Endoscopic removal of dysfunctioning bands or rings after restrictive bariatric procedures.
Gastrointest Endosc
; 71(3): 468-74, 2010 Mar.
Article
en En
| MEDLINE
| ID: mdl-19748612
ABSTRACT
BACKGROUND:
Intragastric band migrations or dysfunctions are common long-term complications of both vertical banded gastroplasty (VBG) and laparoscopic adjustable gastric banding (Lap-Band) that classically require surgical treatment.OBJECTIVE:
In this series, we describe the endoscopic removal of partially eroded Lap-Bands or Silastic rings and noneroded dysfunctioning rings after VBG.DESIGN:
Case series.SETTING:
A European, tertiary-care academic center. PATIENTS This study involved 13 patients--3 with eroded Lap-Bands, 4 with eroded Silastic rings, and 6 with refractory outlet stoma stenosis after VBG. INTERVENTION Endoscopic removal was performed within 1 or 2 sessions, according to the presence and extent of band erosion at presentation, including optional placement of a self-expandable plastic stent across the band, followed about 6 to 8 weeks later by extraction with transsection, if needed, by using a wire-cutting system. MAIN OUTCOME MEASUREMENTS Technical success and safety.RESULTS:
One failure was caused by huge adhesion formation around a Lap-Band on the lesser curvature of the stomach and the left liver lobe. Twelve of 13 endoscopic removals were successful in 1 (n = 2) and 2 (n = 10) sessions.LIMITATIONS:
Highly selected patients (tertiary-case academic center).CONCLUSION:
Endoscopic removal of dysfunctioning bands or rings is safe and feasible by the use of a 1- or 2-step endoscopic procedure.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Gastroplastia
/
Remoción de Dispositivos
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2010
Tipo del documento:
Article