Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding

Hussain, Abdulzahra; Mahmood, Hind; El-Hasani, Shamsi

doi:10.4293/108680810x12785289144241

Cited by 25 publications

(4 citation statements)

References 46 publications

(1 reference statement)

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“… 5 The “Birmingham stitch” study 6 reported a very small slippage rate of 0.2%, which coincides with our initial study. 13 The slippage rate of 0.52% in the present study is among the lowest in the literature, taking into consideration the period of follow-up.…”

Section: Discussionmentioning

confidence: 47%

Laparoscopic Adjustable Gastric Band: How to Reduce the Early Morbidity

Hussain

Nicholls

El-Hasani

2014

JSLS

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Background:Laparoscopic adjustable gastric band insertion is a safe weight reduction procedure, but serious complications can develop. The aim of this study was to evaluate our technique in preventing early band complications.Methods:Patients were given the choice of procedure according to body mass index, the presence of diabetes, and preference. Weight loss data were not considered, as our aim was to evaluate the morbidity of band surgery using a specific technique. A pars flaccida approach and plication technique were used for all patients. Postoperative follow-up was provided at 1 month, 2 months, and every 3 months for the first year and then yearly for a further 2 years. Thereafter, general practitioners referred patients if late complications arose.Results:From January 2007 to August 2011, 1149 patients (245 men [21.32%], 904 women [78.67%]) underwent laparoscopic adjustable gastric band insertion under the care of a single bariatric surgeon. Patients were hospitalized for 1 night only unless they developed early complications. The primary and secondary outcomes were major and minor band complications, respectively. Patients' age range was 18 to 64 years (mean, 44 years). Body mass index ranged from 33 to 62 kg/m2 (mean, 42 kg/m2). There were 2 band erosions (0.17%), 6 cases of band prolapse (0.52%), 4 port problems (0.34%), 1 band leak (0.08%), 3 tight bands (0.26%), 2 port infections (0.17%), and no deaths. Five procedures (0.43%) were abandoned and excluded from this study, and 1 (0.17%) was converted to minilaparotomy to control abdominal wall bleeding. The duration of follow-up ranged from 16 to 60 months.Conclusions:A combined pars flaccida and plication technique is associated with a low early complication rate.

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Section: Discussionmentioning

confidence: 47%

Laparoscopic Adjustable Gastric Band: How to Reduce the Early Morbidity

Hussain

Nicholls

El-Hasani

2014

JSLS

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“…These authors reported a 10 kg weight loss at one-year followup with no major complications and no mortalities. Leitman et al also reported a 7.3 kg weight loss at one-year followup and no major complications, following endoscopic revision with the StomaphyX device [15]. …”

Section: Discussionmentioning

confidence: 99%

Endoscopic Revision (StomaphyX) versus Formal Surgical Revision (Gastric Bypass) for Failed Vertical Band Gastroplasty

Bolton

Gill²,

Aljahdali³

et al. 2013

Journal of Obesity

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Background. Weight regain secondary to VBG pouch dilation is a typical referral for Bariatric surgeons. In this study we compare an endoluminal pouch reduction (Stomaphyx) to RYGB for revision. Methods. A retrospective review was completed for patients with a previous VBG presenting with weight regain between 2003–2010. Results. Thirty patients were identified for study 23 RYGB, 14 StomaphyX. Significant post procedure BMI loss was seen in each cohort (RYGB, 47.7 ± 7 kg/m2 to 35 ± 7 kg/m2; StomaphyX 43 ± 10 kg/m2 to 40 ± 9 kg/m2, P = 0.0007). Whereas nausea and headache were the only complications observed in StomaphyX patients, the RYGB group had a 43.5% complication rate and 1 mortality. Complications following RYGB include: incisional hernia (13%), anastomotic leak (8.7%), respiratory failure (8.7%), fistula (8.7%), and perforation (4.35%). The median length of stay following RYGB was 6 days compared to 1.5 ± 0.5 days following StomaphyX. Conclusion. This study suggests that while RYGB revision may achieve greater weight loss, the complication rates and severity is discouraging. StomaphyX may be a safe alternative. Further technical modifications of the device and longer follow-up may clarify the role of this approach.

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“…In another study with 64 patients, the mean weight loss was 7.6 kg at a mean follow-up of 5.8 months. xxxviii …”

Section: Revisional Treatmentmentioning

confidence: 99%

Current Status of Endoluminal Bariatric Procedures for Primary and Revision Indications

Ryou

Ryan

Thompson

2011

Gastrointestinal Endoscopy Clinics of North America

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Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding

Abstract: Laparoscopic gastric plication appears to add security to gastric band application and reduce the incidence of slippage after this procedure.

Cited by 25 publications

References 46 publications

Laparoscopic Adjustable Gastric Band: How to Reduce the Early Morbidity

Laparoscopic Adjustable Gastric Band: How to Reduce the Early Morbidity

Endoscopic Revision (StomaphyX) versus Formal Surgical Revision (Gastric Bypass) for Failed Vertical Band Gastroplasty

Current Status of Endoluminal Bariatric Procedures for Primary and Revision Indications

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