Management of laparoscopic adjustable gastric band erosion

Quadri, Pablo; Gonzalez-Heredia, Raquel; Masrur, Mario; Sánchez-Johnsen, Lisa; Elli, Enrique F.

doi:10.1007/s00464-016-5183-4

Cited by 26 publications

(18 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Erosion (migration) is another important, though uncommon, complication of the LAGB. The reported incidence varies between 0.5–3.3% and requires removal of the device, which can usually be achieved endoscopically [ 2 , 4 , 32 ]. In the current study erosion was a rare complication of LAGB, with an incidence of just 0.1%.…”

Section: Discussionmentioning

confidence: 99%

Medium and long-term results of gastric banding: outcomes from a large private clinic in UK

Giet

Baker²,

Favretti³

et al. 2018

BMC Obes

View full text Add to dashboard Cite

BackgroundLaparoscopic adjustable gastric band (LAGB) has been an established bariatric procedure for the last three decades and was, for many years, the first-choice procedure for the treatment of chronic obesity. However, more recently, the popularity of the LAGB has been in sharp decline and has been replaced by other procedures such as the Roux-En-Y gastric bypass and sleeve gastrectomy. A key driver in this decline has been the high revision and early explanation rates reported in some studies.MethodsThis was a retrospective study of 2246 patients who underwent LAGB at a large private clinic in the UK between June 2004 and October 2014.Results2246 patients were included in the study; 1945 (84.6%) were women. All patients were followed up for 2 years following their procedure and subsequent follow up was at the discretion of patients. Mean follow up duration was 43.7 +/− 29.3 months. Operative mortality was zero and there were no in-hospital returns to theatre. Mean preoperative weight and body mass index (BMI) were 111.2 ± 22.1 kg and 39.9 ± 6.7 kg/m2 respectively. Mean excess % BMI loss at 1-, 2-, 5- and 8-years of follow-up was 43.1 ± 25.4, 47.9 ± 31.9, 52.4 ± 41.7 and 57.1% ± 28.6 respectively. There was no significant difference in mean excess % BMI loss between those < 50 or ≥ 50 years old (p value = 0.23) or between patients with an initial BMI of < or ≥ 50 kg/m2 (p value = 0.65). Complications over nine years occurred in 130 (5.8%) patients and included: 39 (1.7%) slippage or pouch dilatation, 2 (0.04%) erosions and 76 (3.4%) problems related to the access port or LAGB tubing. The overall re-operation rate for LAGB complications was 4.2% over 9 years with a LAGB explantation rate of 1.5%. 39 LAGBs were converted to a sleeve or gastric bypass procedure, 11 of these due to complications.ConclusionThis is the first study to report on LAGB outcomes from a private clinic in the UK. LAGB is a safe procedure, which delivers significant and durable weight loss with acceptable complications rates and low re-operation rate.

show abstract

Section: Discussionmentioning

confidence: 99%

Medium and long-term results of gastric banding: outcomes from a large private clinic in UK

Giet

Baker²,

Favretti³

et al. 2018

BMC Obes

View full text Add to dashboard Cite

show abstract

“…Some may also present symptoms of bowel obstruction or sepsis with peritonitis. Diagnosis is usually confirmed endoscopically, and verified through cross-sectional imaging in cases of dislocation, with a quoted time-to-event ranging between 6 and 132 months [ 7 , 8 ]. The gastric band typically migrates intragastric, but several case reports have described migration into small bowel and colon [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

A 13-year journey of a gastric band – ultimate destination terminal jejunum: a case report

2018

View full text Add to dashboard Cite

BackgroundLaparoscopic adjustable gastric banding has been the gold standard for surgical management of obesity over the last decades in USA and Europe. However, significant complications have been documented due to foreign body placement, including band erosions. Our treatment approach for erosions is rather observant with regular follow-up until the band has sufficiently perforated the gastric wall which facilitates endoscopic removal. Consequences of a not followed-up band erosion may present even after a long time following initial diagnosis with more severe complications.Case presentationA 51-year-old Caucasian woman presented to our out-patients’ clinic with a 2-week history of worsening abdominal pain in her left upper quadrant, exacerbated by abdominal flexion and extension maneuvers.Here we describe a case involving gastric penetration and subsequent downward migration of a band into distal jejunum causing small bowel obstruction, which occurred more than 10 years following initial diagnosis of erosion. The perforation was missed due to cessation of endoscopic follow-up.ConclusionProspective and long-term follow-up is mandatory in those with partial band erosion to avoid further complications.

show abstract

“…The sensitivity of SSA for prediction of band migration is 60% (3/5) ( Table 2). about the optimal timing of migrated AGB removal [11,[15][16][17][18][19], many case reports have been issued describing serious complications arising from long standing band migration, including liver abscess [20], small bowel injury [21], delayed bleeding [22,23], and peritonitis [13,24]. One Group B patient in the present study also presented with acute peritonitis at 6 months after a diagnosis of SSA.…”

Section: Discussionmentioning

confidence: 55%

Snakeskin Appearance of Gastric Mucosa Compressed by Adjustable Gastric Bands: A Novel Diagnostic Marker of Band Migration

Park

Kim

2019

J Metab Bariatr Surg

View full text Add to dashboard Cite

Management of laparoscopic adjustable gastric band erosion

Cited by 26 publications

References 21 publications

Medium and long-term results of gastric banding: outcomes from a large private clinic in UK

Medium and long-term results of gastric banding: outcomes from a large private clinic in UK

A 13-year journey of a gastric band – ultimate destination terminal jejunum: a case report

Snakeskin Appearance of Gastric Mucosa Compressed by Adjustable Gastric Bands: A Novel Diagnostic Marker of Band Migration

Contact Info

Product

Resources

About