Modification of Gastric Banding, Using a Fundal Suture

Many forms of gastric banding have been described and high reoperation rates reported. These can be mainly attributed to excess vomiting associated both with and without stenosis. Reflux esophagitis and the 'sump' effect may be other causes. This paper examines the problems associated with banding leading to revisional surgery and introduces a new technique, 'fundal supporting suture', to correct these problems. Preliminary results on 126 bandings without the modification and 22 with the modification are presented.