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Obesity Surgery
Published in: Obesity Surgery 10/2017

01-10-2017 | Original Contributions

Slippage—a Significant Problem Following Gastric Banding—a Single Centre Experience

Authors: Tomasz Szewczyk, Przemyslaw Janczak, Natalia Jezierska, Piotr Jurałowicz

Published in: Obesity Surgery | Issue 10/2017

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Abstract

Background

Laparoscopic adjustable gastric banding is a well-established method of morbid obesity treatment. One of the complications is slippage.

Aim

The aim of the study was to assess the prevalence, causes, and handling of slippage after LAGB in own material.

Material and Methods

There were 740 procedures performed by one surgical team. The patients were selected according to the IFSO principles. The pars flaccida technique was applied and the position of the band was controlled. There was neither plication nor the bands were sutured to the stomach wall. Slippage was recognized during X-ray examination. With these patients, the band was emptied of liquid, gastric endoscopy was performed routinely, and patients were qualified for surgery.

Results

The patient group consisted of 500 women and 240 men. The average body weight was 128 kg and BMI 44.60 kg/m2. The slippage was observed in 8.1% cases in 7.03% patients. In 1.08%, slippage occurred twice. The main problems reported by patients were pain, a significant increase of disposable food intake, vomiting, and weight gain. In a small group of patients, these complications were detected incidentally. All patients were treated surgically. In 38.33%, the band repositioning was performed. In 33.33%, a different surgical approach was performed. In the group of reoperated patients, there were no fatal cases or any severe complications.

Conclusions

In conclusion, we believe that slippage is and will continue to be a significant problem in patients with gastric banding. Patient education focused on dietary errors may reduce the incidence of this complication. The grace period between the primary surgery and the redo operation should be applied regarding reoperation.
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Metadata
Title
Slippage—a Significant Problem Following Gastric Banding—a Single Centre Experience
Authors
Tomasz Szewczyk
Przemyslaw Janczak
Natalia Jezierska
Piotr Jurałowicz
Publication date
01-10-2017
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-2683-9

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