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Lloyd D. MacLean, MD
McGill University
Royal Victoria Hospital
Montreal, Quebec

Arch Surg. 1998;133:193.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This is a retrospective study of 250 obese patients operated on consecutively during an 8-year period using vertical banded gastroplasty with a 10- to 15-mL pouch and a 5-cm band of expanded polytef (also known as PTFE) (Gortex, WL Gore and Associates Inc, Flagstaff, Ariz). An erosion of the band into the stomach developed in 7 (2.8%) of these patients; all 7 patients experienced excessive weight loss and symptoms of partial obstruction. The cause of erosion was probably a tight band in all patients, and the erosion was hastened by forceful endoscopy in 2 patients. Excision of the eroded band and adjacent inflamed stomach with reformation of a new pouch and Roux-en-Y reconstruction is an attractive solution to this problem. I find reinsertion of another band in a contaminated field less attractive, but the authors used this method only with lateral erosion. The idea of using . . . [Full Text of this Article]

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Band Erosion in Patients Who Have Undergone Vertical Banded Gastroplasty: Incidence and Technical Solutions
Pau Moreno, Antoni Alastrué, Miquel Rull, Xavier Formiguera, Darío Casas, Jaume Boix, Jaume Fernández-Llamazares, and Marc A. Broggi
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ABSTRACT | FULL TEXT