Abstract
Due to numerous late complications after laparoscopic adjustable gastric banding (LAGB), leading to band removal, a significant decrease of its application has been observed. The objective of this study was to present complications after LAGB in our own material. The study included 152 obese patients who underwent LAGB between 2005 and 2012. The group of women consisted of 91 patients (60%) with the following preoperative parameters: average body mass index (BMI) 42 ±3.66 kg/m2 and average body mass 122 ±12.8 kg. The group of men included 61 patients (40%) with a preoperative average BMI 43 ±3.81 kg/m2 and average body mass 125 ±13.02 kg. The average age of women was 35.02 ±11.6 years and of men 36.18 ±10.5 years. Among 152 patients after LAGB due to morbid obesity, in 7 (4.6%) migration of the band to the stomach lumen was observed, in 4 port wound purulence occurred, in 3 stomach mucosa ulceration was diagnosed in the band pressure area, 3 reported heartburn and hyperacidity, and 4 suffered from emesis. In all aforementioned patients, body mass loss stopped and they reported lack of restriction after last band regulation. Surgical or endoscopic treatment in patients with a migrated band is an individual matter depending on the type and size of band dislocation, its clinical symptoms and the general state of the patient, but also on the experience of the operating team and the quality of the equipment.
Highlights
The number of cases of morbid obesity is constantly growing – it is estimated that in 2016 the number of adults with overweight will oscillate around 2.3 billion and of obese adults will exceed 70 million.[1,2] In almost every country, obesity is an epidemic, which explains the recent intensive development of bariatric surgery
The group of women consisted of 91 patients (60%) with the following preoperative parameters: average body mass index (BMI) 42 ±3.66 kg/m2 and average body mass 122 ±12.8 kg
Among 152 patients after laparoscopic adjustable gastric banding (LAGB) due to morbid obesity, in 7 (4.6%) migration of the band to the stomach lumen was observed, in 4 port wound purulence occurred, in 3 stomach mucosa ulceration was diagnosed in the band pressure area, 3 reported heartburn and hyperacidity, and 4 suffered from emesis
Summary
The number of cases of morbid obesity is constantly growing – it is estimated that in 2016 the number of adults with overweight will oscillate around 2.3 billion and of obese adults will exceed 70 million.[1,2] In almost every country, obesity is an epidemic, which explains the recent intensive development of bariatric surgery. Surgical treatment is a method of choice in obese patients who did not reveal satisfying effects after preservative treatment.[3]. The following procedures are performed as a routine: sleeve gastrectomy (SG), gastric bypass (GBP) and laparoscopic adjustable gastric banding (LAGB); in the last 3 years, there has been an 80% decrease in gastric banding procedures. As with every surgical intervention, bariatric surgery brings the risk of perioperative complications; obese patients are a very specific group, according to the rule: big patient – big risk.[4]. Due to numerous late complications after laparoscopic adjustable gastric banding (LAGB), leading to band removal, a significant decrease of its application has been observed
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