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Endoscopic Gastric Band Removal
Manos, Thierry (ELSAN-Clinique Bouchard)
Nedelcu, Anamaria (Centre Chirurgical de l'Obésité, ELSAN-Clinique Saint Michel)
Noel, Patrick (Universitat Autònoma de Barcelona)
Zulian, Viola (Centre Chirurgical de l'Obésité, ELSAN-Clinique Saint Michel)
Danan, Marc (Centre Chirurgical de l'Obésité, ELSAN-Clinique Saint Michel)
Vilallonga, Ramon (Hospital Universitari Vall d'Hebron)
Carandina, Sergio (Centre Chirurgical de l'Obésité, ELSAN-Clinique Saint Michel)
Nedelcu, Marius (Centre Chirurgical de l'Obésité, ELSAN-Clinique Saint Michel)

Data: 2023
Resum: 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/m 2 (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.
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Laparoscopic adjustable gastric band ; Complication ; Migration ; Endoscopy
Publicat a: Journal of clinical medicine, Vol. 12 (january 2023) , ISSN 2077-0383

DOI: 10.3390/jcm12020617
PMID: 36675548

7 p, 628.7 KB

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