Published January 24, 2017 | Version v1

Complications from Laparoscopic Adjustable Gastric Banding: 364 Cases Experience

Authors/Creators

  • 1. Dr. Ramiro Gálvez-Valdovinos, Bariatric Surgery Service, Hospital Ángeles León, Av. Cerro Gordo, 311-830 Col. Lomas del Campestre, CP. 37150, León, Guanajuato, México, Tel: 52(477)7885683;
  • 1. #S2, 215, Kavuri Hills Jubilee Hills, Hyderabad-500033, India

Description

Background: Laparoscopic adjustable gastric banding LAGB procedures are part of bariatric surgery, it has been reported with favorable risk-benefit profile like part of the management of obesity. These procedures are effective at inducing weight loss and improving comorbid conditions, but like all surgical procedures have several complications. 

Objective: To report 364 LAGB cases with complications observed in the last five years. 

Material and Methods: LAGB complications were classified as intraoperative, early postoperative, and late postoperative. 

Results: 250 women and 114 men with mean age at 36 years were treated; time elapsed for LAGB ranged from 7 days to 60 months. Observed complications were: Esophagogastric obstruction (3.2%), Intragastric erosion (54.5%), LAGB chronic slippage (24.6%), Gastric reservoir dilatation (6.23%), Esophageal dilation (3%), Device malfunction (5.1%) and Slippage into the mediastinum (0.5%). 

Conclusions: the evidence remarks that late complications of gastric banding are common.

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