The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity

Abu‐Abeid, Subhi; Keidar, Andrei; Gavert, Nancy; Blanc, A.; Szold, Amir

doi:10.1007/s00464-002-9195-x

Cited by 93 publications

(57 citation statements)

References 8 publications

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“…[12][13][14] Band erosion is a long-term complication reported in several series. 6,9,15 The presenting symptoms are nonspecific; 7 in our patients, the most common symptoms were upper abdominal pain, port site infection and weight regain, which are in line with findings from other studies. [16][17][18] According to the literature, band erosion after LAGB occurs in about 0.6%-11% of patients.…”

Section: Discussionsupporting

confidence: 90%

“…Band migration occurs in 0.6% 4 to 11% 5 of patients within the first 2 postoperative years. Different hypotheses have been suggested to explain this complication: damage of the gastric wall during band implantation, 6 infection of the band site, 7 overfilling the band 8 and abnormal reaction of the periprosthesic tissue to the presence of the band. 9 Different methods are used to remove the band, with the preferred methods involving a laparoscopic or laparotomic approach.…”

Section: Discussionmentioning

confidence: 99%

“…The definite causes of band erosion have yet to be determined; much has been written about the causes and risk factors. 20 Reports suggest that unrecognized intraoperative injury, 6,21 certain bands (e.g., the Vanguard) 20 and overfilling of the band 8,20 may predispose to erosion. In a study involving 454 patients, chronic overfilling of the band was defined as an increased filling volume of 10-12 mL.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Doğan

Akın

Yalakı

et al. 2014

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“…If medically indicated and if such a patient is willing, further bariatric surgery should be considered (EL B, C, D [229][230][231][232][233][234][235][236][237][238][239][240][241][242] ).…”

Section: Failed Treatmentmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

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“…If medically indicated and if such a patient is willing, further bariatric surgery should be undertaken (EL B, C, D [132][133][134][135][136][137][138][139][140][141][142][143][144][145] ).…”

Section: Failed Treatmentmentioning

confidence: 99%

Inter-disciplinary European guidelines on surgery of severe obesity

et al. 2007

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In 2005, for the first time in European history, an extraordinary Expert panel named 'The BSCG' (Bariatric Scientific Collaborative Group), was appointed through joint effort of the major European Scientific Societies which are active in the field of obesity management. Societies that constituted this panel were: IFSO -International Federation for the Surgery of Obesity, IFSO-ECInternational Federation for the Surgery of Obesity -European Chapter, EASO -European Association for Study of Obesity, ECOG -European Childhood Obesity Group, together with the IOTF (International Obesity Task Force) which was represented during the completion process by its representative. The BSCG was composed not only of the top officers representing the respective Scientific Societies (four acting presidents, two past presidents, one honorary president, two executive directors), but was balanced with the presence of many other key opinion leaders in the field of obesity. The BSCG composition allowed the coverage of key disciplines in comprehensive obesity management, as well as reflecting European geographical and ethnic diversity. This joint BSCG expert panel convened several meetings which were entirely focused on guidelines creation, during the past two years. There was a specific effort to develop clinical guidelines, which will reflect current knowledge, expertize and evidence based data on morbid obesity treatment.

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The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity

Cited by 93 publications

References 8 publications

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

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

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Inter-disciplinary European guidelines on surgery of severe obesity

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