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Lap-Band erosion: incidence and treatment
E Niville1, A Dams, J Vlasselaers
1Department of Abdominal Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium. erik.niville@ping.be
Background:
Laparoscopic adjustable gastric banding (LAGB) is an effective and safe surgical treatment for morbid obesity. Migration of the band through the stomach wall is a well-known late complication that may jeopardize the aim of the treatment--permanent weight reduction.
Methods:
301 patients were followed for > or = 2 years (mean 39 months) after a Lap-Band procedure. Cases of erosion were studied retrospectively.
Results:
5 patients (1.66%) developed erosions. Laparoscopic band removal was carried out in these 5 cases without complication. The first 4 have received a new Lap-Band, and all are doing well.
Conclusion:
Band erosion is a bothersome late complication after LAGB and requires band removal. Rebanding is a feasible option. Further study and longer follow-up are necessary to determine whether these patients will develop erosion again.
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