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Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding

BACKGROUND: Laparoscopic insertion of a gastric band for weight reduction is increasingly performed in obese and morbidly obese patients. Complication rates after gastric band insertion are reduced by using certain techniques. PATIENTS AND METHODS: This was a prospective study of all patients who un...

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Autores principales: Hussain, A., Mahmood, H., El-Hasani, S.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043572/
https://www.ncbi.nlm.nih.gov/pubmed/20932373
http://dx.doi.org/10.4293/108680810X12785289144241
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author Hussain, A.
Mahmood, H.
El-Hasani, S.
author_facet Hussain, A.
Mahmood, H.
El-Hasani, S.
author_sort Hussain, A.
collection PubMed
description BACKGROUND: Laparoscopic insertion of a gastric band for weight reduction is increasingly performed in obese and morbidly obese patients. Complication rates after gastric band insertion are reduced by using certain techniques. PATIENTS AND METHODS: This was a prospective study of all patients who underwent laparoscopic adjustable gastric band (LAGB) insertion at our unit. This procedure is performed through the classical 4-port technique and the use of a liver retractor. The pars flaccida method is performed in all patients, and the gold finger, a malleable instrument, is used to guide the band through the retroesophageal window in patients with difficult anatomy. Band slippage is avoided by using 2 types of gastric plication, depending on the anatomical characteristics of the stomach. Outcomes and morbidity are recorded, and patients are followed up in outpatient clinics. RESULTS: Laparoscopic adjustable gastric band (LAGB) insertion was performed in 464 patients. A single consultant surgeon performed all procedures over a 2-year period. From August 2005 through August 2007, 380 (81.89%) women and 84 (18.10%) men were included in this study. The mean age was 41 years (range, 21 to 62). The mean body mass index was 43 (range, 35 to 62). Morbidity included dysphagia, epigastric pain, port displacement, port infection, erosion, and acute respiratory distress. Only one (0.21%) case of band slippage was reported. The mean follow-up was 26 months (range, 18 to 42). CONCLUSION: Laparoscopic gastric plication adds greater security and provides optimum gastric band placement. It is an effective method to reduce slippage after gastric band insertion.
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spelling pubmed-30435722011-08-29 Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding Hussain, A. Mahmood, H. El-Hasani, S. JSLS Scientific Papers BACKGROUND: Laparoscopic insertion of a gastric band for weight reduction is increasingly performed in obese and morbidly obese patients. Complication rates after gastric band insertion are reduced by using certain techniques. PATIENTS AND METHODS: This was a prospective study of all patients who underwent laparoscopic adjustable gastric band (LAGB) insertion at our unit. This procedure is performed through the classical 4-port technique and the use of a liver retractor. The pars flaccida method is performed in all patients, and the gold finger, a malleable instrument, is used to guide the band through the retroesophageal window in patients with difficult anatomy. Band slippage is avoided by using 2 types of gastric plication, depending on the anatomical characteristics of the stomach. Outcomes and morbidity are recorded, and patients are followed up in outpatient clinics. RESULTS: Laparoscopic adjustable gastric band (LAGB) insertion was performed in 464 patients. A single consultant surgeon performed all procedures over a 2-year period. From August 2005 through August 2007, 380 (81.89%) women and 84 (18.10%) men were included in this study. The mean age was 41 years (range, 21 to 62). The mean body mass index was 43 (range, 35 to 62). Morbidity included dysphagia, epigastric pain, port displacement, port infection, erosion, and acute respiratory distress. Only one (0.21%) case of band slippage was reported. The mean follow-up was 26 months (range, 18 to 42). CONCLUSION: Laparoscopic gastric plication adds greater security and provides optimum gastric band placement. It is an effective method to reduce slippage after gastric band insertion. Society of Laparoendoscopic Surgeons 2010 /pmc/articles/PMC3043572/ /pubmed/20932373 http://dx.doi.org/10.4293/108680810X12785289144241 Text en © 2010 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Hussain, A.
Mahmood, H.
El-Hasani, S.
Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding
title Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding
title_full Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding
title_fullStr Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding
title_full_unstemmed Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding
title_short Gastric Plication Can Reduce Slippage Rate After Laparoscopic Gastric Banding
title_sort gastric plication can reduce slippage rate after laparoscopic gastric banding
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043572/
https://www.ncbi.nlm.nih.gov/pubmed/20932373
http://dx.doi.org/10.4293/108680810X12785289144241
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