TITLE

Early and Late Complications Following Laparoscopic Adjustable Gastric Banding

AUTHOR(S)
Sarker, Sharfi; Herold, Katherine; Creech, Steve; Shayani, Vafa
PUB. DATE
February 2004
SOURCE
American Surgeon;Feb2004, Vol. 70 Issue 2, p146
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
There is limited U.S. data on short- and long-term complications of laparoscopic adjustable gastric banding (LAGS) as a treatment option for morbid obesity. Hereafter, we present our experience with the first 154 consecutive LAGBs performed at Loyola University Medical Center. Inpatient and outpatient charts were reviewed retrospectively for all patients undergoing LAGS between November 2001 and February 2003 for perioperative morbidity and mortality and repeat operations. Thirty-seven men (24%) and 117 women (76%) underwent LAGS in a 16-month period. There was one (0.6%) death from postoperative myocardial infarction (MI) and one (0.6%) pulmonary embolism. Six (3.9%) patients required readmission to the hospital for dehydration. During a mean follow-up of 33 weeks (range, 4-69 weeks), 14 (9%) patients required repeat operations. There were five (3.2%) band slippages and one (0.6%) gastric erosion. Three bands were removed laparoscopically. Three slippages were revised laparoscopically. One patient underwent laparoscopic cholecystectomy. Seven patients (4.5%) required port revisions for catheter disconnection (4), leak at port site (2), or flipped port (1). LAGS is a safe operative approach for the management of morbid obesity. The incidence of postoperative complications can be minimal with application of a standardized technique. LAGS should be strongly considered for morbidly obese patients who have failed nonoperative management.
ACCESSION #
12618940

 

Related Articles

  • Gallbladder surgery: A new standard?  // Patient Care;1/30/1993, Vol. 27 Issue 2, p11 

    Focuses on the standard being used in laparoscopic cholecystectomy and its difference with traditional open cholecystectomy. Factors that minimized the extent and duration of postoperative disability; Concerns in small communities and in places where the surgeons are not doing as many of them;...

  • Laparoscopic Versus Open Cholecystectomy in Patients with Liver Cirrhosis: A Prospective, Randomized Study. Hamad, Mostafa A.; Thabet, Mostafa; Badawy, Abdalla; Mourad, Farouk; Abdel-Salam, Mahmoud; Abdel-Rahman, Mohammad El-Taher; Hafez, Mohammad Zein El-Deen; Sherif, Tahra // Journal of Laparoendoscopic & Advanced Surgical Techniques;Jun2010, Vol. 20 Issue 5, p405 

    Background: Gallstones are more common in patients with liver cirrhosis than in healthy individuals. Higher morbidity and mortality were reported in cirrhotic patients with either laparoscopic or open cholecystectomy. The aim of this study was to compare laparoscopic and open cholecystectomy in...

  • A nationwide study on readmission, morbidity, and mortality after umbilical and epigastric hernia repair. Bisgaard, T.; Kehlet, H.; Bay-Nielsen, M.; Iversen, M.; Rosenberg, J.; Jørgensen, L. // Hernia;Oct2011, Vol. 15 Issue 5, p541 

    Background: Repair for umbilical and epigastric hernia is a minor and common surgical procedure. Early outcomes are not well documented. Methods: All patients ≥18 years operated on for umbilical or epigastric hernia in Denmark during a 2-year period (2005-2006) were analysed according to...

  • Gallstone-Related Disease in the Elderly: Is There Room for Improvement? García-Alonso, Francisco; Lucas Gallego, María; Bonillo Cambrodón, Daniel; Algaba, Alicia; Poza, Gema; Martín-Mateos, Rosa; Bermejo, Fernando // Digestive Diseases & Sciences;Jun2015, Vol. 60 Issue 6, p1770 

    Background and Aim: Elderly patients are frequently affected by gallstone-related disease. Current guidelines support cholecystectomy after a first acute biliary complication. In the aging, these recommendations are irregularly followed. Methods: We analyzed data from patients 65 or older...

  • Complicated Appendicitis--Is the Laparoscopic Approach Appropriate? A Comparative Study with the Open Approach: Outcome in a Community Hospital Setting. Pokala, Naveen; Sadhasivam, S.; Kiran, R. P.; Parithivel, V. // American Surgeon;Aug2007, Vol. 73 Issue 8, p737 

    Good outcome has been reported with the laparoscopic approach in uncomplicated appendicitis, but a higher incidence of postoperative intraabdominal abscesses has been reported after laparoscopic appendectomy in complicated appendicitis. This retrospective comparative study compares outcome after...

  • Minerva.  // BMJ: British Medical Journal (International Edition);8/31/2002, Vol. 325 Issue 7362, p502 

    Offers medical and science news brief as of August 31, 2002. Failure of people who have had a heart attack to stick to the drug regimen they have started in the hospital; The use of nitrous oxide for laparoscopic technology; Female lions who tend to choose male partners with the darkest manes;...

  • GASTRECTOMIA LONGITUDINALÄ‚ LAPAROSCOPICÄ‚ ÃŽN TRATAMENTUL OBEZITÄ‚Å¢II MORBIDE - PREZENTARE DE CAZ -. Alecu, L.; Tulin, A.; Bărbulescu, M.; Slavu, I.; Braga, V. // Jurnalul de Chirurgie;2013, Vol. 9 Issue 1, p71 

    Starting from a case that we operated in our clinic, the paper takes into discussion the aspects regarding the use of laparoscopic sleeve gastrectomy in the treatment of obesity. We present a 39 year-old woman with morbid obesity and gallstones (206 kg weight, BMI of 70 kg/m²) who underwent a...

  • Successful Resuscitation After Carbon Dioxide Embolism During Laparoscopic Cholecystectomy. Colak, A.; Ozdemir, M. // Internet Journal of Anesthesiology;2007, Vol. 12 Issue 1, p5 

    Laparoscopic surgery is preferred since it shortens stay in hospital, lessens postoperative pain and complications, and because of the cosmetic advantages. Laparoscopic cholecystectomy surgery was planned for a 27 year old female patient, who was 110 kg and 167 cm tall. During the preoperative...

  • Transumbilical Gelport access technique for performing single incision laparoscopic surgery (SILS). Merchant, Aziz M.; Cook, Michael W.; White, Brent C.; Davis, S. Scott; Sweeney, John F.; Lin, Edward // Journal of Gastrointestinal Surgery;Jan2009, Vol. 13 Issue 1, p159 

    Introduction: Single incision laparoscopic surgery (SILS) is an area of active research within general surgery.Discussion: A number of procedures, including cholecystectomy, appendectomy, urologic procedures, adrenalectomy, and bariatric procedures, are currently being...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics