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Initial experience with laparoscopic adjustable gastric banding and pouch dilatation: two cases
1Centro di Studio Interdisciplinare per il Trattamento della Grande Obesità, Surgical Sciences Institute, University of Siena, Italy.
Obesity Surgery
|May 19, 2001
Summary
Late proximal pouch dilatation (LPPD) after gastric banding can be successfully treated with conservative laparoscopic surgery. This approach avoids complications and maintains weight loss in the mid-term.
Area of Science:
- Bariatric surgery
- Gastrointestinal surgery
- Minimally invasive procedures
Background:
- Late proximal pouch dilatation (LPPD) is an occasional complication following gastric banding for morbid obesity.
- Current standard treatment for LPPD without posterior component involves laparoscopic conservative resetting and oversuturing of the band.
Purpose of the Study:
- To present two cases of LPPD following initial experience with the Lap-Band.
- To evaluate the efficacy of a laparoscopic approach for correcting LPPD.
Main Methods:
- Two patients with LPPD were treated using a laparoscopic approach.
- The first patient underwent conservative laparoscopic repositioning and oversuturing of the gastric band.
- The second patient underwent laparoscopic substitution of the gastric band.
Main Results:
- Reintervention was necessary for both patients.
- No further complications were observed post-operatively.
- Weight loss was maintained in both cases at mid-term follow-up (18 and 30 months).
Conclusions:
- LPPD can be effectively managed with a conservative laparoscopic surgical approach.
- This method is associated with no complications and no negative functional effects on mid-term outcomes.