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Follow-up of Lap-Band complications
L Angrisani1, M Lorenzo, T Santoro
11st Department of Surgery, University Federico II Medical School, Naples, Italy. lapclub.na@endosphere.it
Obesity Surgery
|September 14, 1999
Summary
Proximal gastric pouch dilation and band dislocation are common after laparoscopic adjustable silicone gastric banding. Conservative management, including band deflation, is often successful, preserving weight loss outcomes.
Area of Science:
- Bariatric surgery
- Gastrointestinal surgery
Background:
- Laparoscopic adjustable silicone gastric banding (LASGB) is a bariatric procedure.
- Proximal gastric pouch dilation (PGPD) and band dislocation (BD) are frequent complications of LASGB.
Purpose of the Study:
- To evaluate the outcomes of conservative treatment for PGPD and BD.
- To assess the feasibility of band repositioning in LASGB complications.
Main Methods:
- Conservative treatment involving band deflation was attempted for all patients.
- Laparoscopic exploration and band repositioning were performed in cases of conservative treatment failure.
Main Results:
- 8 out of 40 patients experienced PGPD or BD.
- Conservative treatment with deflation was successful in 4 PGPD cases.
- Band repositioning was feasible for selected patients with PGPD and BD.
Conclusions:
- PGPD and BD do not invariably lead to LASGB failure.
- Conservative management can be effective for these complications.
- Band repositioning is a viable option in specific scenarios.