Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience

Mittermair, Reinhard; Obermüller, Sabine; Perathoner, Alexander; Sieb, Michael; Aigner, Franz; Margreiter, Raimund

doi:10.1007/s11695-009-9967-7

Cited by 75 publications

(35 citation statements)

References 16 publications

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“…• Liquids should be zero calories and noncarbonated: [48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] ounces should be consumed daily to maintain adequate hydration status.…”

Section: Nutritionmentioning

confidence: 99%

“…[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.…”

Section: Late Complicationsmentioning

confidence: 99%

“…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.…”

Section: Dovepressmentioning

confidence: 99%

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

Snyder¹,

Worley²,

Aluka³

et al. 2010

DMSO

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Adjustable gastric banding (AGB) is quickly becoming the most popular bariatric operation performed in the United States and Canada. Patients are particularly fond of the simplicity of the tool, the relatively low morbidity of the surgery, the quick recovery, and overall results. The gastric band has evolved over its 35-year history into a very successful adjustable tool used to restrict food consumption and limit caloric intake. The percent of excessive weight loss after banding can range from 30%-60% and depends on the time out from surgery. Along with weight loss, there is good resolution of the co-morbid conditions that are associated with excess weight and improvements in quality of life demonstrated after banding. Nutrition and follow up are extremely important after banding to ensure good compliance and adequate weight loss. Failure to follow the postoperative diet, exercise regiment, or mechanical failure of the band can lead to failure to lose adequate weight. While there are particular early and late complications associated with this surgery, the safety profile of the AGB is very appealing when compared to other bariatric operations. As we continue to reduce the morbidity of the procedure, the simple adjustable band concept has a lot of potential to remain a primary technique of maintaining long term weight loss. In conclusion, AGB has and continues to play an important role in the treatment of morbid obesity. It offers reasonably good weight loss results with very little morbidity, and the future of the adjustable band is bright.

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Section: Nutritionmentioning

confidence: 99%

Section: Late Complicationsmentioning

confidence: 99%

Section: Dovepressmentioning

confidence: 99%

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

Snyder¹,

Worley²,

Aluka³

et al. 2010

DMSO

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“…Ayrıca 396 hastada çeşitli derecelerde komplikasyonlar geliştiğini, tekrar operasyon gereksiniminin %32, özofajitin %28,8, poş dilatasyonunun %15,3, özofageal dilatasyonun %12,5, port problemlerinin %11, bant migrasyonunun %6,5 ve bant kaçağının %6,4 olduğunu bildirmişlerdir. 26 Bizim olgularımızın çoğunu da kadınlar oluştur-maktaydı (%78,3). Operasyon sonunda 4 hastada (%6,7) yoğun bakım ihtiyacı oldu.…”

