Results and Complications After Swedish Adjustable Gastric Banding in Older Patients

Abstract

At 7-year follow-up, for older patients, SAGB is an effective bariatric procedure for achieving weight loss. Nevertheless, based on the high complication and reoperation rate, a gastric band-specific patient selection will be necessary.

Laparoscopic Gastric Banding in Over 60s

“…ICU stay was short when required, and overall hospital stay averaged less than 2 days. A small number of studies exist detailing complication rates after LGB specific to elderly patients (see Table 5) ( [15,18,[24][25][26]29]). Major complication rates are usually reported at <5% with minors from 5 to 25%.…”

Past, present, and future: Critical analysis of use of gastric bands in obese patients

“…[59][60][61][62][63][64][65][66][67][68][69][70] Band slippage or band prolapse occurs when part of the stomach herniates through the band at the top of the stomach. This occurs in about 4% (1.0%-6.5%) of patients in recent studies, with older studies showing a much higher rate of this complication.…”

“…This occurs in about 4% (1.0%-6.5%) of patients in recent studies, with older studies showing a much higher rate of this complication. 64,65,[71][72][73] The reason for this dramatic reduction in slippage rate is attributed to the use of the pars flaccida technique instead of the less frequently used perigastric approach for the insertion of the gastric band around the proximal stomach. Several studies have demonstrated a reduction in the number of slips from as high as 15% down to 2% simply by this change of technique.…”

“…The incidence ranges from 1% to 3% depending on the series. The occurrence of erosions seems to have decreased in more recent times with the advent of newer band designs that have a high-volume, [63][64][65]69,71 low-pressure system, and improved surgical techniques. 61,69 Band erosion may occur as a result of a tight fundoplication, particularly if the buckle of the band is covered.…”

Esophageal dilation after gastric banding: to test or not to test before surgery?

“…Esophageal dilation, as assessed by barium swallow, appears as a frequent complication of gastric banding, ranging from almost 6% in patients younger than 25 years old to more than 15% in patients older than 50 years [1,4,5]. It is, however, not clear from the literature how often esophageal dilation is responsible for symptoms such as dysphagia, vomiting or gastroesophageal reflux disease (GERD)-like symptoms (regurgitations).…”