Esophageal Anatomy and Function in Laparoscopic Gastric Restrictive Bariatric Surgery: Implications for Patient Selection
| Autor: | A Nissan, Robert J. Greenstein, Barry W. Jaffin |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Reoperation
medicine.medical_specialty Gastroplasty Endocrinology Diabetes and Metabolism Preoperative care Morbid obesity Weight loss Preoperative Care medicine Humans Esophageal Motility Disorders Hernia Adjustable gastric band Laparoscopy Nutrition and Dietetics medicine.diagnostic_test business.industry Patient Selection Stomach General surgery digestive oral and skin physiology medicine.disease digestive system diseases Obesity Morbid Surgery stomatognathic diseases Hernia Hiatal medicine.anatomical_structure Esophageal motility disorder medicine.symptom business Follow-Up Studies |
| Zdroj: | Obesity Surgery. 8:199-206 |
| ISSN: | 1708-0428 0960-8923 |
| DOI: | 10.1381/096089298765554818 |
| Popis: | Background: The purpose of this study was to assess factors of clinical importance in morbidly obese patients having a laparoscopically adjustable gastric band (LAP-BAND®) implanted in order to achieve weight loss. Methods: Preoperative evaluation of hiatus hernia and esophageal (dys)motility were compared with the need for reoperation. Results are presented for the first 50 consecutive patients entered. Results: Nine of the first 50 patients required reoperation (18%). Five (10%) were for LAP-BAND slippage on the stomach. Of these five, reoperation was required in four of 12 (33%) with hiatus hernia (P = 0.0093); three of nine (33%) with a motility disorder (P = 0.025); and three of six (50%) with both hiatus hernia and a motility disorder (P = 0.0076). Conclusions: We identify two factors, hiatus hernia and esophageal dysmotility, which are associated, both independently as well as in combination, with reoperation for LAP-BAND® slippage. Both patients and their physicians should consider these data when considering the LAP-BAND® as possible therapy for morbid obesity. |
| Databáze: | OpenAIRE |
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