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Autonomous and Rechargeable Microneurostimulator Endoscopically Implantable into the Submucosa
Published on: September 27, 2018
Intragastric stimulation is ineffective after failed adjustable gastric banding
Elisabeth Hoeller1, Franz Aigner, Raimund Margreiter
1Medical University Innsbruck, Department of General and Transplant Surgery, Innsbruck, Austria.
Obesity Surgery
|September 23, 2006
Summary
Implantable gastric stimulators (IGS) were ineffective as a second-line treatment for morbid obesity after adjustable gastric banding (AGB) failure due to band migration. Patients regained weight, leading to device explantation and alternative bariatric procedures.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Obesity Treatment
Background:
- Adjustable gastric banding (AGB) is a common bariatric procedure.
- Band migration is a known complication of AGB.
- Gastric pacing using implantable gastric stimulators (IGS) is explored for morbid obesity.
Purpose of the Study:
- To evaluate the efficacy of IGS as a second-line treatment for morbid obesity.
- To assess outcomes in patients with AGB failure due to band migration.
Main Methods:
- Eight patients with AGB failure from band migration were enrolled.
- Gastroscopic band removal followed by laparoscopic IGS implantation.
- Patients were monitored for weight changes and complications.
Main Results:
- IGS implantation was technically successful without immediate complications.
- Patients regained significant weight post-IGS implantation, with no statistically significant weight loss compared to preoperative values.
- Most IGS devices were explanted due to ineffectiveness, with patients undergoing revision surgery.
Conclusions:
- IGS is an ineffective second-line bariatric procedure for patients experiencing AGB failure due to band migration.
- Alternative surgical interventions are necessary for these patients.
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