Endoscopic Gastric Band Removal

被引:6
作者
Manos, Thierry [1 ]
Nedelcu, Anamaria [2 ]
Noel, Patrick [2 ,3 ,4 ]
Zulian, Viola [2 ]
Danan, Marc [2 ]
Vilallonga, Ramon [2 ,4 ,5 ]
Carandina, Sergio [2 ]
Nedelcu, Marius [1 ,2 ]
机构
[1] ELSAN Clin Bouchard, F-13000 Marseille, France
[2] ELSAN Clin St Michel, Ctr Chirurg Obes, F-83100 Toulon, France
[3] Mediclin Airport Rd Hosp, Abu Dhabi, U Arab Emirates
[4] Univ Autonoma Barcelona, Barcelona 08028, Spain
[5] Hosp Valle De Hebron, Gen Surg Dept, Endocrine Metab & Bariatr Unit, Barcelona 08023, Spain
关键词
laparoscopic adjustable gastric band; complication; migration; endoscopy; BARIATRIC SURGERY; EROSION; MANAGEMENT; OBESITY; TRENDS;
D O I
10.3390/jcm12020617
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页数:7
相关论文
共 50 条
[21]   Mesentero-axial gastric volvulus after removal of laparoscopic adjustable gastric band [J].
Pirmadjid, N. ;
Pournaras, D. J. ;
Huan, S. ;
Sujendran, V. .
ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND, 2017, 99 (02) :E58-E59
[22]   Endoscopic removal of eroded gastric band using strangulation technique with a mechanical lithotriptor as a minimally invasive procedure [J].
Flor, Laura ;
Gornals, Joan B. ;
Ruiz-de-Gordejuela, Amador G. .
DIGESTIVE ENDOSCOPY, 2014, 26 (02) :296-297
[23]   New Endoscopic Devices and Techniques for the Management of Post-Sleeve Gastrectomy Fistula and Gastric Band Migration [J].
Jung, Carlo Felix Maria ;
Binda, Cecilia ;
Tuccillo, Luigi ;
Secco, Matteo ;
Gibiino, Giulia ;
Liverani, Elisa ;
Petraroli, Chiara ;
Coluccio, Chiara ;
Fabbri, Carlo .
JOURNAL OF CLINICAL MEDICINE, 2024, 13 (16)
[24]   The Pattern of Adjustments after Laparoscopic Adjustable Gastric Band [J].
Flint, Richard S. ;
Coulter, Grant ;
Roberts, Ross .
OBESITY SURGERY, 2015, 25 (11) :2061-2065
[26]   Removal of Gastric Band Does Not Always Lead to Significant Weight Gain [J].
Hanipah, Zubaidah Nor ;
Punchai, Suriya ;
Antoine, Heath J. ;
Brethauer, Stacy A. ;
Schauer, Philip R. ;
Aminian, Ali .
BARIATRIC SURGICAL PRACTICE AND PATIENT CARE, 2020, 15 (02) :102-105
[27]   Weight Loss and Quality of Life After Gastric Band Removal or Deflation [J].
Lanthaler, Monika ;
Strasser, Stefan ;
Aigner, Franz ;
Margreiter, Raimund ;
Nehoda, Hermann .
OBESITY SURGERY, 2009, 19 (10) :1401-1408
[28]   Resolution of Sigmoid Esophagus After Laparoscopic Adjustable Gastric Band Removal [J].
Bayliss, Ty ;
Sakurai, Yosuke ;
Balakrishnan, Pranav ;
Murphy, Abigail ;
Munie, Semeret .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (08)
[29]   Laparoscopic transgastric removal of an eroded gastric band [J].
McCloskey, Carol A. .
SURGERY FOR OBESITY AND RELATED DISEASES, 2011, 7 (03) :321-322
[30]   Endoscopic Management of Gastric Band Erosion: a Systematic Review and Meta-Analysis [J].
Ameya Deshmukh ;
Parth M. Desai ;
Christine Ma ;
Vladimir Kushnir ;
Shaina Eckhouse ;
Francesca M. Dimou ;
Thomas R. McCarty ;
Ahmad Najdat Bazarbashi .
Obesity Surgery, 2024, 34 :494-502