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Surgical Endoscopy
Published in: Surgical Endoscopy 1/2004

01-01-2004 | Original article

Bilio pancreatic diversion following failure of laparoscopic adjustable gastric banding

Authors: K. Dolan, G. Fielding

Published in: Surgical Endoscopy | Issue 1/2004

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Abstract

Background: This study examines the failure rate with laparoscopic adjustable gastric banding (LABG) and results of band removal with synchronous biliopancreatic diversion without (BPD) or with duodenal switch (BPDDS). Methods: Failure of LAGB was defined as removal of the band due to insufficient weight loss or a complication. Results: The band was removed in 85 of 1,439 patients (5.9%), most commonly for persistent dysphagia and recurrent slippage. The removal rate and slippage rate decreased from 10.8 and 14.2% to 2.8 and 1.3%, respectively, following introduction of the pars flaccida technique. Fifteen of 27 patients with previous open vertical banded gastroplasty (VBG) required removal of the band. Mean percentage excess weight loss 12 months following open BPD, laparoscopic BPD, open BPDDS, and laparoscopic BPDDS was 44, 37, 35, and 28%, respectively. Conclusion: LAGB fails in 6% of patients and removal of the band with synchronous BPD or BPDDS can be performed laparoscopically. Patients with failed primary VBG have a high failure rate with LAGB.
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Metadata
Title
Bilio pancreatic diversion following failure of laparoscopic adjustable gastric banding
Authors
K. Dolan
G. Fielding
Publication date
01-01-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 1/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-8802-9

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