Endoscopic removal of dysfunctioning bands or rings after restrictive bariatric procedures

Bléro, Daniel; Eisendrath, Pierre; Vandermeeren, Alain; Closset, Jean; Mehdi, Abdel Ilah; Moine, Olivier Le; Devière, Jacques

doi:10.1016/j.gie.2009.06.020

Cited by 72 publications

(40 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the present series, SEPS prevented the passage of secretion for the GBF and also promoted expansion of the distal gastric stricture. This led to ring erosion in two cases, occurring when complete resolution of the stenosis was achieved, which has been described previously [19,20]. Through the use of SEPS, the digestive tract is permanently patent, allowing early food intake and decreasing the number of endoscopic sessions [21].…”

Section: Discussionmentioning

confidence: 72%

Gastrobronchial fistula after sleeve gastrectomy and gastric bypass: endoscopic management and prevention

et al. 2011

View full text Add to dashboard Cite

Gastrobronchial fistula (GBF) is a serious complication following bariatric surgery, whose treatment by thoracotomy and/or laparotomy involves a high morbidity rate. We present the outcomes of endoscopic management for GBF as a helpful technique for its healing process. This is a multicenter retrospective study of 15 patients who underwent gastric bypass (n = 10) and sleeve gastrectomy (n = 5) and presented GBF postoperatively (mean of 6.7 months). Ten patients developed lung abscess and were treated by antibiotic therapy (n = 10) and thoracotomy (n = 3). Abdominal reoperation was performed in nine patients for abscess drainage (n = 9) and/or ring removal (n = 4) and/or nutritional access (n = 6). The source of the GBF was at the angle of His (n = 14). Furthermore, 14 patients presented a narrowing of the gastric pouch treated by 20 or 30 mm aggressive balloon dilation (n = 11), stricturotomy or septoplasty (n = 10) and/or stent (n = 7). Fibrin glue was used in one patient. We performed, on average, 4.5 endoscopic sessions per patient. Endotherapy led to a 93.3% (14 out of 15) success rate in GBF closure with an average healing time of 4.4 months (range, 1-10 months), being shorter in the stent group (2.5 × 9.5 months). There was no recurrence during the average 27.3-month follow-up. A patient persisted with GBF, despite the fibrin glue application, and decided to discontinue it. GBF is a highly morbid complication, which usually arises late in the postoperative period. Endotherapy through different strategies is a highly effective therapeutic option and should be implemented early in order to shorten leakage healing time.

show abstract

Section: Discussionmentioning

confidence: 72%

Gastrobronchial fistula after sleeve gastrectomy and gastric bypass: endoscopic management and prevention

et al. 2011

View full text Add to dashboard Cite

show abstract

“…En cuanto a la remoción de la banda erosionada, la tasa de éxito al momento es del 100% con la técnica empleada. Si bien es cierto que no hay consenso sobre la forma ideal de manejar las erosiones, hay grupos que se pronuncian por manejo totalmente endoscópico 13,17 . Sin embargo, el éxito no alcanza el 100% de los casos debido a las adherencias que puede tener el dispositivo en la cavidad abdominal, en especial hacia el hígado.…”

Section: Discussionunclassified

Banda gástrica penetrada. Una alternativa de tratamiento

Echaverry-Navarrete

Maldonado-Vázquez

Cortés-Romano

et al. 2015

Cirugía y Cirujanos

View full text Add to dashboard Cite

show abstract

“…Some practitioners of this endoscopic removal technique advocate waiting for the band to work its way inside the stomach, either by maximally inflating the balloon or by causing pressure necrosis with placement of an intraluminal stent [9]. For asymptomatic patients, this delay may not be important, but for patients experiencing pain, reflux, infection, or dysphagia, such delays increase the period of morbidity.…”

Section: Discussionmentioning

confidence: 99%