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Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

Received: 15 March 2017     Accepted: 5 April 2017     Published: 3 May 2017
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Abstract

Laparoscopic adjustable silicone gastric band (LASGB) is frequently used to treat morbidly obese patients worldwide. Complications related to this procedure have increased as the follow-up interval of these patients has increased. Treatment of these complications often includes removal of the silicone band. Herein we report our experience with silicone gastric band removal, discuss the different treatment alternatives, and present a management algorithm. A retrospective review of complications related to LASGB was made from June of 2003 to April of 2010 (eight patients). Techniques of band extraction are discussed and a management algorithm is presented. The mean Body Mass Index at the time of LASGB placement was 39.45 (Range 34.2 - 42.8). The median patient’s age at the time of LASGB was of 32.6 years (range: 13 to 50 years). The average durability of the silicone band after laparoscopic placement was 67.8 months (range: 6 to 120 months). In three patients (37.5%) the LASGB had perforated the gastric wall and was therefore extracted using a transgastric approach (laparoscopic in two patients and by laparotomy in one patient). In five patients the silicone band had not perforated the stomach and was therefore removed laparoscopically without entering the stomach. The weight was recovered in 37.5% of the patients during follow-up. Management of patients with complications related to LASGB placement must be individualized and should address both the band related complication as well as the obesity problem. Laparoscopic trans-gastric band extraction is ideal when the LASGB has eroded into the stomach and endoscopic extraction is not feasible.

Published in Journal of Surgery (Volume 5, Issue 3)
DOI 10.11648/j.js.20170503.11
Page(s) 37-42
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Laparoscopic Adjustable Silicone Gastric Band (LASGB), Gastric Perforation, Trans-Gastric Laparoscopy, Gastric Band Complication

References
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[3] Sarker S, Herold K, Creech S, et al. Early and late complications following laparoscopic adjustable gastric banding. Am Surg 2004; 70:146-150.
[4] Boschi S, Fogli L, Berta R, et al. Avoiding Complications After Esophago-Gastric Banding: Experience with 400 Consecutive Patients. ObesSurg 2006; 16:1166-1170.
[5] Yurcisin BM, Gaddor MM, DeMaria EJ. Obesity and Bariatric Surgery. ClinChes Med 2009; 30:539-553.
[6] Caryccu L, Turner M, Szucs R. Adjustable Laparoscopic Gastric Banding for Morbid Obesity: Imaging Assessment and Complications. RadiolClin North Am 2007; 45:261-274.
[7] Lee C, Kelly J, Wassel W. Complications of Bariatric Surgery. CurrOpinGastroenterol 2007; 23:636-643.
[8] Gagner M, Milone L, Yung E, et al. Causes of Early Mortality After Laparoscopic Adjustable Gastric Banding. J Am CollSurg 2008; 206:664-669.
[9] Ceelen W, Walder J, Cardon A, et al. Surgical Treatment of Severe Obesity With a Low-Pressure Adjustable Gastric Band. Experimental Data and Clinical Results in 625 Patients. Ann Surg 2003; 237(1):10-16.
[10] Ward M, Prachand V. Surgical Treatment of Obesity. GastrointestEndosc 2009; 70(5):985-990.
[11] Tolonen P, Victorzon M, Mäkelä J. 11-Year Experience with Laparoscopic Adjustable Gastric Banding for Morbid Obesity- What Happened to the first 123 Patients? ObesSurg 2008; 18:251-255.
[12] Hainaux B, Agneessens E, Rubesova E, et al. Intragastric Band Erosion After Laparoscopic Adjustable Gastric Banding for Morbid Obesity: Imaging Characteristics of and underreported complication. AJR 2005; 184:109-112.
[13] Silecchia G, Restuccia A, Elmore U, et al. Laparoscopic Adjustable Silicone Gastric Banding: Prospective Evaluation of Intragastric Migration of the Lap-band. Surg Laparosc Endosc Percutan Tech 2001; 11(4):229-234.
[14] Niville E, Dams A, Valasselaers J. Lap-Band Erosion: Incidence and Treatment. ObesSurg 2001;11:744-747.
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[16] Bueter M, Maroske J, Thalheimer A, et al. Short and Long-Term Results of Laparoscopic Gastric Banding for Morbid Obesity. Langenbecks Arch Surg 2008; 393-199-205.
[17] Dargent J. Isolated Food Intolerance After Adjustable Gastric Banding: A Long- Term Cause of Band Removal. ObesSurg 2008; 18:829-832.
[18] Wiesner W, Schob O, Hauser R, et al. Adjustable Laparoscopic Gastric Banding in Patients with Morbid Obesity: Radiographic Management, Results and Postoperative Complications. Radiology 2000; 216:389-394.
[19] Lattuada E, Zappa M, Mozzi E, et al. Band Erosion Following Gastric Banding: How to Treat It. ObesSurg 2007; 17:329-333.
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Cite This Article
  • APA Style

    Rodrigo Arrangoiz, Manuel Muñoz-Juárez, Roger H. Pozzo, Fernando Cordera, Enrique Luque-de León, et al. (2017). Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band. Journal of Surgery, 5(3), 37-42. https://doi.org/10.11648/j.js.20170503.11

