e6bba3884d18c7c894533398b72e6613 pmc_9867319.pdf 0e7f4a59c56f1a6fb8b9a9f5e72357da4c043588 pmc_9867319.pdf 6a7612fc0c68595e9d4ec2d85f00331b52f48b0d5bc86fdcfbf14132c7b97b84 pmc_9867319.pdf Title: Endoscopic Gastric Band Removal Subject: Background: Laparoscopic adjustable gastric band (LAGB) procedures have declined worldwide in recent years. A known complication is the intraluminal erosion of the prosthetic material. The endoscopic management of gastric band erosion represents the recommended approach nowadays, and it avoids any additional trauma to the gastric wall already damaged by the migration. The purpose of our study was to assess the feasibility of endoscopic management for intraluminal gastric band erosion following LAGB. Methods: From January 2009–December 2020, a total of 29 patients were retrospectively reviewed after undergoing endoscopic gastric band removal. The study included all consecutive patients who underwent endoscopic gastric band removal in this period. No patients were excluded from the study. Data on patient demographic characteristics, case history, operative details (procedural time, adverse events), and complications were reviewed retrospectively. Results: Twenty-nine patients underwent endoscopic gastric band removal: 22 women (75.8%) with a mean age of 45 years (range: 28–63) and mean Body Mass Index (BMI) of 31 4.7 kg/m2 (range: 24–41). The average time to the identification of erosion after LAGB was 42 months (range: 28–137). The initial upper endoscopy found a migrated band of more than half of the diameter in 21 cases, less than a half but more than a third in seven cases and in one case, less than a third (use of a stent). Twenty-seven patients were successfully treated with endoscopic removal, and in two cases, the endoscopic approach failed, and laparoscopy was further performed. Conclusions: The endoscopic management of intraluminal erosion after LAGB can be safe and effective and should be considered the procedure of choice when treating this complication. The percentage of the band migration is important for the timing of the endoscopic removal. Keywords: laparoscopic adjustable gastric band; complication; migration; endoscopy Author: Thierry Manos, Anamaria Nedelcu, Patrick Noel, Viola Zulian, Marc Danan, Ramon Vilallonga, Sergio Carandina and Marius Nedelcu Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Thu Jan 12 11:02:42 2023 CET ModDate: Thu Jan 12 11:30:42 2023 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 7 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 643790 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- BOTPKS+VnURWPalladioL Type 1 Custom yes yes no 10 0 ZVAVFW+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 OWIHUC+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 WLXQNQ+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 TFNRKZ+CMSY10 Type 1 Builtin yes yes no 28 0 XPUSBJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 BSDWLC+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 49 0 FPWJKM+PalatinoLinotype,Italic CID TrueType Identity-H yes yes yes 76 0 FPWJKM+PalatinoLinotype,Bold CID TrueType Identity-H yes yes yes 82 0 FPZTPL+PalatinoLinotype CID TrueType Identity-H yes yes yes 88 0 FPWJKM+PalatinoLinotype,Italic CID TrueType Identity-H yes yes yes 103 0 FPWJKM+PalatinoLinotype,Bold CID TrueType Identity-H yes yes yes 109 0 FPZTPL+PalatinoLinotype CID TrueType Identity-H yes yes yes 115 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-07-04 02:29:24 CEST RepresentationInformation: pmc_9867319.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-01-26 02:11:16 CET Size: 643790 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 208 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@44c8afef Item: Title: Materials and Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7b69c6ba Children: Item: Title: Technique Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Item: Title: Statistical Analysis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Info: Title: Endoscopic Gastric Band Removal Author: Thierry Manos, Anamaria Nedelcu, Patrick Noel, Viola Zulian, Marc Danan, Ramon Vilallonga, Sergio Carandina and Marius Nedelcu Subject: Background: Laparoscopic adjustable gastric band (LAGB) procedures have declined worldwide in recent years. A known complication is the intraluminal erosion of the prosthetic material. The endoscopic management of gastric band erosion represents the recommended approach nowadays, and it avoids any additional trauma to the gastric wall already damaged by the migration. The purpose of our study was to assess the feasibility of endoscopic management for intraluminal gastric band erosion following LAGB. Methods: From January 2009 December 2020, a total of 29 patients were retrospectively reviewed after undergoing endoscopic gastric band removal. The study included all consecutive patients who underwent endoscopic gastric band removal in this period. No patients were excluded from the study. Data on patient demographic characteristics, case history, operative details (procedural time, adverse events), and complications were reviewed retrospectively. Results: Twenty-nine patients underwent endoscopic gastric band removal: 22 women (75.8%) with a mean age of 45 years (range: 28 63) and mean Body Mass Index (BMI) of 31 4.7 kg/m2 (range: 24 41). The average time to the identification of erosion after LAGB was 42 months (range: 28 137). The initial upper endoscopy found a migrated band of more than half of the diameter in 21 cases, less than a half but more than a third in seven cases and in one case, less than a third (use of a stent). Twenty-seven patients were successfully treated with endoscopic removal, and in two cases, the endoscopic approach failed, and laparoscopy was further performed. Conclusions: The endoscopic management of intraluminal erosion after LAGB can be safe and effective and should be considered the procedure of choice when treating this complication. The percentage of the band migration is important for the timing of the endoscopic removal. 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