Endoscopic removal of dysfunctioning bands or rings after restrictive bariatric procedures - 22/08/11
Reprint requests: Daniel Blero, MD, Department of Gastroenterology, Hôpital Erasme, 808 route de Lennik, 1070 Bruxelles, Belgium.Brussels, Belgium
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.
Le texte complet de cet article est disponible en PDF.Abbreviations : Lap-Band, SEPS, SRVG, VBG
Plan
| DISCLOSURE: All authors disclosed no financial relationships relevant to this publication. Daniel Blero was supported by a grant from Fonds Erasme pour la recherche Médicale and a Cook Endoscopy grant for research in GI endoscopy. |
Vol 71 - N° 3
P. 468-474 - mars 2010 Retour au numéro
Article précédent
- Effectiveness of asynchronous tele-endoscopy
- Anushiya Ganeshalingam, Sean Pritchett, Tony Tam, Joseph A. Cafazzo, Peter G. Rossos
- Endoscopic removal of dysfunctioning rings or bands after restrictive bariatric procedures
- John M. Morton
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