Gastroscopic Band Removal after Intragastric Migration of Adjustable Gastric Band: A New Minimal Invasive Technique

Weiß, Helmut; Nehoda, Hermann; Labeck, B; Peer, R; Aigner, Franz

doi:10.1381/096089200321668721

Cited by 81 publications

(41 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Early migration resulted from silent gastric laceration or perforation 34 . Silent infections or overfilling of the device, leading to high-pressure zones at the balloon, were responsible for late band migration or erosion in most cases.…”

Section: Discussionmentioning

confidence: 99%

Surgical revision after failure of laparoscopic adjustable gastric banding

Weiß

Kirchmayr

Alexander

et al. 2003

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical revision after failure of laparoscopic adjustable gastric banding

Weiß

Kirchmayr

Alexander

et al. 2003

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…With an average 50% of excess weight loss after 2 years, LAGB might be a simple, fast, and reversible procedure for obese patients, preserving anatomy. Beside these well-known advantages, the occurrence of complications including band slippage, pouch enlargement, oesophageal dilatation, and portspecific complications has brought in question the longterm efficacy of the procedure [6,12,13,21,22]. Theoretically the reversibility of the procedure could be offered to a patient with a sufficient and stable weight loss, after a testing period where the band is totally deflated.…”

mentioning

confidence: 99%

Migration of adjustable gastric banding from a cohort study of 4236 patients

Nocca

Frering²,

Gallix

et al. 2005

Surg Endosc

View full text Add to dashboard Cite

show abstract

“…Also, port site infection has been reported to be the first symptom of erosion, 22 as seen in some of our patients (Table 1). Although 1 study (23 pregnancies in a series of 359 patients) reported that pregnancy after adjustable gastric banding was not associated with severe complications, 23 band migration after pregnancy has occurred in other studies, 24,25 and severe vomiting in early pregnancy has been hypothesized to be the cause of band migration. 25 Two of our patients (no.…”

Section: Discussionmentioning

confidence: 94%

Endoscopic management of gastric band erosions: a 7-year series of 14 patients

Doğan

Akın

Yalakı

et al. 2014

cjs

View full text Add to dashboard Cite

Background: Intragastric band migration is an unusual but major complication of gastric banding. We review our experience with endoscopic removal of eroded gastric bands. Methods:We retrospectively evaluated the cases of 110 morbidly obese patients who underwent adjustable gastric banding between 2005 and 2012 to identify those who experienced band erosion. To remove the migrated band, we used an endoscopic approach with a Gastric Band Cutter.Results: Band or tube erosion occurred in 14 patients (12.7%). The median time interval from the initial gastric band placement to the diagnosis of band erosion was 32 (range 18-52) months. Upper abdominal pain, port site infection, loss of restriction and weight regain were the most common symptoms. We used the Gastric Band Cutter to remove the band endoscopically. It was able to cut the band successfully in all but 1 patient, in whom twisting of the cutting wire required conversion from endoscopy to laparotomy. In 2 patients, the band, after being cut, was locked in the gastric wall and required laparotomic removal. In 1 patient, we performed surgery for intragastric pene tration of the connecting tube broken close to the band. Conclusion:The Gastric Band Cutter was successful in dividing the band in all but 1 patient, although we could not always complete the procedure endoscopically. Endoscopic removal seems to be effective and safe for band erosion.Contexte : La migration intragastrique de l'anneau est une complication rare, mais majeure du cerclage gastrique. Nous faisons le point sur notre expérience du retrait endoscopique des anneaux gastriques érodés.Méthodes : Nous avons évalué de manière rétrospective le cas de 110 patients atteints d'obésité morbide qui ont subi un cerclage gastrique ajustable entre 2005 et 2012 afin de vérifier si les anneaux en place étaient érodés. Pour retirer les anneaux qui avaient migré, nous avons utilisé l'approche endoscopique et un dispositif pour sectionner l'anneau gastrique.Résultats : L'anneau ou le tube s'est érodé chez 14 patients (12,7 %). L'intervalle médian entre la pose initiale de l'anneau gastrique et le diagnostic d'érosion a été de 32 (entre 18 et 52) mois. La douleur abdominale haute, l'infection du port d'accès, la diminution de la restriction et la reprise de poids ont été les symptômes les plus fréquents. Nous avons utilisé un dispositif pour sectionner l'anneau gastrique afin de retirer l'anneau par voie endoscopique. Le dispositif a permis de sectionner l'anneau avec succès chez tous les patients sauf 1; dans ce dernier cas, une torsion du fil à sectionner a nécessité la conversion de l'endoscopie en une laparotomie. Chez 2 patients, une fois sectionné, l'anneau est resté emprisonné dans la paroi gastrique et a nécessité une extraction laparotomique. Chez 1 patient, nous avons effectué une intervention chirurgicale en raison de la pénétration intragastrique de la tubulure de raccord sectionnée à proximité de l'anneau. Conclusion :Le dispositif servant à sectionner l'anneau gastrique a bien fonctionné chez tous les...

show abstract

Gastroscopic Band Removal after Intragastric Migration of Adjustable Gastric Band: A New Minimal Invasive Technique

Abstract: A novel technique for minimally invasive band removal after adjustable gastric band migration is described, offering the patient a low-risk procedure and a better chance for further laparoscopic approaches.

Cited by 81 publications

References 6 publications

Surgical revision after failure of laparoscopic adjustable gastric banding

Surgical revision after failure of laparoscopic adjustable gastric banding

Migration of adjustable gastric banding from a cohort study of 4236 patients

Endoscopic management of gastric band erosions: a 7-year series of 14 patients

Contact Info

Product

Resources

About