The Swedish Laparoscopic Adjustable Gastric Banding for Morbid  Obesity

Mortele, K; Pattijn, P.; Mollet, Pieter; Berrevoet, Frederik; Hesse, Uwe; Ceelen, Wim; Ros, Pablo R.

doi:10.2214/ajr.177.1.1770077

Cited by 43 publications

(25 citation statements)

References 13 publications

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“…Wiesner et al [14], Hainaux et al [7], and also Mortele´et al [9] noted that port puncture may be difficult or impossible if ports rotate or completely invert. However, in these series only a small percentage required revisional surgery for difficult port puncture.…”

Section: Discussionmentioning

confidence: 99%

Port function after laparoscopic adjustable gastric banding for morbid obesity

et al. 2003

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Section: Discussionmentioning

confidence: 99%

Port function after laparoscopic adjustable gastric banding for morbid obesity

et al. 2003

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“…Chronic pouch dilatation incidence is 3-8% [26,27]. In contrast to acute pouch dilatation, it occurs in the presence of a normal stoma and is usually owing to chronic volume overload of the pouch secondary to overeating.…”

Section: Normal Post-operative Imaging Appearancementioning

confidence: 99%

“…Incidence ranges from 3% to 13% and is decreasing with modifications to the surgical technique [26][27][28][29]. Anterior prolapse is more common and results in lateral eccentric gastric pouch enlargement, stomal narrowing and a horizontally orientated band, with a phi angle of greater than 58 ( Figure 9) [11,30].…”

Section: Normal Post-operative Imaging Appearancementioning

confidence: 99%

Imaging in bariatric surgery: service set-up, post-operative anatomy and complications

Shah¹,

Shah²,

Ahmed³

et al. 2011

BJR

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ABSTRACT. Obesity is an increasingly prevalent and costly problem faced by the healthcare system. The role of bariatric surgery in managing obesity has also increased with evidence showing a reduction in long-term morbidity and mortality. There are unique challenges faced by the radiology department in providing an imaging service for this population of patients, from technical and staffing requirements through to the interpretation of challenging post-surgical images. We describe these challenges and provide an overview of the most frequently performed procedures, normal postoperative imaging findings and the appearance of common complications. ObesityObesity is a multifactorial disease, which is increasing in incidence and prevalence. In 2006, 67% of men and 56% of women were classified as being either overweight or obese in England [1]. Overall, 24% of adults were classified as obese, an increase from 15% in 1993, and 16% of children aged 2-15 years were classified as obese, an increase from 11% in 1995. Estimates suggest that at the current rate of increase, by 2010 there will be 12 million adults and 1 million children categorised as obese. The body mass index (BMI, kg m -2 ) is the most widely used measure of obesity; BMI between 25 and 30 signifies being overweight and BMI greater than 30 signifies obesity. BMI greater than 35 with obesityrelated serious comorbidities or greater than 40 with or without comorbidities is defined as morbid obesity.

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“…Access ports can twist or become infected. While port rotation can be corrected by revisional surgical fixation (EL 4 [170,225,349]), infection requires port removal. First, the tube is placed in the abdominal cavity.…”

Section: Lagbmentioning

confidence: 99%

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Sauerland

Angrisani

Belachew³

et al. 2004

Surg Endosc

452

280

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After the patient's multidisciplinary evaluation, obesity surgery should be considered in adults with a documented BMI greater than or equal to 35 and related comorbidity, or a BMI of at least 40. In addition to standard laboratory testing, chest radiography, electrocardiography, spirometry, and abdominal ultrasonography, the preoperative evaluation of obesity surgery patients also includes upper gastrointestinal endoscopy or radiologic evaluation with a barium meal. Psychiatric consultation and polysomnography can safely be restricted to patients with clinical symptoms on preoperative screening. Adjustable gastric banding (GB), vertical banded gastroplasty (VBG), Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion (BPD) are all effective in the treatment of morbid obesity, but differ in degree of weight loss and range of complications. The choice of procedure therefore should be tailored to the individual situation. There is evidence that a laparoscopic approach is advantageous for LAGB, VBG, and GB (and probably also for BPD). Antibiotic and antithromboembolic prophylaxis should be used routinely. Patients should be seen 3 to 8 times during the first postoperative year, 1 to 4 times during the second year and once or twice a year thereafter. Outcome assessment after surgery should include weight loss and maintainance, nutritional status, comorbidities and quality-of-life.

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The Swedish Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Cited by 43 publications

References 13 publications

Port function after laparoscopic adjustable gastric banding for morbid obesity

Port function after laparoscopic adjustable gastric banding for morbid obesity

Imaging in bariatric surgery: service set-up, post-operative anatomy and complications

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

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