Preoperative esophageal manometry and outcome of laparoscopic adjustable silicone gastric banding

Abstract

Preoperative esophageal manometry does not predict weight loss or GERD outcomes after LASGB in morbidly obese patients. Postoperative emesis was more common in patients with abnormal manometry findings, but such symptoms were manageable and did not lead to poor weight loss or to band removal or increased band-related complications.

Esophageal dilation after laparoscopic adjustable gastric banding: a more systematic approach is needed

“…Lew et al [19] found a 4-mm increase in esophageal diameter after 6 months and another 4-mm increase after 12 months. However, the percentage of patients without dilation was not given.…”

Esophageal dilation after laparoscopic adjustable gastric banding

“…A standard 5-trocar pars flaccida technique was used to place the adjustable gastric band, as described previously [6]. The first two follow-ups were scheduled at 2 at 6 weeks and thereafter patients returned monthly for the first year and then every 6 months thereafter.…”

Reply to Letter by Klaus and Weiss (00464-008-0163-y): Re: ‘Esophageal Dilation After Laparoscopic Adjustable Gastric Banding’ (2008: 22(6)1482–1486)

“…In a previous article [2], we described our experience with performing esophageal manometry before the placement of an adjustable gastric banding. Of 77 patients with preoperative manometry, 14 were found to have esophageal dysmotility, mostly decreased lower esophageal sphincter tone.…”