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Obes Surg. 2000 Apr;10(2):167-70.

Gastroscopic band removal after intragastric migration of adjustable gastric band: a new minimal invasive technique.

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1
General Surgery Department, University Hospital, Innsbruck, 6020 Austria.

Abstract

BACKGROUND:

Laparoscopic adjustable gastric banding (LAGB) is the most used procedure for bariatric surgery in Europe. Although a low complication rate is reported, band migration within the first 2 years after LAGB is still observed in nearly 5% of cases, requiring operative band removal. To avoid increased risk of complications due to laparotomy, we propose a minimally invasive technique for this purpose.

METHODS:

We performed this operation in five patients who suffered from band migration after LAGB (1.9% in our series of 211 patients, one patient was operated elsewhere). The described method consists of gastroscopic band and tube removal, combined with removal of the port under local anesthesia.

RESULTS:

The described procedure was developed in the endoscopy unit without additional equipment. The mean operating-time ranged from 65 to 180 minutes (mean 135 minutes). No perioperative complication were observed. In-patient treatment was necessary for 4 days.

CONCLUSIONS:

A novel technique for minimally invasive band removal after adjustable gastric band migration is described, offering the patient a low-risk procedure and a better chance for further laparoscopic approaches.

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PMID:
10782179
DOI:
10.1381/096089200321668721
[Indexed for MEDLINE]

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