Isolated Food Intolerance After Adjustable Gastric Banding: A Major Cause of Long-Term Band Removal

Dargent, J.

doi:10.1007/s11695-008-9495-x

Cited by 26 publications

(16 citation statements)

References 17 publications

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“…In our department, we currently further investigate development, treatment, and outcome of esophageal motility disorders in our banding patients. Band intolerance, in the literature commonly stated as isolated food intolerance, occurred in some series in up to 3% and has no clear connection to weight loss, banding technique, or band inflation [64]. Band removal is the only surgical option in these cases.…”

Section: Discussionmentioning

confidence: 99%

Graft Survival and Complications after Laparoscopic Gastric Banding for Morbid Obesity—Lessons Learned from a 12-Year Experience

et al. 2010

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Laparoscopic adjustable gastric banding (LAGB) has been considered by many as the treatment of choice for morbid obesity because of its simplicity and encouraging early results. The aim of this prospective study was to critically assess the effects, complications, and outcome after LAGB in the long-term, based on a 12-year experience. Between June 1998 and June 2009, all patients with implantation of a LAGB have been enrolled in a prospective clinical trial. Results were recorded and classified, with special regard to long-term complications, re-operation rate, and graft survival. LAGB was performed in 167 patients (120 female, 47 male) with a mean age of 40.1±5.2 years. Operative mortality was 0%, overall 1.2% (not band-related). Overall patient follow-up was 94.0%. Mean excess weight loss (EWL) after 1, 2, 5, 8, and 10 years was 31.1±7.5% (p<0.005), 44.2±6.5% (p< 0.001), 50.3±6.9% (p<0.001), 51.7±6.3% (p<0.001), and 48.8±6.0% (p<0.001), respectively. The non-responder rate (EWL<30%) after 2, 5, 8, and 10 years was 24.5%, 18.3%, 12.5%, and 16.6%, respectively. The early complication rate (<30 days) was 7.8% (13/167), with 10 minor and three major complications. Late complications (>30 days) occurred in 40.1% (67/167), of whom seven were minor and 60 were major complications (three band infections, two band migrations, 11 band leakages, two slippings/pouch dilatations, two band intolerances, and 40 esophageal dilatations). The overall re-operation rate was 20.4% (34/167). The graft survival of the implanted band after 2, 5, 8, 10, and 12 years was 98.8%, 94.0%, 86.8%, 85.0%, and 85.0%, respectively. The failure rate of the procedure after 2, 5, 8, and 10 years was 25.7%, 24.3%, 25.7%, and 31.6%, respectively. In the present long-term highparticipation follow-up study, LAGB is a safe and effective surgical treatment for morbid obesity. However, the high complication, re-operation, and long-term failure rates lead to the conclusion that LAGB should be performed in selected cases only, until reliable criteria for patients at low risk for long-term complications are developed.

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Section: Discussionmentioning

confidence: 99%

Graft Survival and Complications after Laparoscopic Gastric Banding for Morbid Obesity—Lessons Learned from a 12-Year Experience

et al. 2010

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“…Esophageal dilatation is still debated as a potential threat [21]. Food intolerance is often overlooked, but represents in our opinion one of the major causes of band removal [22].…”

Section: Overall (Long-term) Resultsmentioning

confidence: 97%

Lap Banding as a Redo Surgery: “Restriction over Restriction” May Be a Relevant Bariatric Strategy

Dargent¹

2009

OBES SURG

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VBG failures are highly common in the long run. Lap banding represents an interesting option for redo in a majority of cases, providing good long-term results and demonstrating that "restriction over restriction" can be a relevant strategy. The initial response to VBG has been a key information: if it has been successful in terms of weight loss and food tolerance, then lap banding was a valuable option. VBG has represented an interesting model because it has historical value and could be a procedure for the future if performed through endoscopic channels.

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“…One of the most serious complications associated with gastric banding is erosion of the band into the gastric lumen [2], and its incidence ranges between 0.6% and 11% [2][3][4][11][12][13][14][15][16][17]. After an initial tear of the serosal layer of the stomach, the band erodes the complete thickness of the gastric wall and enters the lumen.…”

Section: Discussionmentioning

confidence: 99%

Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

Arrangoiz¹

2017

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Laparoscopic adjustable silicone gastric band (LASGB) is frequently used to treat morbidly obese patients worldwide. Complications related to this procedure have increased as the follow-up interval of these patients has increased. Treatment of these complications often includes removal of the silicone band. Herein we report our experience with silicone gastric band removal, discuss the different treatment alternatives, and present a management algorithm. A retrospective review of complications related to LASGB was made from June of 2003 to April of 2010 (eight patients). Techniques of band extraction are discussed and a management algorithm is presented. The mean Body Mass Index at the time of LASGB placement was 39.45 (Range 34.2 -42.8). The median patient's age at the time of LASGB was of 32.6 years (range: 13 to 50 years). The average durability of the silicone band after laparoscopic placement was 67.8 months (range: 6 to 120 months). In three patients (37.5%) the LASGB had perforated the gastric wall and was therefore extracted using a transgastric approach (laparoscopic in two patients and by laparotomy in one patient). In five patients the silicone band had not perforated the stomach and was therefore removed laparoscopically without entering the stomach. The weight was recovered in 37.5% of the patients during follow-up. Management of patients with complications related to LASGB placement must be individualized and should address both the band related complication as well as the obesity problem. Laparoscopic trans-gastric band extraction is ideal when the LASGB has eroded into the stomach and endoscopic extraction is not feasible.

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Isolated Food Intolerance After Adjustable Gastric Banding: A Major Cause of Long-Term Band Removal

Cited by 26 publications

References 17 publications

Graft Survival and Complications after Laparoscopic Gastric Banding for Morbid Obesity—Lessons Learned from a 12-Year Experience

Graft Survival and Complications after Laparoscopic Gastric Banding for Morbid Obesity—Lessons Learned from a 12-Year Experience

Lap Banding as a Redo Surgery: “Restriction over Restriction” May Be a Relevant Bariatric Strategy

Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

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