scholarly journals Public cost of privately inserted laparoscopic adjustable gastric bands

BJS Open ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 314-316
Author(s):  
G. Patel ◽  
A. Tase ◽  
S. Caplin ◽  
J. Barry
Keyword(s):  
Gastric Bands

Improved Scintigraphic Assessment of Occult Leakages in Adjustable Gastric Bands Using 99mTc-labelled Human Albumin Colloid

2001 ◽  
Vol 11 (4) ◽  
pp. 502-506 ◽  
Author(s):  
Helmut Weiss ◽  
Regina Peer ◽  
Hermann Nehoda ◽  
Burkhard Labeck ◽  
Hugo Bonatti ◽  
...  
Keyword(s):  
Human Albumin ◽  
Gastric Bands ◽  
Scintigraphic Assessment

Causes and Timing of Nonelective Reoperations after Bariatric Surgery: A Review of 1304 Cases at a Single Institution

2015 ◽  
Vol 81 (10) ◽  
pp. 969-973 ◽  
Author(s):  
Erin Thompson ◽  
Lisa Ferrigno ◽  
Jonathon Grotts ◽  
Jenna Knox ◽  
Samantha Sobelman ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Band ◽  
Biliary Disease ◽  
Single Institution ◽  
Index Procedure ◽  
Common Cause ◽  
Common Indication ◽  
Number Of Patients ◽  
Gastric Bands

As the number of patients undergoing bariatric procedures for weight loss increases, an understanding of the causes and timing of complications requiring reoperation is critical. The aim of our study was to characterize the type and timing of nonelective (NE) reoperations in these patients. Over five years, 1304 patients undergoing index procedures were identified: 769 laparoscopic Roux-en-Y gastric bypasses (LRYGB), 301 laparoscopic sleeve gastrectomies, and 234 laparoscopic adjustable gastric bands. We identified 117 NE reoperations, which were grouped by index procedure as well as whether they occurred early (≤90 days) or late (>90 days). In the laparoscopic adjustable gastric bands group, slipped gastric band was the most common indication for early (n = 2) and late (n = 2) reoperations. Biliary disease was the most common cause for early reoperations (n = 4), and the only cause for late reoperations (n = 2) after laparoscopic sleeve gastrectomies. For LRYGB, diagnoses differed between the early and late groups, with the most common early indications being bowel obstruction (n = 8) and anastomotic leak (n = 4) of the 18 early reoperations, and internal hernia (n = 36) and biliary disease (n = 17) of the 82 late reoperations. The vast majority of NE reoperations were performed laparoscopically (92%), with conversions and primarily open procedures only occurring in the LRYGB group.

scholarly journals A Plethora of Gastric Bands

2009 ◽  
Vol 91 (8) ◽  
pp. 719-719
Author(s):  
Robert T Diggory
Keyword(s):  
Gastric Bands

scholarly journals Reguliuojamos skrandžio apjuosimo juostos: lyginamųjų studijų apžvalga

2011 ◽  
Vol 9 (1-2) ◽  
pp. 0-0
Author(s):  
Tomas Abalikšta ◽  
Gintautas Brimas ◽  
Kęstutis Strupas
Keyword(s):  
Weight Loss ◽  
Comparative Studies ◽  
University Hospital ◽  
Cochrane Library ◽  
Band Slippage ◽  
Lap Band ◽  
Number Of Patients ◽  
Significant Difference ◽  
Gastric Bands

