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Published on: November 10, 2018
A study examining the complications associated with gastric banding
1Department of Upper GI and Bariatric Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, South Yorkshire S5 7AU, UK. corinneowers@doctors.org.uk
Obesity Surgery
|September 20, 2012
Summary
This study on laparoscopic adjustable gastric banding found a 32.1% complication rate, with band slippage being the most common issue. Many detected slippages were asymptomatic, requiring no intervention.
Area of Science:
- Bariatric Surgery
- Surgical Complications
- Gastroenterology
Background:
- Laparoscopic adjustable gastric banding is a common weight reduction surgery.
- Over 1,100 procedures were performed in Sheffield between 2001 and 2011.
- This study investigates the long-term complication rates associated with gastric banding.
Purpose of the Study:
- To examine the long-term complication rate of laparoscopic adjustable gastric banding.
- To analyze the types and frequencies of complications encountered.
- To assess the need for re-operation or band removal due to complications.
Main Methods:
- Retrospective review of medical notes for 1,079 patients who underwent gastric banding by a single surgeon.
- Data collection focused on complications, re-operations, and band removals.
- Analysis of patient demographics, weight, and body mass index.
Main Results:
- A 32.1% complication rate was observed in 1,079 patients.
- Band slippage occurred in 13.2% of patients, with half requiring re-operation.
- Port or tubing issues affected 12.6% of patients, including infections and repositioning needs.
Conclusions:
- Complication rates are consistent with existing literature.
- A higher detected slippage rate may be due to routine radiological fills identifying asymptomatic cases.
- Only 6.6% of all patients experienced clinically significant or intervention-requiring slippage.
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