This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (24)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Surgery  • Surgical Interventions  • Endoscopy/ Minimally Invasive Surgery  • Alert me on articles by topic  Social Bookmarking   What's this?

Incidence and Technical Solutions

Pau Moreno, MD; Antoni Alastrué, MD; Miquel Rull, MD; Xavier Formiguera, MD; Darío Casas, MD; Jaume Boix, MD; Jaume Fernández-Llamazares, MD; Marc A. Broggi, MD

Arch Surg. 1998;133:189-193.

Objectives  To study the incidence of band erosion in patients who have undergone vertical banded gastroplasty and to describe the reparative techniques used.

Design  A retrospective review case series.

Setting  A university hospital–based tertiary referral center.

Patients  Two hundred fifty consecutive morbidly obese patients who underwent vertical banded gastroplasty between 1987 and 1995.

Main Outcome Measures  The development of band erosion into the stomach, reparative surgical techniques, and long-term weight loss control.

Results  Band erosion developed in 7 (2.8%) of the patients. Two patients had symptoms 1 month after undergoing forced endoscopy. Six patients required reoperation. The operative findings included 2 cases of "external" band erosion through the lesser curvature into the stomach and 4 cases of "internal" band erosion through the circular staple line. The surgical techniques used for repair depended on the radiological and endoscopic data and on the operative findings; the techniques included conversion into a gastric bypass, band replacement after the creation of a new stoma, and gastroplasty plus distal gastric bypass. There were no complications, and adequate long-term weight loss was achieved in all but 1 of the patients who underwent reoperation.

Conclusion  Band erosion may be corrected using appropiate surgical techniques to allow for adequate long-term weight loss in patients who have undergone vertical banded gastroplasty.

From the Departments of General Surgery (Drs Moreno, Alastrué, Rull, Fernández-Llamazares, and Broggi), Internal Medicine (Eating Disorders Unit) (Dr Formiguera), Radiology (Dr Casas), and Gastroenterology (Dr Boix), University Hospital "Germans Trias i Pujol," Barcelona, Spain.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Band Erosion in Patients Who Have Undergone Vertical Banded Gastroplasty—Invited Commentary
Lloyd D. MacLean
Arch Surg. 1998;133(2):193.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Intragastric Band Erosion After Laparoscopic Adjustable Gastric Banding for Morbid Obesity: Imaging Characteristics of an Underreported Complication
Hainaux et al.
Am. J. Roentgenol. 2005;184:109-112.
ABSTRACT | FULL TEXT