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Volume 26 |
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Number 3 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ORIGINAL ARTICLE |
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Volume 26 |
July - September 2010 |
Number 3 |
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The development of migration in laparoscopic
adjustable gastric banding and the
approach to treatmentSakcak Ibrahim1, Avsar Fatih Mehmet2,
Cosgun Erdal3, Erdem Nihal Zekiye4ABSTRACT
Objective: Laparoscopic adjustable gastric banding (LAGB) application in the treatment of morbid obesity has many advantages. However, certain complications, such as intragastric migration, may occur. In the present study, the effects of such migration and surgical treatment methods were investigated.
Methodology: One hundred thirty-four patients underwent LAGB via the Pars Flaccida technique. Of the patients mean age was 27 years ( 18-54 ). Migration was suspected based on disappearance of the band-related stricture barium contrast examination of the stomach and duodenum. Migration was definitely diagnosed during gastroscopy.
Results: Migration was diagnosed in four (3%) of 134 patients, as well as in one case who underwent LAGB in another center. The follow-up time was 14 months (2-21) and, their mean body mass index (BMI) was 47 kg/m2 (39-56). The band was removed in four patients, the opening formed in the stomach was sutured primarily. One of the patients underwent cholecistectomy and Roux-en-Y gastroenterostomy (RNYGE).
Conclusions: The development of migration after LAGB is a long-term complication. Gastric bands should be removed as soon as the migration is diagnosed. RNYGE in the same session, or new band application 3-6 months later.
KEY WORDS:
Morbid obesity, Bariatric surgery, Laparoscopy, Band migration.Pak J Med Sci July - September 2010 Vol. 26 No. 3 542-546
How to cite this article:
Ibrahim S, Mehmet AF, Erdal C, Zekiye EN. The development of migration in laparoscopic adjustable gastric banding and the approach to treatment. Pak J Med Sci 2010;26(3):542-546
1. Op. Dr. Sakcak Ibrahim, M.D,
Department of General Surgery,
2. Prof. Dr. Avsar Fatih Mehmet, M.D,
Department of General Surgery,
3. Dr. Cosgun Erdal Ph.D,
Department of Biostatistics,
Medicine Faculty of Hacettepe University,
06100, Ankara, Turkey.
4. Dr. Erdem Nihal Zekiye, Ph.D,
Department of Nutrition,
1,2,4: Numune Teaching & Research Hospital,
06100, Ankara,
Turkey.Correspondence:
Ibrahim Sakcak
Cukurambar mah.
42. Cadde sancak apartmani
No: 11/7,
06600 Cankaya/Ankara
TURKEY
E-mail: ibrahimsakcak@yahoo.com
* Received for Publication: March 2, 2010
* Accepted: April 19, 2010
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