TITLE

Banda gástrica penetrada. Una alternativa de tratamiento

AUTHOR(S)
Echaverry-Navarrete, Denis José; Maldonado-Vázquez Pablo Cortes-Romano, Angélica; Cabrera-Jardines, Ricardo; Mondragón-Pinzón, Erwin Eduardo; Castillo-González, Federico Armando
PUB. DATE
September 2015
SOURCE
Cirugia y Cirujanos;sep/oct2015, Vol. 83 Issue 5, p418
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Obesity is a public health problem, for which the prevalence has increased worldwide at an alarming rate, affecting 1.7billion people in the world. Objective: To describe the technique employed in incomplete penetration of gastric band where endoscopic management and/or primary closure is not feasible. Material and methods: Laparoscopic removal of gastric band was performed in five patients with incomplete penetrance using Foley catheterization in the perforation site that could lead to the development of a gastro-cutaneous fistula. Clinical cases: The cases presented include a leak that required surgical lavage with satisfactory outcome, and one patient developed stenosis 3 years after surgical management, which was resolved endoscopically. In all cases, the penetration site closed spontaneously. Discussion: Gastric band erosion has been reported in 3.4% of cases. The reason for inserting a catheter is to create a controlled gastro-cutaneous fistula, allowing spontaneous closure. Conclusions: Various techniques have been described: the totally endoscopic, hybrid techniques (endoscopic/laparoscopic) and completely laparoscopic. A technique is described here that is useful and successful in cases where the above-described treatments are not viable.
ACCESSION #
110232467

 

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