Tomas Abalikšta, Gintautas Brimas, Kęstutis Strupas Vilniaus universiteto Medicinos fakultetas, M. K. Čiurlionio g. 21, LT-03101 VilniusVilniaus universiteto ligoninės Santariškių klinikų Pilvo chirurgijos centras,Santariškių g. 2, LT-08661 VilniusEl. paštas: [email protected] Darbo tikslas: Remiantis literatūros duomenimis palyginti skirtingas skrandžio apjuosimo reguliuojamas juostas, naudojamas chirurginiam nutukimo gydymui. Tyriamoji medžiaga ir metodai: Publikacijų paieška atlikta elektroninėse MEDLINE, Current Contents ir Cochrane Library duomenų bazėse. Apžvelgtos visos skrandį apjuosiančių reguliuojamų juostų lyginamųjų studijų publikacijos, paskelbtos iki 2010 m. sausio 1 d. Rezultatai: Atlikus literatūros šaltinių paiešką rasta 10 publikacijų, lyginančių skirtingas skrandį apjuosiančias reguliuojamas juostas. Išsamiai atlikta viena studija: perspektyvi, atsitiktinių imčių, jos tiriamųjų skaičius didelis ir stebėjimo laikotarpis ilgas, įvertinti visi gydymo rezultatai. Statistiškai reikšmingo skirtumo tarp SAGB ir LAP-BAND juostų šioje studijoje nerasta. Kitos lyginamosios juostų studijos turi trūkumų: keturios buvo ne atsitiktinių imčių (dvi iš jų retrospektyvios), trijose tiriamųjų imtis maža, visų stebėjimo laikas trumpas. Vienoje iš šių studijų nustatytas kūno masės kritimo skirtumas tarp grupių: LAP-BAND grupėje pradinė viršnorminė kūno masė sumažėjo 41,7 %, Heliogast – 28,3 %. Mechaninių juostų komplikacijų dažnis skyrėsi vienoje studijoje: LAP-BAND – 7 %, SAGB – 1 %. Skirtumas tarp „mažo skrandžio“ išsiplėtimo arba juostos nuslinkimo dažnio rastas trijose studijose (MiniMizer Extra – 0 % ir LAP-BAND – 10,8 %; SAGB – 2,4 % ir LAP-BAND – 27,6 %; SAGB – 2 % ir LAP-BAND – 23 %). Skirtumo tarp gretutinių ligų ir gyvenimo kokybės pokyčio, hospitalizacijos trukmės, juostos reguliavimų skaičiaus/dažnio, juostos penetracijos/migracijos į skrandį bei infekcinių komplikacijų dažnio nerasta. Išvados: Tik viena studija atlikta laikantis šiuolaikinių įrodymais pagrįstos medicinos keliamų reikalavimų, skirtumo tarp lygintų juostų nerasta. Reikalingos perspektyvios, atsitiktinių imčių ilgalaikės (>5 metų) lyginamosios studijos, vertinančios juostų konstrukcijos ar formos skirtumų įtaką gydymo efektyvumui ar komplikacijoms. Reikšminiai žodžiai: nutukimas, bariatrinė chirurgija, skrandžio apjuosimo reguliuojama juosta operacija. Adjustable gastric bands: review of comparative studies Tomas Abalikšta, Gintautas Brimas, Kęstutis Strupas Vilnius University Medical Faculty, M. K. Čiurlionio Str. 21, LT-03101 Vilnius, LithuaniaVilnius University Hospital Santariškių Klinikos Centre of Abdominal Surgery,Santariškių Str. 2, LT-08661 Vilnius, LithuaniaEl. paštas: [email protected] Objective: The objective of this review is to compare different adjustable gastric bands according to the data of comparative studies. Materials and Methods: A search of articles published in any language before January 2010 was carried out through the MEDLINE, Current Contents and Cochrane Library electronic databases. All articles about comparative studies of different adjustable gastric bands were eligible for review. All possible data were extracted from accepted studies and reviewed. Results: Ten comparative studies of different adjustable gastric bands were accepted. Only one comparative study of the bands was accomplished properly. It was a prospective randomised study type with a large number of patients and a long follow-up period with all possible results evaluated. No statistically significant difference between SAGB and LAP-BAND gastric bands was found in this study. The other band studies had shortcomings: four studies were non-randomised (two of them retrospective), a small number of patients in three studies, and a too short follow-up period in all studies. The difference in weight loss was stated in one of these studies: 41.7% of initial excess weight loss in the LAP-BAND group and 28.3% in the Heliogast group. Band leakage frequency was different in one study: LAP-BAND – 7%, SAGB – 1%. A difference between pouch dilatation or band slippage frequency was found in three studies (MiniMizer Extra – 0% and LAP-BAND – 10.8%; SAGB – 2.4% and LAP-BAND – 27.6%; SAGB – 2% and LAP-BAND – 23%). There was no difference between the resolution of comorbidities, improvement of the quality of life, hospital stay, band adjustment frequency, band migration or band infection rate. Conclusion: Only one accepted study was accomplished properly. There was no difference between compared adjustable gastric bands in this study. Prospective randomised long-term (more than 5 years) comparative studies are needed for a proper evaluation of band construction or shape influence on weight loss and complications. Keywords: obesity, bariatric surgery, adjustable gastric banding.

Endoscopic Removal of Noneroded Nonadjustable Gastric Bands Using Induced Mucosal Erosion With a Stent, and Review of the Literature

2018 ◽  
Vol 26 (2) ◽  
pp. 162-167
Author(s):  
Tareq M. Hassan ◽  
Estrellita Ontiveros ◽  
Daniel Davis ◽  
Steven G. Leeds
Keyword(s):  
Minimally Invasive ◽  
Balloon Dilation ◽  
Covered Stent ◽  
Endoscopic Removal ◽  
Major Life ◽  
Invasive Approach ◽  
Presenting Symptoms ◽  
Direct Pressure ◽  
Mucosal Erosion ◽  
Gastric Bands

Background. Laparoscopic removal of noneroded nonadjustable gastric bands (NAGBs) may lead to major life-threatening complications. A minimally invasive approach involving endoscopic removal by induced mucosal erosion with a stent (IMES) has been used in a few publications to remove NAGBs. Objective. To examine a minimally invasive endoscopic approach to removal of a NAGB. Setting. A large tertiary/quaternary referral hospital. Methods. We report 4 patients that underwent IMES at our institution and present a literature review of published cases. The procedure includes using an endoscopically placed fully covered stent through the NAGB stricture to cause erosion of the mucosa where the stent is putting direct pressure. After a predetermined length of time, the stent is removed with the NAGB and without a laparoscopic or open procedure. Primary endpoint for our cohort was successful removal to the NAGB with IMES. Secondary endpoints included interval of time to retrieval of the stent, complications from IMES, presenting symptoms, and type of NAGB. These endpoints were then compared with previous publications indicating the use of IMES. Results. Three of 4 patients were female with a mean age of 64.5 years. All patients had the NAGB successfully removed with IMES. The mean time for NAGB and stent removal after insertion was 17.5 days. No major complications were noted. Two patients had post-IMES strictures and were managed by balloon dilation. Conclusion. Endoscopic removal of NAGBs is a safe and feasible procedure for NAGB removal and can be used in place of laparoscopic surgery.

scholarly journals Unique complication of laparoscopic adjustable gastric band? A misplaced band encircling the abdominal aorta

2018 ◽  
Vol 11 (1) ◽  
pp. e228082
Author(s):  
Mohamed Sahloul ◽  
Douglas Bowley ◽  
Martin Richardson
Keyword(s):  
Abdominal Aorta ◽  
Gastric Band ◽  
Laparoscopic Adjustable Gastric Band ◽  
Adjustable Gastric Band ◽  
Potential Hazard ◽  
Recent Past ◽  
Insertion Technique ◽  
Operative Removal ◽  
Gastric Bands

In the recent past, laparoscopic adjustable gastric bands (LAGBs) have been used extensively in bariatric surgery. Despite questionable long-term efficacy, they are generally safe and reversible. We report a possibly unique presentation of a potential hazard of the insertion technique; a misplaced LAGB encircling the abdominal aorta, which was confirmed radiologically and on operative removal of the gastric band. This is a dramatic complication of LAGB, representing an important anatomical hazard for gastric band insertion.

Pathophysiology of Laparoscopic Adjustable Gastric Bands: Analysis and Classification Using High-Resolution Video Manometry and a Stress Barium Protocol

2009 ◽  
Vol 20 (1) ◽  
pp. 19-29 ◽  
Author(s):  
Paul Robert Burton ◽  
Wendy A. Brown ◽  
Cheryl Laurie ◽  
Anna Korin ◽  
Kenneth Yap ◽  
...  
Keyword(s):  
High Resolution ◽  
Gastric Bands ◽  
Stress Barium ◽  
Video Manometry

Two-year comparative results in 300 consecutive cases of three types of adjustable gastric bands implanted after learning curve in single center

2005 ◽  
Vol 1 (3) ◽  
pp. 242-243
Author(s):  
Almino C. Ramos ◽  
Manoela Galvao ◽  
Andrey Carlo ◽  
Edwin G. Canseco ◽  
Abel M. Hiroshi ◽  
...  
Keyword(s):  
Learning Curve ◽  
Single Center ◽  
Comparative Results ◽  
Gastric Bands

Mechanical Resistance of Gastric Bands – Comparison Between New Bands and Bands within the Patient for at Least Two Years

2004 ◽  
Vol 14 (4) ◽  
pp. 524-527
Author(s):  
M. Lanthaler ◽  
F. Schwienbacher ◽  
J. Tembler ◽  
H. Weiss ◽  
R. Mittermair ◽  
...  
Keyword(s):  
Mechanical Resistance ◽  
Gastric Bands
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