Surgical Correction Late Postoperative Complications in Patients with Bondarovna Stomach (Clinical Observations)

Abstract

The work is devoted to one of the methods of surgical correction of obesity, namely, laparoscopic gastric banding. The history of development of this method of treatment of patients with obesity is briefly given. Three clinical observations of postoperative complications after gastric banding in obese patients are presented. In two cases, gastric banding surgery was performed by an unregulated bandage, and in one case - by a regulated one. Observed complications: displacement of the band on the abdominal esophagus, a sharp narrowing of the belt of the gastric cardia and the sore bondage of the stomach wall. The authors note that despite the ease of installation of the bandage, the relative safety of the operation, this method of surgical correction of obesity can be accompanied by various complications. Statistics 5-10 years of observation of patients shows that almost 50% of patients are operated on for one reason or another. The most common reason for the surgery is dissatisfaction with the results and comfort of food. Among all patients operated on for obesity the lowest percentage of satisfied with the result - in bandaged patients. In modern bariatrics, the authors consider gastric banding surgery as an outdated method that has long lost its leadership in the structure of surgical interventions.