Surgical Treatment of Severe Obesity With a Low-Pressure Adjustable Gastric Band

Ceelen, Wim; Walder, J; Cardon, Anne; Renterghem, Katrien Van; Hesse, Uwe; Malt, Mohamed El; Pattyn, Piet

doi:10.1097/00000658-200301000-00002

Cited by 100 publications

(54 citation statements)

References 17 publications

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“…Early LASGB results show a trend toward a shorter in-hospital stay and lower morbidity when compared to other bariatric procedures. Studies show an expected weight loss of 18 to 59% and peri-operative mortality rate of 0.1% for this procedure [9,10].…”

Section: Discussionmentioning

confidence: 94%

Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

Arrangoiz¹

2017

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Laparoscopic adjustable silicone gastric band (LASGB) is frequently used to treat morbidly obese patients worldwide. Complications related to this procedure have increased as the follow-up interval of these patients has increased. Treatment of these complications often includes removal of the silicone band. Herein we report our experience with silicone gastric band removal, discuss the different treatment alternatives, and present a management algorithm. A retrospective review of complications related to LASGB was made from June of 2003 to April of 2010 (eight patients). Techniques of band extraction are discussed and a management algorithm is presented. The mean Body Mass Index at the time of LASGB placement was 39.45 (Range 34.2 -42.8). The median patient's age at the time of LASGB was of 32.6 years (range: 13 to 50 years). The average durability of the silicone band after laparoscopic placement was 67.8 months (range: 6 to 120 months). In three patients (37.5%) the LASGB had perforated the gastric wall and was therefore extracted using a transgastric approach (laparoscopic in two patients and by laparotomy in one patient). In five patients the silicone band had not perforated the stomach and was therefore removed laparoscopically without entering the stomach. The weight was recovered in 37.5% of the patients during follow-up. Management of patients with complications related to LASGB placement must be individualized and should address both the band related complication as well as the obesity problem. Laparoscopic trans-gastric band extraction is ideal when the LASGB has eroded into the stomach and endoscopic extraction is not feasible.

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Section: Discussionmentioning

confidence: 94%

Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

Arrangoiz¹

2017

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“…AGB is usually reported to be associated with a low perioperative complication rate and a very low mortality. The mean excess weight loss after 2 or more years is between 45% and 65% (Belachew et al, 2002, Zinzindohoue et al, 2003, Ceelen et al, 2003 ours is 66.9%. Commonly reported long-term complications are band slippage with or without pouch dilatation, band erosion (migration of the band into the stomach), band or port infection, and leaks from the band, port, or connecting tube.…”

Section: Discussionmentioning

confidence: 97%

Gastric Banding and Bypass for Morbid Obesity – Preoperative Assessment, Operative Techniques and Postoperative Monitoring

Breznikar¹,

Dinevski²,

Zorman³

2012

Advanced Bariatric and Metabolic Surgery

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“…1a, 1b, and 1c). This device was initially designed for placement of a gastric band through a retrogastric tunnel in laparoscopic bariatric surgery (Ceelen et al, 2003). Inspired by this, we applied the Goldfinger dissector in RT dissection, an approach that to our knowledge has not been reported to date.…”

Section: Discussionmentioning

confidence: 99%

Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?

Cai

Wei

et al. 2016

J. Zhejiang Univ. Sci. B

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Abstract:Objective: The liver hanging maneuver (LHM) is rarely applied in laparoscopic right hepatectomy (LRH) because of the difficulty encountered in retrohepatic tunnel (RT) dissection and tape positioning. Thus far no report has detailed how to quickly and easily establish RT for laparoscopic LHM in LRH, nor has employment of the Goldfinger dissector to create a total RT been reported. This study's aim was to evaluate the safety and feasibility of establishing RT for laparoscopic LHM using the Goldfinger dissector in LRH. Methods: Between March 2015 and July 2015, five consecutive patients underwent LRH via the caudal approach with laparoscopic LHM. A five-step strategy using the Goldfinger dissector to establish RT for laparoscopic LHM was adopted. Perioperative data were analyzed. Results: The median age of patients was 58 (range, 51-65) years. Surgery was performed for one intrahepatic lithiasis and four hepatocellular carcinomas with a median size of 90 (40-150) mm. The median operative time was 320 (282-358) min with a median blood loss of 200 (200-600) ml. Laparoscopic LHM was achieved in a median of 31 (21-62) min, and the median postoperative hospital stay was 14 (9-16) d. No transfusion or conversion was required, and no severe liver-related morbidity or death was observed. Conclusions: The Goldfinger dissector is a useful instrument for the establishment of RT. A five-step strategy using the Goldfinger dissector can quickly and easily facilitate an RT for a laparoscopic LHM in LRH.

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Surgical Treatment of Severe Obesity With a Low-Pressure Adjustable Gastric Band

Abstract: SAGB is a safe and effective new method in the management of severe obesity. Long-term follow-up (>3 years) is necessary to confirm its effectiveness and safety.

Cited by 100 publications

References 17 publications

Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

Gastric Banding and Bypass for Morbid Obesity – Preoperative Assessment, Operative Techniques and Postoperative Monitoring

Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?

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