Use of adjustable silicone gastric banding for revision of failed gastric bariatric operations
| Autor: | O. Landau, A. Matz, I. Charuzi, Shlomo Kyzer, Asnat Raziel |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Pulmonary Atelectasis Time Factors Adolescent Gastroplasty Gastric banding Endocrinology Diabetes and Metabolism Stomach Volvulus Silicones Body Mass Index chemistry.chemical_compound Silicone Weight loss Surveys and Questionnaires Weight Loss medicine Humans Surgical Wound Infection Hernia Treatment Failure Aged Retrospective Studies Gastric volvulus Nutrition and Dietetics business.industry Suture Techniques Retrospective cohort study Length of Stay Middle Aged medicine.disease Hernia Ventral Surgery Banded gastroplasty Obesity Morbid chemistry Patient Satisfaction Anesthesia Tears Equipment Failure medicine.symptom business |
| Zdroj: | Obesity surgery. 11(1) |
| ISSN: | 0960-8923 |
| Popis: | Background: Revision of gastric bariatric operations is sometimes technically difficult and may fail to achieve prolonged weight reduction. The use of the adjustable silicone gastric banding (ASGB) offers a new approach for these revisions. Methods: ASGB was performed as a revisional procedure on 37 patients whose initial bariatric operations were as follows: silastic ring vertical gastroplasty (21), gastric bypass (12), horizontal gastroplasty (3) and vertical banded gastroplasty (1). Results: The length of the procedure varied from 55 to 145 minutes (mean 83 minutes). Intraoperative complications included two fundic tears which were sutured without any postoperative sequelae. Five patients needed reoperation during the first postoperative year due to gastric volvulus (1), tubing tear (1) and development of postoperative ventral hernia (3). BMI fell from 44.8 ± SD 8.07 to 33.4 ± 6.9 kg/m2 for patients operated with BMI higher than 35 kg/m2 and from 29.2 ± 3.32 to 25.4 ± 2.8 kg/m2 for patients operated with BMI lower than 35 kg/m2. Conclusions: ASBG can be performed with revisions with an acceptable complication rate and post-operative weight reduction. |
| Databáze: | OpenAIRE |
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