months after banding, respectively. Most of intragastric band migration during the first 2 years occurred in bands with no or a few milliliters of filling. In patients with late erosion, the bands were adjusted several times; no band was overfilled but one was filled to the maximum or submaximum with a maximum of two adjustments. Erosions diagnosed during the first 24 months were related to the experience of the surgical staff, while late erosions were not. Conclusions Intragastric band migration or band erosion is a rare, disturbing, and usually not life-threatening complication of gastric banding. Its pathogenesis is probably linked to different mechanisms in early (technical failure in retrogastric passage) or late (band management) presentation. It is usually asymptomatic and there is no pathognomonic presentation. A wide range of therapeutic options are available, from simple endoscopic or laparoscopic removal to early or late band replacement or other bariatric procedure. More experience and more studies are needed to lower its presentation rate and definitively clarify its pathogenesis to address the right therapeutic option.

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Dacron graft erosion of the duodenum: A complication of interposition mesocaval shunt operations

Cited by 8 publications

References 5 publications

Delayed reaction to the Dacron buttress used in Stamey bladder neck suspension

Delayed reaction to the Dacron buttress used in Stamey bladder neck suspension

The acute treatment of haemorrhage from oesophageal varices: A comparison of oesophageal transection and staple gun anastomosis with mesocaval shunt

Intragastric gastric band migration: erosion: an analysis of multicenter experience on 177 patients

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