Section: Discussionunclassified

Bariatric Surgery and Anesthesia/A Retrospective Study

Yılmaz¹,

Taspinar²,

Sakçak³

et al. 2012

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Bariatrik cerrahi uygulamalarında anestezi, riskli ve komplikedir. Bariatrik cerrahi uygulanmış hastaların pre, intra ve postoperatif özelliklerini retrospektif olarak araştırdık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Etik Kurulu onayı ile hastanemizde 2006-2008 yıllarında bariatrik cerrahi uygulanan 60 hastanın dosyası incelendi. Bu hastaların demografik özellikleri, mallampati skoru, yandaş hastalık, zor entübasyon, anestezi/operasyon süresi, laparotomiye geçilmesi, anestezi yönetimi, hastaların bulantı-kusma yakınmaları ve postoperatif analjezik ilaçları kaydedildi. Ayrıca hastaların derlenme ünitesinde/hastanede kalış süresi, yoğun bakım gereksinimi, mekanik ventilatör gereksinimi, postoperatif komplikasyon varlığı (erken/geç), tekrar operasyon gereksinimi kaydedildi. B Bu ul lg gu ul la ar r: : Olguların %78,3'ü kadındı. İntraoperatif 4 hastada laparotomi gerekti. Anestezi indüksiyonunda barbitürat kullanılanların hastanede yatış süresi uzundu (p= 0,034). Kas gevşetici ek doz gereksinimi ile operasyon süresi (p= 0,003) arasında doğru orantı vardı. Peroperatif metilprednizolon uygulanan kronik bronşit ve astımlı hastaların, derlenme ünitesinde kalış süresinin kısaldığı görüldü (p= 0,033). Postoperatif %6,7 (n= 4) hastada yoğun bakım ihtiyacı vardı. Bu hastalardan 1'i mekanik ventilatör desteği aldı. Olguların %13,3 (n= 8)'ünde hastada erken dönemde komplikasyon gelişti. Bu komplikasyonlar sistemik enfeksiyon, port enfeksiyonu, akut karın, intraabdominal abse, pulmoner emboli, pnömotoraks ve hatalı trokar yerleşimiydi. Olguların %11,6 (n= 7)'sı tekrar operasyona alındı. İkinci operasyon gereksinimi ile Beden Kitle İndeksi (BKİ) arasında ters korelasyon (p= 0,013), komplikasyon varlığı ve sigara kullanma arasında ise doğru orantı vardı (p= 0,008). S So on nu uç ç: Cerrahi tedavi yöntemlerindeki artan başarı ve azalan komplikasyon oranları sayesinde daha fazla hasta ameliyat edilmektedir. Bariatrik cerrahi için anestezi uygulaması başlı başına bir sorundur ve dikkat edilmesi gereken pek çok özellik vardır.A An na ah ht ta ar r K Ke el li im me el le er r: : Obezite, morbit; şişmanlık cerrahisi; anestezi A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Anesthesia in bariatric surgery practise carries high risk and is complicated. We retrospectively analysed pre, intra and postoperative characteristics of patients who underwent bariatric surgery. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Records of 60 patients who underwent bariatric surgery between 2006-2008 with the approval of the Ethics Committee were analysed. Demographic features of these patients, mallampati score, comorbidities, difficult intubation, anesthesia/operation time, switching to laparatomy, anesthesia management, emesis, vomiting and postoperative analgesic drugs of the patients were recorded. Additionally, duration of recovery unit/hospital stay, need for intensive care and mechanical ventilator, presence of postoperative complications (early/late), and reoperation requireme...

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“…17 Bant migrasyonu tanısı konan hastada gastrik bandın çıkarılması ve revizyon cerrahisi için bir endikasyonu görülmektedir. 13,17,18 Geç poş dilatasyonu nedeniyle revizyon cerrahisi %18,9 oranında 4 yıl içerisinde, port enfeksiyonu %2,6 ile 3 yıl içersinde yapılmaktadır. Poşta meydana gelen dialtasyon ve enfeksiyon intragastrik basıncı artır-makta bunu sonucu migrasyona zemin hazırla-maktadır.…”

Section: Olgu Sunumuunclassified

Migration of an Adjustable Gastric Band Into Gastric Lumen: A Rare Complication of Bariatric Surgery: Case Report

Yilmaz¹,

Alptekin²,

Şahin³

et al. 2012

Turkiye Klinikleri J Med Sci

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aparoskopik ayarlanabilir gastrik bant uygulaması (LAGBU) morbid obezitenin tedavisinde sıklıkla kullanılan bir prosedurdür, son zamanlarda dünyada en sık yapılan bariatrik operasyondur.1 LAGBU morbid obezite tedavisindeki ilk minimal invaziv uygulamadır. Çok düşük morbidite ve hemen hemen hiç mortalite ile karşılaşmadan morbid obezitenin efektif tedavisine olanak sağlar. ). An expansion was detected in proximal pouche on fluoroscopic examination when she was investigated for the complaint of epigastric pain in March 2010. A revision surgery was planned with the prediagnosis of band sliding. Total migration of the band into lumen and towards terminal ileum was detected on operation. The band was removed with enterotomy and a vertical band gastroplasty was performed. This is the first case in literature that the band lost its connection with the tube and migrated into the lumen of terminal ileum. If the band is migrated into distal parts as in this case, early surgery must be planned for preventing complications as ulceration, perforation and obstruction.

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Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience

Abstract: From our 10-year experience, we can state that SAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according to specific criteria for gastric banding.

Cited by 75 publications

References 16 publications

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

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

Bariatric Surgery and Anesthesia/A Retrospective Study

Migration of an Adjustable Gastric Band Into Gastric Lumen: A Rare Complication of Bariatric Surgery: Case Report

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