Silicone-Adjustable Gastric Banding: Disappointing Results

Westling, Agneta; Bjurling, Kerstin; Öhrvall, Màrgàretà; Gustavsson, Sven

doi:10.1381/096089298765554386

Cited by 128 publications

(66 citation statements)

References 12 publications

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“…106 However, there have been growing concerns about side effects induced by these surgical techniques, including stenosis at the anastomosis site, stomal ulcer, fistula, band erosion, and motor dysfunction of the esophagus, stomach, and small bowel among others. [107][108][109][110][111] Thus far, only a few studies have assessed the objective presence of GERD prior to bariatric surgery, most specifically in patients undergoing laparoscopic sleeve gastrectomy or adjustable gastric banding. There is a lack of uniformity in assessing the presence of GERD pre-and post-bariatric surgery, using validated GERD-questionnaires, ambulatory pH monitoring, or upper endoscopy.…”

Section: Bariatric Surgerymentioning

confidence: 99%

Unmet Needs in the Treatment of Gastroesophageal Reflux Disease

Dickman

Maradey–Romero

Gingold‐Belfer

et al. 2015

J Neurogastroenterol Motil

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Gastroesophageal reflux disease (GERD) is a highly prevalent gastrointestinal disorder. Proton pump inhibitors have profoundly revolutionized the treatment of GERD. However, several areas of unmet need persist despite marked improvements in the therapeutic management of GERD. These include the advanced grades of erosive esophagitis, nonerosive reflux disease, maintenance treatment of erosive esophagitis, refractory GERD, postprandial heartburn, atypical and extraesophageal manifestations of GERD, Barrett's esophagus, chronic protein pump inhibitor treatment, and post-bariatric surgery GERD. Consequently, any future development of novel therapeutic modalities for GERD (medical, endoscopic, or surgical), would likely focus on the aforementioned areas of unmet need.

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Section: Bariatric Surgerymentioning

confidence: 99%

Unmet Needs in the Treatment of Gastroesophageal Reflux Disease

Dickman

Maradey–Romero

Gingold‐Belfer

et al. 2015

J Neurogastroenterol Motil

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“…95 Higher revision and explantation rates were described in early series before band placement and adjustment techniques had been refined. 96,97 Ultimately, all materials age, and although silicone has very durable properties, replacement with time may be needed. Early devices placed in the late 1980s are performing satisfactorily to date, but younger patients should not expect that they will keep a particular gastric band for life.…”

Section: Medium To Latementioning

confidence: 99%

Laparoscopic Adjustable Gastric Banding and Other Devices for the Management of Obesity

et al. 2012

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“…[16][17][18] According to the literature, band erosion after LAGB occurs in about 0.6%-11% of patients. 4,5 In our study, 14 of 110 (12.7%) patients experienced band erosion and underwent gastroscopic or surgical removal of the band system. This rate of erosion is higher than that reported in previously published series.…”

Section: Discussionmentioning

confidence: 71%

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

Doğan

Akın

Yalakı

et al. 2014

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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...

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Silicone-Adjustable Gastric Banding: Disappointing Results

Abstract: SAGB could be positioned with laparoscopy in 75% of the cases but the incidence of complications and side-effects postoperatively has been high.

Cited by 128 publications

References 12 publications

Unmet Needs in the Treatment of Gastroesophageal Reflux Disease

Unmet Needs in the Treatment of Gastroesophageal Reflux Disease

Laparoscopic Adjustable Gastric Banding and Other Devices for the Management of Obesity

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

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