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Obesity Surgery
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29-12-2023 | Endoscopy | Original Contributions

Endoscopic Management of Gastric Band Erosion: a Systematic Review and Meta-Analysis

Authors: Ameya Deshmukh, Parth M. Desai, Christine Ma, Vladimir Kushnir, Shaina Eckhouse, Francesca M. Dimou, Thomas R. McCarty, Ahmad Najdat Bazarbashi

Published in: Obesity Surgery | Issue 2/2024

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Abstract

Background

Gastric band erosion may be seen in up to 3% of patients. Endoscopic intervention has become increasingly utilized due to its minimally invasive nature. The purpose of this study was to perform a systematic review and meta-analysis to examine the role of endoscopic removal for eroded gastric bands.

Methods

Individualized search strategies were developed for PubMed, EMBASE, Web of Science, and Cochrane Library databases in accordance with PRISMA and MOOSE guidelines. Outcomes included technical success, clinical success, procedure duration, adverse events, and surgical conversion. Pooled proportions were analyzed using random effects models. Heterogeneity and publication bias was assessed with I2 statistics and funnel plot asymmetry using Egger and Begg tests. Meta-regression was also performed comparing outcomes by endoscopic tools.

Results

Ten studies (n=282 patients) were included in this meta-analysis. Mean age was 40.68±7.25 years with average duration of band placement of 38.49±19.88 months. Pre-operative BMI was 42.76±1.06 kg/m2 with BMI of 33.06±3.81 kg/m2 at time of band erosion treatment. Endoscopic removal was attempted in 240/282 (85.11%) of cases. Pooled technical and clinical success of the endoscopic therapy was 86.08% (95% CI: 79.42–90.83; I2=28.62%) and 85.34% (95% CI: 88.70–90.62; I2=38.56%), respectively. Mean procedure time for endoscopic removal was 46.47±11.52 min with an intra-operative adverse event rate of 4.15% (95% CI: 1.98–8.51; I2=0.00%). Post-procedure-associated adverse events occurred in 7.24% (CI: 4.46–11.55; I2=0.00%) of patients. Conversion to laparotomy/laparoscopy occurred in 10.54% (95% CI: 6.12–17.54) of cases.

Conclusion

Endoscopic intervention is a highly effective and safe modality for the treatment of gastric band erosion.

Graphical Abstract

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Metadata
Title
Endoscopic Management of Gastric Band Erosion: a Systematic Review and Meta-Analysis
Authors
Ameya Deshmukh
Parth M. Desai
Christine Ma
Vladimir Kushnir
Shaina Eckhouse
Francesca M. Dimou
Thomas R. McCarty
Ahmad Najdat Bazarbashi
Publication date
29-12-2023
Publisher
Springer US
Keyword
Endoscopy
Published in
Obesity Surgery / Issue 2/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-023-06995-4

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