Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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Advances in Clinical and Experimental Medicine

2019, vol. 28, nr 1, January, p. 103–107

doi: 10.17219/acem/85060

Publication type: original article

Language: English

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Gastric band migration to gastrointestinal lumen and possibilities of its surgical treatment

Anna Sawicka-Pierko1,A,B,C,D, Jacek Pierko2,A,B,C,D, Monika Krawczyk2,B, Jerzy R. Ładny2,E,F, Jacek Dadan2,E,F, Hady Razak Hady2,A,E,F

1 Department of Ophthalmology, Medical University of Bialystok, Poland

2 1st Clinical Department of General and Endocrine Surgery, Medical University of Bialystok, Poland

Abstract

Background. Due to numerous late complications after laparoscopic adjustable gastric banding (LAGB), leading to band removal, a significant decrease of its application has been observed.
Objectives. The objective of this study was to present complications after LAGB in our own material.
Material and Methods. The study included 152 obese patients who underwent LAGB between 2005 and 2012. The group of women consisted of 91 patients (60%) with the following preoperative parameters: average body mass index (BMI) 42 ±3.66 kg/m2 and average body mass 122 ±12.8 kg. The group of men included 61 patients (40%) with a preoperative average BMI 43 ±3.81 kg/m2 and average body mass 125 ±13.02 kg. The average age of women was 35.02 ±11.6 years and of men 36.18 ±10.5 years.
Results. Among 152 patients after LAGB due to morbid obesity, in 7 (4.6%) migration of the band to the stomach lumen was observed, in 4 port wound purulence occurred, in 3 stomach mucosa ulceration was diagnosed in the band pressure area, 3 reported heartburn and hyperacidity, and 4 suffered from emesis. In all aforementioned patients, body mass loss stopped and they reported lack of restriction after last band regulation.
Conclusion. Surgical or endoscopic treatment in patients with a migrated band is an individual matter depending on the type and size of band dislocation, its clinical symptoms and the general state of the patient, but also on the experience of the operating team and the quality of the equipment.

Key words

band migration, obesity, laparoscopic adjustable gastric banding, bariatric surgery

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