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    ACS Style

    Rodrigo Arrangoiz; Manuel Muñoz-Juárez; Roger H. Pozzo; Fernando Cordera; Enrique Luque-de León, et al. Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band. J. Surg. 2017, 5(3), 37-42. doi: 10.11648/j.js.20170503.11

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    AMA Style

    Rodrigo Arrangoiz, Manuel Muñoz-Juárez, Roger H. Pozzo, Fernando Cordera, Enrique Luque-de León, et al. Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band. J Surg. 2017;5(3):37-42. doi: 10.11648/j.js.20170503.11

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  • @article{10.11648/j.js.20170503.11,
      author = {Rodrigo Arrangoiz and Manuel Muñoz-Juárez and Roger H. Pozzo and Fernando Cordera and Enrique Luque-de León and Eduardo Moreno-Paquentin and M. Ángel Sánchez-Pérez and Efrain Cruz-González and José David Hernández-Marín},
      title = {Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band},
      journal = {Journal of Surgery},
      volume = {5},
      number = {3},
      pages = {37-42},
      doi = {10.11648/j.js.20170503.11},
      url = {https://doi.org/10.11648/j.js.20170503.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170503.11},
      abstract = {Laparoscopic adjustable silicone gastric band (LASGB) is frequently used to treat morbidly obese patients worldwide. Complications related to this procedure have increased as the follow-up interval of these patients has increased. Treatment of these complications often includes removal of the silicone band. Herein we report our experience with silicone gastric band removal, discuss the different treatment alternatives, and present a management algorithm. A retrospective review of complications related to LASGB was made from June of 2003 to April of 2010 (eight patients). Techniques of band extraction are discussed and a management algorithm is presented. The mean Body Mass Index at the time of LASGB placement was 39.45 (Range 34.2 - 42.8). The median patient’s age at the time of LASGB was of 32.6 years (range: 13 to 50 years). The average durability of the silicone band after laparoscopic placement was 67.8 months (range: 6 to 120 months). In three patients (37.5%) the LASGB had perforated the gastric wall and was therefore extracted using a transgastric approach (laparoscopic in two patients and by laparotomy in one patient). In five patients the silicone band had not perforated the stomach and was therefore removed laparoscopically without entering the stomach. The weight was recovered in 37.5% of the patients during follow-up. Management of patients with complications related to LASGB placement must be individualized and should address both the band related complication as well as the obesity problem. Laparoscopic trans-gastric band extraction is ideal when the LASGB has eroded into the stomach and endoscopic extraction is not feasible.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band
    AU  - Rodrigo Arrangoiz
    AU  - Manuel Muñoz-Juárez
    AU  - Roger H. Pozzo
    AU  - Fernando Cordera
    AU  - Enrique Luque-de León
    AU  - Eduardo Moreno-Paquentin
    AU  - M. Ángel Sánchez-Pérez
    AU  - Efrain Cruz-González
    AU  - José David Hernández-Marín
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    DO  - 10.11648/j.js.20170503.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 37
    EP  - 42
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20170503.11
    AB  - Laparoscopic adjustable silicone gastric band (LASGB) is frequently used to treat morbidly obese patients worldwide. Complications related to this procedure have increased as the follow-up interval of these patients has increased. Treatment of these complications often includes removal of the silicone band. Herein we report our experience with silicone gastric band removal, discuss the different treatment alternatives, and present a management algorithm. A retrospective review of complications related to LASGB was made from June of 2003 to April of 2010 (eight patients). Techniques of band extraction are discussed and a management algorithm is presented. The mean Body Mass Index at the time of LASGB placement was 39.45 (Range 34.2 - 42.8). The median patient’s age at the time of LASGB was of 32.6 years (range: 13 to 50 years). The average durability of the silicone band after laparoscopic placement was 67.8 months (range: 6 to 120 months). In three patients (37.5%) the LASGB had perforated the gastric wall and was therefore extracted using a transgastric approach (laparoscopic in two patients and by laparotomy in one patient). In five patients the silicone band had not perforated the stomach and was therefore removed laparoscopically without entering the stomach. The weight was recovered in 37.5% of the patients during follow-up. Management of patients with complications related to LASGB placement must be individualized and should address both the band related complication as well as the obesity problem. Laparoscopic trans-gastric band extraction is ideal when the LASGB has eroded into the stomach and endoscopic extraction is not feasible.
    VL  - 5
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Author Information
  • Department of General Surgery at the American British Cowdray Medical Center, Mexico City, México

  • Department of General Surgery at the American British Cowdray Medical Center, Mexico City, México

  • Department of General Surgery at the American British Cowdray Medical Center, Mexico City, México

  • Department of General Surgery at the American British Cowdray Medical Center, Mexico City, México

  • Department of General Surgery at the American British Cowdray Medical Center, Mexico City, México

  • Department of General Surgery at the American British Cowdray Medical Center, Mexico City, México

  • Department of General Surgery at the American British Cowdray Medical Center, Mexico City, México

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