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Obstructive symptoms associated with the Lap-Band in the first 24 hours
1Department of Surgery, Staten Island University Hospital, 65 Cromwell Avenue, Staten Island, NY 10304, USA.
Surgical Endoscopy
|November 20, 2003
Summary
Early Lap-Band (gastric restrictive procedure) complications include gastric slippage, edema, and hypomotility. Proper band placement and endoscopic intervention can manage these obstructive issues effectively.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Surgical Complications
Background:
- The Lap-Band is a gastric restrictive procedure used for morbid obesity treatment.
- This review focuses on obstructive complications within the first 24 hours post-surgery.
Observation:
- Fifty-six Lap-Band procedures were analyzed.
- Six patients (10.7%) experienced early postoperative obstruction.
Findings:
- Gastric slippage occurred in three patients.
- Esophageal hypomotility was observed in two patients.
- One patient presented with gastric edema.
Implications:
- Adjusting band placement to an esophagogastric position reduced gastric slippage to zero.
- Endoscopic nasogastric tube placement effectively treated esophageal hypomotility.
- Clinicians must recognize and manage these specific Lap-Band complications.